COMLEX LEVEL 1 EXAM QUESTIONS AND ANSWERS

COMLEX LEVEL 1 EXAM QUESTIONS
AND ANSWERS
cysteine1Lstone1L-1LANS---1L*Hexagonal*1Lstones
-1L*Ground,1Lglass1Lappearance*
-1L*(+)1Lurinary1Lcyanide1Lnitroprusside1Ltest
-1LDefect1Lin1Lrenal1Ltransport1Lof1LCOLA:1LCysteine,1LOrnithine,1LLysine,1LArginine
-1LDoes1LNOT1Lrespond1Lto1Lshock1Lwave1Ltherapy

angiodysplasia1L-1LANS--most1Lcommon1Lcause1Lof1Llower1LGI1Lbleeding1Lin1Lpt's1L>60

superior1Lmesenteric1Lartery1L-1LANS--
supplies1Lthe1Llower1Lportion1Lof1Lthe1Lduodenum,1Ljejunum,1Lileum,1Lcecum,1Lascendin
g1Lcolon,1Land1Ltransverse1Lcolon1Lto1Lthe1Lsplenic1Lflexure

pancreatic1Lcancer1L-1LANS---usually1Larises1Lin1Lthe1L*head*1Lof1Lthe1Lpancreas1L
-
is1Lassociated1Lwith1L*jaundice1Land1Lpain*1Ldue1Lto1Lobstruction1Lof1Lthe1Lcommon1Lbil
e1Lduct
-1Lit1Lis1Lthe1L*4th*1Lmost1Lcommon1Lcause1Lof1Lcancer1L
-has1La1Lvery1Lpoor1Lprognosis

1.1LCalcium1Lchannel1Lblockers-->1Lspecifically1Lsmooth1Lmuscle1Lantagonists--
>1LSM1Ldilation1L
2.1LAlpha1Ladrenergic1Lreceptor1Lblockers1L--
>1Lcause1Ldilation1Lof1Lvessels1Linstead1Lof1Lconstriction1L
3.1LBeta1L21Lagonists:1Lcauses1Ldilation1Lof1Lsmooth1Lmuscle1Lvessels1L-1LANS--
Patients1Lwith1LGERD1Lnormally1Lhave1La1Ldysfunction1Lwith1LLES1Lsphincter1Ltone1Lth
at1Lallows1Lacid1Lto1Lreflux1Linto1Lthe1Lesophagus,1Lthus1Ldrugs1Lthat1Laffect1Lsphincter1
Ltone1Lwould1Lmake1LGERD1Lworse.1LWhat1Lare1Lthe1Lname1Lof1Lthree1Ldrug1Lcategori
es1Lthat1Ldo1Lthis?

celiac1Ldisease1L-1LANS--
malabsorption1Lsyndrome1Lcaused1Lby1Lan1Limmune1Lreaction1Lto1Lgliadian1Lprotein1Lin
1Lgluten1L
-Tissue1Ltransglutaminase1L
-
results1Lin1Lvillous1Latrophy1Lof1Lsmall1Lintestine1Lmucosa1Land1Lcauses1Lsteatorrhea,1L
diarrhea,1Lbloating1Land1Labdominal1Lpain1L
-*also1Lassociated1Lwith1Lother1Lautoimmune1Ldisorders1Llike1Lhashimotos1Lthyroiditis*

make1LNPO,1LPlace1Lon1Lan1LNG1Ltube1Land1Lsuction1Lobstruction1Lout--
>1Lthis1Lwill1Lusually1Lresolve1Lobstruction1L-1LANS--

,after1La1Lpatient1Lcomes1Lto1Lthe1LER1Lwith1Lsudden1Lonset1Lof1Lpain1Land1Labdominal1
Ldistention1LW/O1Lperitoneal1Lsigns1Land1Lafter1Lx-
ray1Lyou1Ldiagnose1Lher1Lwith1La1Lsmall1Lbowel1Lobstruction.1LWhat1Ldo1Lyou1Ldo1Lnext
?

Low1Ltotal1Lcalcium1Ldue1Lto1Llow1Lalbumin1Llevels1Lfrom1Lcirrhosis1L(95%1Lof1LCa2+1Lis
1Lbound1Lto1Lalbumin)1Land1Lnormal1Lionized1LCa2+1Lbecause1LPTH1Lregulates1Lfree1Li
onized1LCa2+1Lindependently--
>1Lthat1Lis1Lwhy1Lthere1Lare1Lno1Lsigns1Lgo1Lhypocalcemia1L-1LANS--
In1La1Lpatient1Lwith1Lliver1Lcirrhosis1Lwhat1Lcalcium1Llevels1Lwould1Lyou1Lexpect1Lto1Lse
e?

Would1Lthere1Lbe1Lsigns1Lof1Lhypocalcemia--
>1Ltetany,1Lparesthesias,1Labdominal1Lcramps?

T5-T111L-1LANS--
where1Lwould1Lyou1Lfind1La1Lviserosomatic1Lreflex1Lresulting1Lin1Lplacatory1Lchanges1Lo
f1Lthe1Lpancreas?

