COMLEX LEVEL 2 KEYWORDS, Memorize & One
Liners & COMSAE form D/ 105B/ 442 Q&A/ A+
Score Solution.
Breath that smells like garlic -> ___ Toxicity
tx? - Answer: Arsenic poisoning, tx: succimer, dimercaprol
Biophysical profile: - Answer: Breathing (1 episode, 30s in 30min)
Gross body movement (3 discrete body limb movements)
Fetal tone (1 episode ex of ext and return 2 flexion OR opening-closing of hand)
Reactive non-stress test (2 accelerations)
Amniotic Fluid Volume (1 pocket, >2cm)
You either get 2 points for above or O points
30 min time period
Total maximum score is 10
Page 1 of 72
,Cubital tunnel syndrome vs. Guyon's canal: - Answer: Both have pain and or numbness and
tingling along digits 4 and 5.
Difference is where the sensory loss deficit is, which is along the dorsal aspect of the hand for
cubital vas. palmar aspect of the hand in Guyon's canal, which is around pisiform hamate.
Status epilepticus treatment: - Answer: 1) 2 rounds of IV benzos, lorazapam or diazepam (for at
least 10min)
2) 2nd line, fosphenytoin but if SE persists past 30min
sx > 30min after tx has begun, midazolam, propofol, or phenobarbital are meds of choice
Somogyi Effect - Answer: Morning hyperglycemia caused by reactive hyperglycemia, too much
NPH insulin at night, tx: lower NPH insulin. Measurement of 3am glucose: low
Dawn Phenomenon - Answer: Measure of 3am glucose: high, normal rls of counteregulatory
hormones, not enough insulin to maintain euglycemia. Tx: raise NPH insulin in evening
Control of overnight insulin: - Answer: gargoime and demetir provide more stable control of
overnight insulin and are preferred to NPH
Major RF for placenta accreta: - Answer: scarring from previous C-section and current placenta
previa
The only cardiovascular values that decrease w/preg: - Answer: BP, systemic vascular resistance
Indications for cesarean: - Answer: complete placenta previa, vasa previa, placenta accreta, or
actie symptomatic herpes lesions, maternal HIV w/ viral load > 1000 copies, irreversible fetal
distress, malpresenation, C-section for placental abruption is only indicated in the presence of
deteriorating maternal and or fetal status
Page 2 of 72
,Causes of uteroplacental insufficiency: - Answer: maternal hypotension (sepsis),
uterine hyperstimulation,
post date gestation, placental abruption, preeclampsia,
DM
RF for PROM/PPROM: - Answer: genital tract infection, grand multiparity, polyhydraminos,
smoking, and previous PROM/PPROM
Latent phase (a part of the first dage of labor): - Answer: Defined as cervical effacement and
early dilation. beginning of labor until 100% effacement and last until 3-5cm dilation. Time is 20
hours in nulli and 14 hours in multi. Management of prolonged latent phase: analgesics,
oxytocin, amniotomy, and prostaglandins.
Arrested active phase: - Answer: 3-4cm of dilation to 10cm dilation, usually last two hours in a
nulliparis and 1 hour in a multiparis woman. if it last longer than two hours without progress,
this is arrested.
Low progesterone in a woman at 21 days would indicate: - Answer: defective corpus
luteum/luteal phase deficiency
Primary source of progesterone in 8-10week of pregnancy: - Answer: placenta
RF for endometrial carcinoma: - Answer: unopposed estrogen levels, DM, age, and family hx of
breast/ovarian/endometrial cancer. Progesterone is protective in the case of endometrial
cancer.
RF for CERVICAL cancer: - Answer: smoking and early age of coitus
Page 3 of 72
, Syphilis screening: - Answer: pregs and people who engage in high risk sexual behaviors
RF for frank breech: - Answer: multiple gestations, prematurity, prior breech, uterine tumors,
fetal anomalies. Not in labor: external cephalic manipulation. In labor: cesarean
2 MCC of Atrophic Gastritis: - Answer: Infection w/H.pylori OR
Autoimmune Ab
Clinical features of gastritis: gnawing epigastric pain, anemia
20-15 lb weigh loss, constipation, anorexia, and abdominal fullness, loss of vibration sense,
glossitis: - Answer: Pernicious anemia, atrophic gastritis
Epigastric pain, gnawing after meals, angina, dyspepsia, hematemesis, fatigue, dyspnea: -
Answer: Peptic ulcers
Burning left sided pain shortly after food consumption. Food adversion, anorexia, wt. loss, night
pain: - Answer: Gastric ulcers
Increase size of optic cup with thinning of optic rim: - Answer: Open-angle glaucoma,
tx: cholinerics, alpha agonist, bb, carbonic anhydrase inhibtors, prostaglandin analog, laser
surgery to stretch trabecular meshwork and facilitate outflow
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
Page 4 of 72
Liners & COMSAE form D/ 105B/ 442 Q&A/ A+
Score Solution.
