COMLEX level 2 Qbanks/COMSAE: COMQUEST,
COMBANK, form D & 105B/ 1,021 Q&A.
What structure does the Common Peroneal nerve cross? - Answer: Crosses near the Fibular
Head
Post-Partum Blues vs. Depression - Answer: -Post-Partum Blues = 1-2 wks postpartum and
mother does not lose capacity to care for baby
-Post-Partum Depression = 2 wks to 12 months postpartum, mother loses capacity to care for
self and baby
SLE associated kidney disease - Answer: Membranous Glomerulonephritis = subepithelial
deposits -> thickened capillary walls
What type of allergic effects to Penicillin warrants avoidance of Cephalosporins too? (4) -
Answer: 1) Anaphylaxis
2) Respiratory Distress
Page 1 of 145
,3) Angioedema
4) Urticaria
Treatment of Cluster headaches - Answer: 100% oxygen
Prophylaxis therapy for migraines - Answer: Propranolol (beta-blockers)
First-line migraine abortive therapy - Answer: Sumatriptan
Female Athletic Triad - Answer: 1) Disordered eating
2) Amenorrhea
3) Low bone density (osteoporosis/osteopenia)
Absorption of Folate - Answer: Proximal jejunum = conversion of Folic Acid to Folate to be
absorbed
SIRS criteria - Answer: 2 or more of the following:
1) Temp <36 (96.8) or >38 (100.4)
2) HR >90
3) RR >20 or PaCO2 <32
4) WBC >12,000 or <4,000 or >10% bands
What are the 3 types of sepsis? - Answer: - Sepsis = SIRS criteria + source of infection
- Severe Sepsis = SIRS criteria + organ dysfunction, hypotension or hypoperfusion
- Septic Shock = sepsis-induced hypotension despite adequate fluid resuscitation
What test will be positive in Patellofemoral syndrome? What is the treatment? - Answer: Test =
Patellar Grind Test
Tx = Excercise and Physical Therapy
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,What is Charcot's Triad? - Answer: Triad of symptoms found in Cholangitis
1) Jaundice
2) RUQ pain
3) Fever
What is PATHOGNOMONIC for Cholecystitis? - Answer: Murphy's Sign = inspiratory arrest with
deep palpation of the RUQ
4 most common organisms associated with Cholecystitis? Which is the most common? -
Answer: 1) E. coli = most common
2) Klebsiella
3) Enterococcus
4) Pseudomonas
2 findings for Patent Foramen Ovale - Answer: 1) RBBB
2) Increased holosystolic murmur with inspiration
Where should the tip of a Central Venous Catheter be located? - Answer: Superior Vena Cava
Differentiate between spinal shock and neurogenic shock - Answer: Bulbocavernosus Reflex (i.e.
anal wink) = present in Neurogenic Shock, but absent in Spinal Shock
What presentation other than DEXA scan results can be indicative of Osteoporosis? - Answer:
Fragility Fracture (often of the hip)
NOTE:
Normal = T-score of -1 or above
Osteopenia = T-score lower than -1 and greater than -2.5
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, Osteoporosis = T-score of -2.5 or lower
Severe osteoporosis = T-score of -2.5 or lower, and presence of at least one fragility fracture
Acute Interstitial Nephritis triad of presentation - Answer: 1) Rash
2) Fever
3) Eosinophilia
The initial test for suspected Gastrinoma? What is the name of the syndrome that involves
Gastrinoma? What is this syndrome associated with? - Answer: - Serum Gastrin
- Zollinger-Ellison Syndrome
- MEN I (i.e. Wermer Syndrome)
8 Major Framingham Criteria for CHF - Answer: 1) Paroxysmal nocturnal dyspnea
2) Neck vein distension
3) Rales
4) Cardiomegaly
5) Acute pulmonary edema
6) Auscultation of S3 gallop
7) Increased venous pressure
8) Positive hepatojugular reflux
Uric acid stone diagnosis? Treatment? - Answer: - Dx = Non-contrast CT (REMEMBER:
radiograph will be NEGATIVE)
- Tx = Citrate or Allopurinol
Most common cause of Sigmoid volvulus - Answer: Chronic constipation
Syndrome associated with anticonvulsant exposure in utero - Answer: Fetal Hydantoin
Syndrome (exposure to Phenytoin)
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COMBANK, form D & 105B/ 1,021 Q&A.
