PE COMLEX Level 2-Questions with 100% Correct
Answers
Case 1
CC:
48-year-old female, comes to the clinic complaining of abdominal pain.
Differential Diagnosis
1. Peptic ulcer disease
2. Cholecystitis
3. Gastritis
4. Functional or nonulcer dyspepsia 5. Perforated ulcer
6. Gastric cancer
Case 1
CC:
48-year-old female, comes to the clinic complaining of abdominal pain.
Diagnostic Workup
1. Rectal exam, stool for occult blood
2. AST/ALT/bilirubin/ alkaline phosphatase, lipase
3. U/S—abdomen
4. Upper endoscopy
5. HIDA scan
6. H. pylori antibody testing
Case 2
Cc:
21-year-old female, comes to the ER complaining of abdominal pain.
Differential Diagnosis
1. PID
2. Appendicitis
,3. Ruptured ectopic pregnancy
4. Ruptured ovarian cyst
5. Adnexal torsion
6. Gastroenteritis
7. Abortion
8. Endometriosis
Case 2
Cc:
21-year-old female, comes to the ER complaining of abdominal pain.
Diagnostic Workup
1. Rectal exam
2. Pelvic exam
3. Urine hCG
4. Cervical cultures
5. UA
6. CBC
7. U/S—abdomen/pelvis 8. CT—abdomen/pelvis
9. Laparoscopy
Case 3
CC:
74-year-old male, comes to the ER complaining of pain in his right arm.
Differential Diagnosis
1. Humeral fracture
2. Osteoporosis
3. Shoulder dislocation
4. Elder abuse
5. Rotator cuff tear
,Case 3
CC:
74-year-old male, comes to the ER complaining of pain in his right arm.
Diagnostic Workup
1. XR—right shoulder and arm
2. MRI—shoulder
3. Bone density scan (DEXA)
Case 4
CC:
21-year-old male, comes to the office complaining of a sore throat.
Diagnostic Workup
1. CBC
2. Peripheral smear
3. Monospot
4. Rapid streptococcal antigen 5. Throat culture
6. Anti-EBV antibodies
7. HIV antibody and viral load
Case 4
CC:
21-year-old male, comes to the office complaining of a sore throat.
Differential Diagnosis
1. Infectious mononucleosis
2. Acute HIV infection
3. Viral pharyngitis
4. Bacterial pharyngitis
, Case 5
CC:
55-year-old male, comes to the clinic complaining of blood in his stool.
Diagnostic Workup
1. Rectal exam, stool for occult blood 2. Stool for C. difficile toxin
3. Fecal leukocytes
4. CBC
5. Anoscopy
6. Flexible proctosigmoidoscopy
7. Colonoscopy
8. Double-contrast (air contrast) barium enema 9. CT—abdomen/pelvis
Case 5
CC:
55-year-old male, comes to the clinic complaining of blood in his stool.
Differential Diagnosis
1. Colorectal cancer
2. Hemorrhoids
3. Diverticulosis
4. Angiodysplasia
5. Pseudomembranous (C. difficile) colitis 6. Other infectious colitis
7. Ulcerative colitis
Case 6
CC: 46-year-old male, comes to the ER complaining of chest pain.
Differential Diagnosis
1. Myocardial ischemia or infarction
2. Cocaine-induced myocardial ischemia 3. GERD
4. Aortic dissection
5. Pericarditis
Answers
Case 1
CC:
48-year-old female, comes to the clinic complaining of abdominal pain.
Differential Diagnosis
1. Peptic ulcer disease
2. Cholecystitis
3. Gastritis
4. Functional or nonulcer dyspepsia 5. Perforated ulcer
6. Gastric cancer
Case 1
CC:
48-year-old female, comes to the clinic complaining of abdominal pain.
Diagnostic Workup
1. Rectal exam, stool for occult blood
2. AST/ALT/bilirubin/ alkaline phosphatase, lipase
3. U/S—abdomen
4. Upper endoscopy
5. HIDA scan
6. H. pylori antibody testing
Case 2
Cc:
21-year-old female, comes to the ER complaining of abdominal pain.
Differential Diagnosis
1. PID
2. Appendicitis
,3. Ruptured ectopic pregnancy
4. Ruptured ovarian cyst
5. Adnexal torsion
6. Gastroenteritis
7. Abortion
8. Endometriosis
Case 2
Cc:
21-year-old female, comes to the ER complaining of abdominal pain.
Diagnostic Workup
1. Rectal exam
2. Pelvic exam
3. Urine hCG
4. Cervical cultures
5. UA
6. CBC
7. U/S—abdomen/pelvis 8. CT—abdomen/pelvis
9. Laparoscopy
Case 3
CC:
74-year-old male, comes to the ER complaining of pain in his right arm.
Differential Diagnosis
1. Humeral fracture
2. Osteoporosis
3. Shoulder dislocation
4. Elder abuse
5. Rotator cuff tear
,Case 3
CC:
74-year-old male, comes to the ER complaining of pain in his right arm.
Diagnostic Workup
1. XR—right shoulder and arm
2. MRI—shoulder
3. Bone density scan (DEXA)
Case 4
CC:
21-year-old male, comes to the office complaining of a sore throat.
Diagnostic Workup
1. CBC
2. Peripheral smear
3. Monospot
4. Rapid streptococcal antigen 5. Throat culture
6. Anti-EBV antibodies
7. HIV antibody and viral load
Case 4
CC:
21-year-old male, comes to the office complaining of a sore throat.
Differential Diagnosis
1. Infectious mononucleosis
2. Acute HIV infection
3. Viral pharyngitis
4. Bacterial pharyngitis
, Case 5
CC:
55-year-old male, comes to the clinic complaining of blood in his stool.
Diagnostic Workup
1. Rectal exam, stool for occult blood 2. Stool for C. difficile toxin
3. Fecal leukocytes
4. CBC
5. Anoscopy
6. Flexible proctosigmoidoscopy
7. Colonoscopy
8. Double-contrast (air contrast) barium enema 9. CT—abdomen/pelvis
Case 5
CC:
55-year-old male, comes to the clinic complaining of blood in his stool.
Differential Diagnosis
1. Colorectal cancer
2. Hemorrhoids
3. Diverticulosis
4. Angiodysplasia
5. Pseudomembranous (C. difficile) colitis 6. Other infectious colitis
7. Ulcerative colitis
Case 6
CC: 46-year-old male, comes to the ER complaining of chest pain.
Differential Diagnosis
1. Myocardial ischemia or infarction
2. Cocaine-induced myocardial ischemia 3. GERD
4. Aortic dissection
5. Pericarditis