Breath that smells like garlic -> ___ Toxicity
tx? - Answer: Arsenic poisoning, tx: succimer, dimercaprol
Biophysical profile: - Answer: Breathing (1 episode, 30s in 30min)
Gross body movement (3 discrete body limb movements)
Fetal tone (1 episode ex of ext and return 2 flexion OR opening-closing of hand)
Reactive non-stress test (2 accelerations)
Amniotic Fluid Volume (1 pocket, >2cm)
You either get 2 points for above or O points
30 min time period
Total maximum score is 10
Page 1 of 72
,Cubital tunnel syndrome vs. Guyon's canal: - Answer: Both have pain and or numbness and
tingling along digits 4 and 5.
Difference is where the sensory loss deficit is, which is along the dorsal aspect of the hand for
cubital vas. palmar aspect of the hand in Guyon's canal, which is around pisiform hamate.
Status epilepticus treatment: - Answer: 1) 2 rounds of IV benzos, lorazapam or diazepam (for at
least 10min)
2) 2nd line, fosphenytoin but if SE persists past 30min
sx > 30min after tx has begun, midazolam, propofol, or phenobarbital are meds of choice
Somogyi Effect - Answer: Morning hyperglycemia caused by reactive hyperglycemia, too much
NPH insulin at night, tx: lower NPH insulin. Measurement of 3am glucose: low
Dawn Phenomenon - Answer: Measure of 3am glucose: high, normal rls of counteregulatory
hormones, not enough insulin to maintain euglycemia. Tx: raise NPH insulin in evening
Control of overnight insulin: - Answer: gargoime and demetir provide more stable control of
overnight insulin and are preferred to NPH
Major RF for placenta accreta: - Answer: scarring from previous C-section and current placenta
previa
The only cardiovascular values that decrease w/preg: - Answer: BP, systemic vascular resistance
Indications for cesarean: - Answer: complete placenta previa, vasa previa, placenta accreta, or
actie symptomatic herpes lesions, maternal HIV w/ viral load > 1000 copies, irreversible fetal
distress, malpresenation, C-section for placental abruption is only indicated in the presence of
deteriorating maternal and or fetal status
Page 2 of 72
,Causes of uteroplacental insufficiency: - Answer: maternal hypotension (sepsis),
uterine hyperstimulation,
post date gestation, placental abruption, preeclampsia,
DM
RF for PROM/PPROM: - Answer: genital tract infection, grand multiparity, polyhydraminos,
smoking, and previous PROM/PPROM
Latent phase (a part of the first dage of labor): - Answer: Defined as cervical effacement and
early dilation. beginning of labor until 100% effacement and last until 3-5cm dilation. Time is 20
hours in nulli and 14 hours in multi. Management of prolonged latent phase: analgesics,
oxytocin, amniotomy, and prostaglandins.
Arrested active phase: - Answer: 3-4cm of dilation to 10cm dilation, usually last two hours in a
nulliparis and 1 hour in a multiparis woman. if it last longer than two hours without progress,
this is arrested.
Low progesterone in a woman at 21 days would indicate: - Answer: defective corpus
luteum/luteal phase deficiency
Primary source of progesterone in 8-10week of pregnancy: - Answer: placenta
RF for endometrial carcinoma: - Answer: unopposed estrogen levels, DM, age, and family hx of
breast/ovarian/endometrial cancer. Progesterone is protective in the case of endometrial
cancer.
RF for CERVICAL cancer: - Answer: smoking and early age of coitus
Page 3 of 72
, Syphilis screening: - Answer: pregs and people who engage in high risk sexual behaviors
RF for frank breech: - Answer: multiple gestations, prematurity, prior breech, uterine tumors,
fetal anomalies. Not in labor: external cephalic manipulation. In labor: cesarean
2 MCC of Atrophic Gastritis: - Answer: Infection w/H.pylori OR
Autoimmune Ab
Clinical features of gastritis: gnawing epigastric pain, anemia
20-15 lb weigh loss, constipation, anorexia, and abdominal fullness, loss of vibration sense,
glossitis: - Answer: Pernicious anemia, atrophic gastritis
Epigastric pain, gnawing after meals, angina, dyspepsia, hematemesis, fatigue, dyspnea: -
Answer: Peptic ulcers
Burning left sided pain shortly after food consumption. Food adversion, anorexia, wt. loss, night
pain: - Answer: Gastric ulcers
Increase size of optic cup with thinning of optic rim: - Answer: Open-angle glaucoma,
tx: cholinerics, alpha agonist, bb, carbonic anhydrase inhibtors, prostaglandin analog, laser
surgery to stretch trabecular meshwork and facilitate outflow
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
Page 4 of 72