Deferoxamine1L(Desferal)1L-1LANS--
iron1Lchelating1Lagent1Lused1Lin1Lthe1Ltreatment1Lof1Liron1Lintoxication

short1Lleg1Lsyndrome1L-1LANS--
when1La1Lpatient1Lpresents1Lwith1La1Lflexible1Lscoliotic1Lcurve1Lit1Lis1Limportant1Lto1Leval
uate1Lfor...

inferior1Ltrunk--
>1Lencompasses1Lbroadmann1Lareas1L22,39,401Lwhich1Lare1Lin1Lthe1Ltemporal1Lregion1
L-1LANS--
Infarct1Lto1Lwhat1Ltrunk1Lof1Lthe1LLeft1LMCA1Lresults1Lin1LWernicke's1Laphasia?

Superior1Ldivision--
>1Lencompasses1Lbrooks1Larea,1Lfrontal1Leye1Lfield,1Lprimary1Lmotor1Lcortex1Land1Lprim
ary1Lsomatosensory1Lcortex1L-1LANS--
Infarct1Lto1Lwhat1Ltrunk1Lof1Lthe1LLeft1LMCA1Lresults1Lin1LBroca's1Laphasia?

Osteosarcoma1L-1LANS--
bone1Ltumor1Lthat1Lis1Lpresent1Lin1Lyoung1Ladult1Lmales1Lthat1Linvolves1Lthe1Lmetaphysi
s1Lof1Lthe1Llong1Lbones

Ewing's1Lsarcoma1Lt(11;22)1L-1LANS--
bone1Ltumor1Lthat1Lis1Lpresent1Lin1Lyoung1Ladult1Lmales1Lthat1Linvolves1Lthe1L*diaphysis
(mid-shaft)*1Lof1Lthe1Llong1Lbones.

fibrosarcoma1L-1LANS--malignant1Lfibroblasts1Lwithin1La1Lcollagenous1Lmatrix

,chondrosarcoma1L-1LANS--
osseous1Lsarcomas1Lthat1Laffect1Lolder1Lpatients1Land1Lhas1La1Lpredilection1Lfor1Lflat1Lb
ones1Lin1Lthe1L*shoulders1Land1Lpelvis*

tyrosine,1Ldue1Lto1La1Ldefect1Lin1Lphenylalanine1Lhydroxylase1L-1LANS--
PKU1Lpresents1Las1Lfailure1Lto1Lthrive,1Lmental1Lretardation,1Lgapped1Lteeth,1Letc.1LWha
t1Lis1Lthe1Lamino1Lacid1Lthat1Lneeds1Lto1Lbe1Lsupplemented1Ldue1Lto1La1Ldefect1Lin1Lwh
at1Lenzyme?

Rib1L21L-1LANS--where1Ldoes1Lthe1Lposterior1Lscalene1Lattach1Lto?

Paclitaxel1L-1LANS--used1Lin1Lthe1Ltreatment1Lof1Lbreast1Land1Lovarian1Lcancer1L
MOA:1Lhyper1Lstabilization1Lof1Lpolymerized1Lmicrotubules--
>1Lprevents1Lthe1Lbreakdown1Lof1Lthe1Lmitotic1Lspindle

restrictive1Lbarrier1L-1LANS--
maximum1Ldistance1La1Lpatient1Lcan1Lactually1Lmove1La1Ljoint,1Lcan1Lbe1Lpathologic

narcissistic1Lpersonality1Ldisorder1L-1LANS--
patterns1Lof1Lgrandiosity,1Lneed1Lfor1Ladmiration,1Llack1Lof1Lempathy1Lfor1Lothers

A1Lcarotid1Lmassage1Lcauses1Lan1Lincrease1Lin1Lstretch1Lof1Lthe1Lcarotid1Lbaroreceptor
s1Lwhich1Lcauses1La1Lreflexive1LPARASYM1Lresponse1Lwhich1Lslows1Ldown1Lthe1Lcond
uction1Lvelocity1Lthrough1Lthe1LAV1Lnode1Lthis1Lslowing1Ldown1LHeart1LRate--
>1Lused1Lin1Lparoxysmal1Lsupra1Lventricular1Ltachycardia1L-1LANS--
what1Ldoes1La1Lcarotid1Lmassage1Ldo1Land1Lhow1Ldoes1Lit1Laffect1Lthe1LAV1Lnode?

Chronic1Lmyelogenous1Lleukemia1Lt(9;22)-->1LPhilly1Lchx1L-1LANS--
a1Lform1Lof1Lleukemia1Lcharacterized1Lby1Lthe1Laccumulation1Lof1Labnormal,1Lmature1Lg
ranulocytes1L(granulocytes1Lare1La1Ltype1Lof1Lwhite1Lblood1Lcell),1Lmild1Lanemia,1Lthrom
bocytosis1Land1Lbasophilia.1LWhat1Lis1Lthe1Lassociated1Lchromosomal1Ltranslocation?