What structure does the Common Peroneal nerve cross? - Answer: Crosses near the Fibular
Head
Post-Partum Blues vs. Depression - Answer: -Post-Partum Blues = 1-2 wks postpartum and
mother does not lose capacity to care for baby
-Post-Partum Depression = 2 wks to 12 months postpartum, mother loses capacity to care for
self and baby
SLE associated kidney disease - Answer: Membranous Glomerulonephritis = subepithelial
deposits -> thickened capillary walls
What type of allergic effects to Penicillin warrants avoidance of Cephalosporins too? (4) -
Answer: 1) Anaphylaxis
2) Respiratory Distress
Page 1 of 145
,3) Angioedema
4) Urticaria
Treatment of Cluster headaches - Answer: 100% oxygen
Prophylaxis therapy for migraines - Answer: Propranolol (beta-blockers)
First-line migraine abortive therapy - Answer: Sumatriptan
Female Athletic Triad - Answer: 1) Disordered eating
2) Amenorrhea
3) Low bone density (osteoporosis/osteopenia)
Absorption of Folate - Answer: Proximal jejunum = conversion of Folic Acid to Folate to be
absorbed
SIRS criteria - Answer: 2 or more of the following:
1) Temp <36 (96.8) or >38 (100.4)
2) HR >90
3) RR >20 or PaCO2 <32
4) WBC >12,000 or <4,000 or >10% bands
What are the 3 types of sepsis? - Answer: - Sepsis = SIRS criteria + source of infection
- Severe Sepsis = SIRS criteria + organ dysfunction, hypotension or hypoperfusion
- Septic Shock = sepsis-induced hypotension despite adequate fluid resuscitation
What test will be positive in Patellofemoral syndrome? What is the treatment? - Answer: Test =
Patellar Grind Test
Tx = Excercise and Physical Therapy
Page 2 of 145
,What is Charcot's Triad? - Answer: Triad of symptoms found in Cholangitis
1) Jaundice
2) RUQ pain
3) Fever
What is PATHOGNOMONIC for Cholecystitis? - Answer: Murphy's Sign = inspiratory arrest with
deep palpation of the RUQ
4 most common organisms associated with Cholecystitis? Which is the most common? -
Answer: 1) E. coli = most common
2) Klebsiella
3) Enterococcus
4) Pseudomonas
2 findings for Patent Foramen Ovale - Answer: 1) RBBB
2) Increased holosystolic murmur with inspiration
Where should the tip of a Central Venous Catheter be located? - Answer: Superior Vena Cava
Differentiate between spinal shock and neurogenic shock - Answer: Bulbocavernosus Reflex (i.e.
anal wink) = present in Neurogenic Shock, but absent in Spinal Shock
What presentation other than DEXA scan results can be indicative of Osteoporosis? - Answer:
Fragility Fracture (often of the hip)
NOTE:
Normal = T-score of -1 or above
Osteopenia = T-score lower than -1 and greater than -2.5
Page 3 of 145
, Osteoporosis = T-score of -2.5 or lower
Severe osteoporosis = T-score of -2.5 or lower, and presence of at least one fragility fracture
Acute Interstitial Nephritis triad of presentation - Answer: 1) Rash
2) Fever
3) Eosinophilia
The initial test for suspected Gastrinoma? What is the name of the syndrome that involves
Gastrinoma? What is this syndrome associated with? - Answer: - Serum Gastrin
- Zollinger-Ellison Syndrome
- MEN I (i.e. Wermer Syndrome)
8 Major Framingham Criteria for CHF - Answer: 1) Paroxysmal nocturnal dyspnea
2) Neck vein distension
3) Rales
4) Cardiomegaly
5) Acute pulmonary edema
6) Auscultation of S3 gallop
7) Increased venous pressure
8) Positive hepatojugular reflux
Uric acid stone diagnosis? Treatment? - Answer: - Dx = Non-contrast CT (REMEMBER:
radiograph will be NEGATIVE)
- Tx = Citrate or Allopurinol
Most common cause of Sigmoid volvulus - Answer: Chronic constipation
Syndrome associated with anticonvulsant exposure in utero - Answer: Fetal Hydantoin
Syndrome (exposure to Phenytoin)
Page 4 of 145
