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COMLEX Level 3 Questions with Detailed
Verified Answers
Vitamin C Deficiency
⼀Answer:- Everything *normal* in coag panel
Normal PT
Normal PTT
Normal Bleeding Time
Normal Platelet Count
Hemophilia A (X-linked recessive disorder)
⼀Answer:- AKA Factor VIII deficiency - i.e. intrinsic pathway will be
dysfunctional. Same effect as pts receiving heparin.
Pts. receiving receiving Warfarin will have extrisinc pathway affected
- i.e. increased PT
Normal PT
Increased PTT
Normal Bleeding Time
Normal Platelet Count
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Von Willbrand Disease (VWD) (Autosomal Dominant)
⼀Answer:- MC inherited bleeding disorder and is transmitted as AD
trait. Affects platelet binding and is also a carrier protein for factor
VIII (intrinsinc, PTT)
Normal PT
Increased PTT Increased Bleeding Time
Normal Platelet Count
DIC
⼀Answer:- Increased PT
Increased PTT
Increased Bleeding Time
Low Platelet Count
BMP and UA (least costly and invasive and most readily
available)
⼀Answer:- In pts with suspected BPH and urinary retention what 2
dx tests would be most important order first
Renal US - to eval for hydronephrosis and bladder outlet
obstruction
⼀Answer:- Any pt with BPH and renal insufficiency (elevated Cr)
should have a ____ performed
it's only effective if given within hours after being bitten
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anaphylaxis and serum sickness so it is reserved for severe cases
⼀Answer:- When is antivenin indicated
What are 2 feared complications
opthlamic flq. make sure to tx both eyes
⼀Answer:- tx for bacterial conjunctivitis
placenta previa (definition)
⼀Answer:- condition in which the placenta implants near or covering
the cervical os
placenta previa (symptoms)
⼀Answer:- *painless*, acute vaginal bleeding in the 2nd or 3rd
trimester is _____ until proven otherwise. Can be triggered by
intercourse. *contractions are absent*
placenta abruption (definition)
⼀Answer:- a condition where the placenta separates from the wall
of the uterus
placental abruption (symptoms)
⼀Answer:- *painful* vaginal bleeding in the 2nd or 3rd trimester
and associated with with severe tetanic uterine *contractions*
uterine rupture *definition* and when does it usually happen
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⼀Answer:- a *severely painful* condition in which the uterus opens
at a previous incision site. occurs during labor or induction of labor.
uterine rupture risk factors (5)
⼀Answer:- 1. previous rupture
2. previous uterine surgery (esp transfundal)
3. use of prostaglandins or oxytocin
4. short inter-pregnancy interval
5. hydatidiform mole (a type of gestational trophoblastic disease)
vasa previa (definition)
⼀Answer:- a condition in which the fetal vessels course through the
membranes, over the cervical os and insert into the placenta close to
the os.
bedside abdominal US to confirm that the placenta is overlyling
the cervical os
Do this before jumping to c-section immediately
⼀Answer:- Confirm dx of suspected placenta previa with
Expectant mgmt if the pt remains stable and her bleeding subsides.
If hemorrhage worsens or persists or there are signs of fetal
distress, immediate C-section is warranted
⼀Answer:- Tx options for placenta previa (2)
placenta accreta (definition)
COMLEX Level 3 Questions with Detailed
Verified Answers
Vitamin C Deficiency
⼀Answer:- Everything *normal* in coag panel
Normal PT
Normal PTT
Normal Bleeding Time
Normal Platelet Count
Hemophilia A (X-linked recessive disorder)
⼀Answer:- AKA Factor VIII deficiency - i.e. intrinsic pathway will be
dysfunctional. Same effect as pts receiving heparin.
Pts. receiving receiving Warfarin will have extrisinc pathway affected
- i.e. increased PT
Normal PT
Increased PTT
Normal Bleeding Time
Normal Platelet Count
, Page | 2
Von Willbrand Disease (VWD) (Autosomal Dominant)
⼀Answer:- MC inherited bleeding disorder and is transmitted as AD
trait. Affects platelet binding and is also a carrier protein for factor
VIII (intrinsinc, PTT)
Normal PT
Increased PTT Increased Bleeding Time
Normal Platelet Count
DIC
⼀Answer:- Increased PT
Increased PTT
Increased Bleeding Time
Low Platelet Count
BMP and UA (least costly and invasive and most readily
available)
⼀Answer:- In pts with suspected BPH and urinary retention what 2
dx tests would be most important order first
Renal US - to eval for hydronephrosis and bladder outlet
obstruction
⼀Answer:- Any pt with BPH and renal insufficiency (elevated Cr)
should have a ____ performed
it's only effective if given within hours after being bitten
, Page | 3
anaphylaxis and serum sickness so it is reserved for severe cases
⼀Answer:- When is antivenin indicated
What are 2 feared complications
opthlamic flq. make sure to tx both eyes
⼀Answer:- tx for bacterial conjunctivitis
placenta previa (definition)
⼀Answer:- condition in which the placenta implants near or covering
the cervical os
placenta previa (symptoms)
⼀Answer:- *painless*, acute vaginal bleeding in the 2nd or 3rd
trimester is _____ until proven otherwise. Can be triggered by
intercourse. *contractions are absent*
placenta abruption (definition)
⼀Answer:- a condition where the placenta separates from the wall
of the uterus
placental abruption (symptoms)
⼀Answer:- *painful* vaginal bleeding in the 2nd or 3rd trimester
and associated with with severe tetanic uterine *contractions*
uterine rupture *definition* and when does it usually happen
, Page | 4
⼀Answer:- a *severely painful* condition in which the uterus opens
at a previous incision site. occurs during labor or induction of labor.
uterine rupture risk factors (5)
⼀Answer:- 1. previous rupture
2. previous uterine surgery (esp transfundal)
3. use of prostaglandins or oxytocin
4. short inter-pregnancy interval
5. hydatidiform mole (a type of gestational trophoblastic disease)
vasa previa (definition)
⼀Answer:- a condition in which the fetal vessels course through the
membranes, over the cervical os and insert into the placenta close to
the os.
bedside abdominal US to confirm that the placenta is overlyling
the cervical os
Do this before jumping to c-section immediately
⼀Answer:- Confirm dx of suspected placenta previa with
Expectant mgmt if the pt remains stable and her bleeding subsides.
If hemorrhage worsens or persists or there are signs of fetal
distress, immediate C-section is warranted
⼀Answer:- Tx options for placenta previa (2)
placenta accreta (definition)