Burkitt's1Llymphoma1Lt(8;14)1L-1LANS--
germinal1LB1Lcelll1Llymphoma1Lthat1Lis1Lassociated1Lwith1La1Ltranslocation1Lbetween1Lc-
MYC1Land1Lthe1LIg1Lheavy1Lchain1Lon1Lwhich1Ltwo1Lchromosomes?
1LIt1Lis1Lendemic1Lin1Lthe1Lcontinent1Lof1LAfrica1Lwhich1Lproduces1Lthis


follicular1Llymphoma1Lt(14;18)1L-1LANS--
second1Lmost1Lcommon1Llymphoma1Lin1Lthe1LUS,1Larises1Lfrom1Lgerminal1Lcenter1LB-
cells.1LPresents1Lwith1Lpainless1Lperipheral1Llymphadenopathy1Lw/
1La1Lhistory1Lof1Llymph1Lnode1Lenlargement1L.1LPositive1Lfor1LCD1L10,1LCD1L191Land1LC
D1L201Lexpression.1LResults1Lin1Lwhat1Lchromosomal1Ltranslocation1Levolving1Lthe1LBC
L-21Lgene?

Acute1Lpromyelocytic1Lleukemia1Lt(15;17)1L-1LANS--PML/RARA1Lfusion1Lgene

, associated1Lwith1LDIC,1Lcharacteristic1Lfolded,1Lbilobed1Lnuclei1Lare1Lfound1Lin1Lthese1L
certain1Ltype1Lof1Lcells.1LCoarse1Lazurorophilic1Lgranules1Land1Lmultiple1LAuer1Lrods1Lar
e1Lalso1Lpresent1Lon1Lhisto

Clopidogrel1L-1LANS--
inhibits1Lplatelet1Laggregation1Lby1Lirreversibly1Lblocking1Lthe1LP2Y121Lcomponent1Lof1L
ADP1Lreceptors

Bacillus1Lanthracis,1Ltendonopathy1L-1LANS--
textile1Lindustry1Lworker1Lthat1Ldevelops1La1Llow-grade1Lfever,1Lnon-
productive1Lcough1Land1Lsubsternal1Lchest1Lpain1Lhave1Lwhat1Lbug?
1LTreatment1Lis1Lwith1La1Lfluroquinolone1Land1Lwhy1Lare1Lfrequently1Lassociated1Lwith1L
what1LADR?

G-6-PD1Ldeficiency1L-1LANS--X-
linked1Lrecessive1Ldisorder1Lpresent1Lin1LAAs1Land1LMediterraneans1Lthat1Lcause1Lan1Li
nability1Lto1Lgenerate1Lreduced1Lglutathione1Land1Llead1Lto1Lacute1Lhemolysis1Lwhen1Ls
tress1Loccurs.1LYou1Lwill1Lsee1Lbite1Lcells1Land1LHeinz1Lbodies1Lon1Lperipheral1Lblood1L
smear.

Itranuclear1Lopthalmoplegia1L-1LANS--
seen1Lin1Lthose1Lwith1LMS,1Lcauses1Limpaired1Lhorizontal1Leye1Lmovement1Lw/
1Lweak1Ladduction1Lof1Lthe1Laffected1Leye1Land1Labduction1Lnystagmus1Lof1Lthe1Lcontra
lateral1Leye.1LDue1Lto1La1Llesion1Lin1Lthe1LMLF1Lin1Lthe1Ldorsomedial1Lbrainstem1Ltegm
entum1Lof1Lwither1Lthe1Lpons1Lor1Lthe1Lmidbrain

lead1Lpoisoning1L-1LANS--causes1Llethargy,1Lseizures,1Lor1Lcoma--
>1Lcan1Lalso1Ldevelop1Ldistal1Lmotor1Lneuropathies.1L
-
leads1Lto1Ldenaturation1Lof1Lthe1Lenzyme1Lribonuclease1Lwhich1Lcauses1Lribosomes1Lto
1Lpersist1Lin1Lthe1Lthe1LRBCs1Land1Llead1Lto1Lbasophilic1Lstippling


myofasical1Lrelease,1LBLT,1LFPR,1Lcounterstain1L-1LANS--
what1Lare1Lindirect1LOMM1Ltechniques?

Articulatory1Ltechnique1L-1LANS--
OMM1Ltechnique1Lclassified1Las1Llow1Lvelocity,1Lmoderate1Lto1Lhigh1Lamplitude

pericarditis1L-1LANS--
EKG1Lpresents1Lwith1LPR1Ldepression,1LST1Lsegment1Lelevation1Land1LPR1Lelevation1Li
n1Llead1LII.1LThey1Lalso1Lhave1Lsharp,1Lmidsternal,1Lnon-
radiating1Lchest1Lpain1Land1Lmild1Llethargy.1LWhat1Ldo1Lthey1Lhave?

Bottom1Lrib1Lin1LISD/1LTop1Lrib1Lin1LESD1L-1LANS--
BITE1Lmnemonic1Lis1Lused1Lfor1Lrib1Ldysfunction1Ltreatments,1Lwhat1Lis1Lit?