COMLEX II High Yield Exam Questions With Verified Answers.

COMLEX II High Yield Exam Questions With Verified Answers. Initial study for osteomyelitis How is treatment monitored? - answerx-ray, but MRI if it is equivocal (more sensitive, so will rule IN the dx) Follow ESR and CRP(prognostic) (WBC is usually normal!!) Pacer required for these blocks - answerMobitz type II (3:1 pattern of P to QRS, regular R to R) 3rd degree block (P's and QRSs are "divorced) First line for OCD - answerSSRIs acute dystonia (timing after drug initiation) - answerstarts hrs to days after initiation of antipsychotics when does tardive dyskinesia arise Tx? - answermonths to years after a typical antipsychotic med is initiated switch to an Atypical Antipsychotic acute akathasia (timing after drug initiation) - answerrestlessness/urge to move within hours to days of typical antipsychotic initiation Acute pericarditis in SLE presents with ____ - answer(all the normal pericarditis sx) and 1. Leukopenia 2.Thrombocytopenia X-ray in PDA Diagnostic murmur - answerIncresed vascular markings 2/2 L -->R shunt, increased volume in the pulm system MACHINE-LIKE @ 2nd Left ICS!!! early post-valve endocarditis: late post-valve endocarditis: native valve endocarditis: - answerearly (within 1 yr): S. aureus, S. epidermidis late: S. aureus HACEK: H. flu, Actinobacillus, Cardioacterium, Eikenella, Kingella Sleep walking and enuresis are treated with - answerTCAs like Imipramine (shorten stages 3-4 of sleep)Use Used to augment tx when MDD is resistant to monotx with antidepressants - answerLithium Pts with CHD or an equivalent should be started on a statin if LDL is >_____? If LDL is below ______, but they have a CHD equivalent, what should be done? - answer>130 Lifestyle modification Tx for panic disorder Tx for GAD - answerSSRI Anxiolytic like buspirone Tx for acute gout - answerNSAIDs!! Dx a hemotx with ____________ - answerx-ray 14 y/o with palpable pupura, abd pain, arthritis- Dx? Renal Bx will show - answerHSP Mesangial deposits of IgA Mood reactivity + 2 of the following: hypersomnia, wt gain, leaden paralysis, sensitivity to rejection - answeratypical depression Most specific tests for RA? - answerX-ray and anti-CCP Abs (RF is not specific and does not rule out seronegative RA) R to R in a-fib? - answerirregular! (also look for p-waves that are hard to define) R vs L BBB? - answerWiLLiaM MaRRoW LBBB: V1: W, V6:M RBBB: V1: M, V6: W Electrolyte disturbance seen in Conn syndrome? - answerConn syn: Primary hyperaldosteronism, will have a metabolic alkalosis Isolated hypoHDL....tx? - answerNiacin (ASA before!) 2 murmurs that increase with Valsalva - answer1. HOCM (systolic ejection murmure) 2. MVP (mid-systolic click) How is HOCM treated? - answerBeta-blocker or verapamil (non-dihydro) PCWP is low in all types of shock exept: - answercardiogenic shock SVR is high in all types of shock except - answerNeurogenic Septic (fever, white count, tachy, tachypnea) High CO seen in this type of shock: - answerSeptic, but may be normal Medical management of PVD - answerCilostazol How is spondylolithesis graded? - answer3 grades, below and above 26-50% Hip drop tests __________ - answersidebending of the lumbar spine Standing flxn tests _______ - answerIliosacral dysfunction AP compression and Seated flxn test ______ - answerSacroiliac dysfunction Straight leg raising tests _________ - answerSciatic nerve compression, could be from a herniated disc Viscerosomatics: (major organs) - answerS-stomach/spleen: 5-9 L-liver: 6-9 P-panc- 5-11 S-small bowel (j & i)- 9-11 K-kidneys- 10-11 B-bladder- 11-2 L-lower extremitis-11-2 Segmental sympathetic innervation for the mid GI/GU: - answerT10-11: GI: jejunum, ileum, ascending colon, prox. 2/3 of the transverse colon; GU: adrenals, kidneys, upper ureters, gonads Segmental sympathetic innervation for the lower GI/GU - answerT12-L2:GI: Distal 1/3 of the transverse colon, descending colon, sigmoid, rectum; GU: lower ureter, bladder Chapman's Points - answer2nd ICS: myocard, thyroid, esoph, bronchi (main) 3rd ICS: upper lung and upper extremities 4th ICS: lung disease 6th ICS: Liver and GB (R); stomach pe