COMLEX Level 2 -Questions with 100% Correct
Answers
Moderate Persistent Asthma
Symptoms daily and night time awakenings more than once a week but not nightly
First Line Treatment for Moderate Persistent Asthma
inhaled low - dose glucocorticoids plus an inhaled long - acting beta agonist; a short - acting
inhaled beta agonist is also given for exacerbations
Cranial bones that primarily move in flexion and extension around a transverse axis
Midline bones
What are the midline bones of the cranium?
occiput, sphenoid, ethmoid, vomer
What does the frontal bone do during sphenobasilar flexion?
it moves in external rotation
Cranial bones that primarily move in internal and external rotation
Paired bones
What are the paired bones of the crainum?
Temporals, parietals, maxilla, zygoma, nasals, palatines
What happens during sphenobasilar flexion?
(1) Flexion of the midline bones
(2) External Rotation of the paired bones
(3) Decreased AP diameter of the cranium
(4) Extension of the sacrum
(5) Bregma descends with SBS flexion ( and ascends with extension )
,Left sided colon tumors will have...
hematochezia and narrow stools
Right sided colon tumors will have ...
melena and occult blood in stool
Low calcium, low phosphate, elevated PTH
Vitamin D Deficiency --> Secondary hyperparathyroidsim
Low calcium, elevated phosphate, elevated PTH
Pseudohypoparathyroidism ( also similar labs in renal failure ); can be associated with Albright's
hereditary osteodystrophy
Elevated calcium, normal phosphate, decreased PTH
Malignancy - which cause secretion of PTH- related protein leading to an increase in calcium
and subsequent inhibition of PTH
Elevated calcium, low phosphate, elevated PTH
Primary Hyperparathyroidism
According to the American Heart Association, procedures requiring prophylaxis are:
respiratory tract of infected skin, tissues just under the skin, or musculoskeletal tissue
The AHA's Latest Guidelines state antibiotics are required for those with:
An artificial heart valve or who have had a heart valve repaired with artificial material, a history
of endocarditis, a heart transplant with abnormal heart valve function, and cyanotic congenital
heart disease that has not been fully repaired.
Atypical Depression
mood reactivity + weight gain, hypersomnia, leaden paralysis, or sensitivity to rejection
Melancholic Depression
, lack of mood reactivity, early morning awakening / insomnia, and weight loss/anorexia
The diagnosis of primary hyperaldosteronism should follow the following algorithm:
First measure the plasma aldosterone concentration to plasma renin activity; if it is greater than
25, proceed to sodium loading tests, where patients are given oral sodium or fludrocortisone
over 3 days; if the plasma aldosterone level is not suppressed below 10ng/dL, the patient has
primary hyperaldosteronism.
Symptoms of Cocaine and amphetamine withdrawal
dysphoria, excessive sleep, and hunger
Symptoms of opioid withdrawal
rhinorrhea, lacrimation, yawning, abdominal and leg cramping, piloerection, nausea, vomiting,
diarrhea, and dilated pupils
A major symptom of alcohol withdrawal
seizures
Associated with cocaine use
Increased sense of energy
Pauciarticular onset JRA
Female patient, under 5 yrs of age, four or fewer joints; chief complaint / physical findings will
be painless limp and knee swelling; complications are uveitis, iridocyclitis, and asymmetrical leg
length
Characteristics of this disease include conjunctivitis, cough and coryza, Koplik spots; after
these symptoms within 1 week, a maculopapular rash starts on the face and spreads caudally
Measles/rubeola/paramyxovirus
Answers
Moderate Persistent Asthma
Symptoms daily and night time awakenings more than once a week but not nightly
First Line Treatment for Moderate Persistent Asthma
inhaled low - dose glucocorticoids plus an inhaled long - acting beta agonist; a short - acting
inhaled beta agonist is also given for exacerbations
Cranial bones that primarily move in flexion and extension around a transverse axis
Midline bones
What are the midline bones of the cranium?
occiput, sphenoid, ethmoid, vomer
What does the frontal bone do during sphenobasilar flexion?
it moves in external rotation
Cranial bones that primarily move in internal and external rotation
Paired bones
What are the paired bones of the crainum?
Temporals, parietals, maxilla, zygoma, nasals, palatines
What happens during sphenobasilar flexion?
(1) Flexion of the midline bones
(2) External Rotation of the paired bones
(3) Decreased AP diameter of the cranium
(4) Extension of the sacrum
(5) Bregma descends with SBS flexion ( and ascends with extension )
,Left sided colon tumors will have...
hematochezia and narrow stools
Right sided colon tumors will have ...
melena and occult blood in stool
Low calcium, low phosphate, elevated PTH
Vitamin D Deficiency --> Secondary hyperparathyroidsim
Low calcium, elevated phosphate, elevated PTH
Pseudohypoparathyroidism ( also similar labs in renal failure ); can be associated with Albright's
hereditary osteodystrophy
Elevated calcium, normal phosphate, decreased PTH
Malignancy - which cause secretion of PTH- related protein leading to an increase in calcium
and subsequent inhibition of PTH
Elevated calcium, low phosphate, elevated PTH
Primary Hyperparathyroidism
According to the American Heart Association, procedures requiring prophylaxis are:
respiratory tract of infected skin, tissues just under the skin, or musculoskeletal tissue
The AHA's Latest Guidelines state antibiotics are required for those with:
An artificial heart valve or who have had a heart valve repaired with artificial material, a history
of endocarditis, a heart transplant with abnormal heart valve function, and cyanotic congenital
heart disease that has not been fully repaired.
Atypical Depression
mood reactivity + weight gain, hypersomnia, leaden paralysis, or sensitivity to rejection
Melancholic Depression
, lack of mood reactivity, early morning awakening / insomnia, and weight loss/anorexia
The diagnosis of primary hyperaldosteronism should follow the following algorithm:
First measure the plasma aldosterone concentration to plasma renin activity; if it is greater than
25, proceed to sodium loading tests, where patients are given oral sodium or fludrocortisone
over 3 days; if the plasma aldosterone level is not suppressed below 10ng/dL, the patient has
primary hyperaldosteronism.
Symptoms of Cocaine and amphetamine withdrawal
dysphoria, excessive sleep, and hunger
Symptoms of opioid withdrawal
rhinorrhea, lacrimation, yawning, abdominal and leg cramping, piloerection, nausea, vomiting,
diarrhea, and dilated pupils
A major symptom of alcohol withdrawal
seizures
Associated with cocaine use
Increased sense of energy
Pauciarticular onset JRA
Female patient, under 5 yrs of age, four or fewer joints; chief complaint / physical findings will
be painless limp and knee swelling; complications are uveitis, iridocyclitis, and asymmetrical leg
length
Characteristics of this disease include conjunctivitis, cough and coryza, Koplik spots; after
these symptoms within 1 week, a maculopapular rash starts on the face and spreads caudally
Measles/rubeola/paramyxovirus
