COMLEX Level 2 One Liners Exam Questions and
Answers 100% Pass
Zenker's Diverticulum: Si/Sx? Dx? Tx? - ANSWER ✔✔-Si/Sx: Dysphagia, Halitosis, Regurgitation of
Undigested Food, Throat Clearing, Neck Mass
Dx: Barium Swallow
Tx: Myotomy of Cricopharyngeus +/- Diverticulectomy
Cervical Cancer Screening - ANSWER ✔✔-- Pap smears start at age 21
- Age 21-30: Pap q3Y
- Age 30 - 69: Pap q3Y OR Pap + HPV test q5Y
- Age 70: DC if 3 consecutive (-) and no abnormal paps in last 10 years
Breast Cancer Screening - ANSWER ✔✔-Mammography q2Y starting at age 50 (USPSTF) or 40 (ACOG)
STD Screening - ANSWER ✔✔-- GC and CHL for all sexually active non-pregnant women 24 y/o and
younger
- HIV for all individuals 15-65 y/o
Colorectal Cancer Screening - ANSWER ✔✔-- Start at 50
- FOBTx3 q1Y OR Sigmoidoscopy q5Y OR Colonoscopy q10Y
- Previous polyp: q3Y until clear, then q5Y
- Previous colon ca: 1Y after resection, then 3Y, then 5Y
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- FH in single family member: 10 years earlier than age of dx or age 40
- HNPCC: start at 25, q1-2Y
- FAP: start at 12, q1Y
AAA Screening - ANSWER ✔✔-Men ages 65-75 who have ever smoked should undergo a one-time
abdominal U/S
Guidelines for Pneumovax - ANSWER ✔✔-All persons aged 65 y/o and older should receive a one time
pneumococcal vaccination
Booster is recommended if the pt received the vaccine >=5 years previously and was age <65y/o at time
of vaccination
*One time dose for Diabetic patients at time of diagnosis
Adult vaccines - ANSWER ✔✔-- Influenza annually for all people over 6 mos
- TDaP once after 11 y/o, Td booster q 10 yrs
- VZV at 60 y/o
Mgmt of pt with FAP - ANSWER ✔✔-Total Colectomy (100% risk of developing colonic adenocarcinoma)
COMQUEST tool for Visceral Innervation - ANSWER ✔✔-S 5-9
L 6-9
P 5-11
S 9-11
K 10-11
B 11-2
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L 11-2
Counterstrain Technique - ANSWER ✔✔-1. Locate and Palpate TP
2. Place pt in position of optimal comfort (SHORTEN the muscle)
3. Fine tune until 70% tenderness reduction
4. Maintain position for 90 seconds
5. Slowly return to neutral
6. Recheck TP (no more than 30% tenderness should remain)
Phases of Clinical Trails - ANSWER ✔✔-- I: Testing on a small number of healthy volunteers to determine
SE, metabolism, excretion etc
- II: Testing on a small number of pts suffering from the disease to be treated
- III: Large scale trial to test against placebo
- IV: After release; surveillance
RUQ pain, jaundice, ascites...Dx? Initial test? Diagnostic test? - ANSWER ✔✔-Budd-Chiari Syndrome:
thrombosis of hepatic vein or IVC
- DX: initially Ultrasound, Venography to confirm
- TX: Thrombolytics
Most common cause of Post-Partum Fever? - ANSWER ✔✔-Endometritis (will also have uterine
tenderness)
- TX: broad spectrum abx
Contraindications for breast feeding - ANSWER ✔✔-- Mothers with HIV, untreated TB, HSV lesions on
breast, chemo, radioactive isotope administration
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- Infants with galactosemia
- *Soy based formula instead
Supplementation for exclusively breast-fed infants - ANSWER ✔✔-- Vitamin D: 400 IU daily soon after
birth
- Iron: 1 mg/lg oral starting at 4 months
Woman is exclusively breast feeding, present with pain in breast...shiny skin of nipple with peeling at the
areola...likely organism? - ANSWER ✔✔-Candida albicans
Woman presents with straw colored discharge from nipple...likely dx? - ANSWER ✔✔-Intraductal
papilloma
Mgmt of Lobular Carcinoma In Situ - ANSWER ✔✔-Observation
Mgmt of Ductal Carcinoma In Situ - ANSWER ✔✔-Excision with post op Radiation
Mgmt of Invasive Lobular/Ductal Ca. - ANSWER ✔✔-Lumpectomy + Sentinal LN Bx + post op
Radiation
Procedures requiring IE PPX - ANSWER ✔✔-Procedures involving:
- Respiratory tract
- Major dental work
- Infected skin, tissues just under skin, musculoskeletal tissue
Who gets IE PPX? - ANSWER ✔✔-- Artificial heart valve or heart valve repaired with articificial material
- History of endocarditis
- Heart transplant with abnormal heart fx
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