© EVERLY 2025 ALL RIGHTS RESERVED.
COMLEX LEVEL 2 Complete (Original)
Exam Study Guide
First line treatment for Impetigo
Leukocytosis w/ left shift indicates? - Answer✔Dicloxacillin
Followed by Vanc if Beta-lactamase resistant
- Excess neutrophils ... essential a bacterial infection
Treatment:
Hot tub folliculitis
Impetigo by strep
Contact dermatitis
impetigo, abscess and folliculitis by staph - Answer✔Fluoroquinolon, Ciprofloxacin
Cephalexin
Topical steroid
TMP-SMX
1|Page
, © EVERLY 2025 ALL RIGHTS RESERVED.
Difference between HIB and Influenzae
What's the pnuemococcal vaccine for? - Answer✔HIB
- Cause lower respiratory infection
- HIB vaccine reduce incidence since 1990s
Influenzae
- high fever, runny nose, sore throat, muscle pains, headache, coughing, and feeling tired.
- Yearly vaccine
- Treat w/ neuraminidase inhibitors (oseltamivir and zanamivir) and M2 protein inhibitors
(adamantane derivatives).
Pneumoccocal vaccine
- Protects against S. Pneumoniae
Media
1) Chocolate agar
2) Thayer-Martin
3) Eaton agar
4) Charcoal yeast - Answer✔1) H. Influenzae
2) N. Gonorrhea
3) Mycoplasma
4) Legionella
Stains
1) PAS
2) India ink
3) Silver Stain - Answer✔1) Whipple diseae
2) C. neoformans
2|Page
, © EVERLY 2025 ALL RIGHTS RESERVED.
3) Fungi (e.g., Pneumocystis), Legionella,
Helicobacter pylori
___ antibiotics have better coverage than any other class
List them - Answer✔Beta-Lactam
Penicillin, Cephalosporins, carbapenems, aztreonam
Which bacteria are covered by Amoxicillin - Answer✔HELPS
H --> H. influenzae
E --> E. Coli
L --> Listeria
P --> Proteus
S --> Salmonella
Piperacillin, ticarcillin, azlocillin, mezlocillin
Cover what kind of bacteria
What are they useful for - Answer✔Gram (-)
• Cholecystitis and ascending cholangitis
• Pyelonephritis
• Bacteremia
-All stuff that can climb up a tract
• Hospital-acquired and ventilator-associated pneumonia
• Neutropenia and fever
Ceftriaxone, Cefotaxime, Ceftazidime
- What class are these?
3|Page
, © EVERLY 2025 ALL RIGHTS RESERVED.
What is ceftriaxonde first line for?
Avoid ceftriaxone in ____ pt. Why? - Answer✔3rd gen cephalosporin
- Meningitis
- Community-acquired pneumonia (in combination with macrolides)
- Gonorrhea
- Lyme involving the heart or brain
Avoid ceftriaxone in neonates because of impaired biliary metabolism.
Best therapy for community-acquired pneumonia, including penicillinresistant pneumococcus
Use ___ for cystitis and pyelonephritis.
____ can be used as a single
agent for diverticulitis and does not need metronidazole. - Answer✔Fluoroquinolones
(Ciprofloxacin, Gemifloxacin, Levofloxacin, Moxifloxacin)
* Macrolides and doxycycline also used
Ciprofloxacin
Moxifloxacin
Side effect of quinolones - Answer✔Bone growth abnormalities in children and pregnant woman
Tendonitis and tendon rupture
Treatment for cystitis and pneumocystis treatment/prophylaxis
Side effects? - Answer✔Trimethoprim/Sulfamethoxazole
4|Page
COMLEX LEVEL 2 Complete (Original)
Exam Study Guide
First line treatment for Impetigo
Leukocytosis w/ left shift indicates? - Answer✔Dicloxacillin
Followed by Vanc if Beta-lactamase resistant
- Excess neutrophils ... essential a bacterial infection
Treatment:
Hot tub folliculitis
Impetigo by strep
Contact dermatitis
impetigo, abscess and folliculitis by staph - Answer✔Fluoroquinolon, Ciprofloxacin
Cephalexin
Topical steroid
TMP-SMX
1|Page
, © EVERLY 2025 ALL RIGHTS RESERVED.
Difference between HIB and Influenzae
What's the pnuemococcal vaccine for? - Answer✔HIB
- Cause lower respiratory infection
- HIB vaccine reduce incidence since 1990s
Influenzae
- high fever, runny nose, sore throat, muscle pains, headache, coughing, and feeling tired.
- Yearly vaccine
- Treat w/ neuraminidase inhibitors (oseltamivir and zanamivir) and M2 protein inhibitors
(adamantane derivatives).
Pneumoccocal vaccine
- Protects against S. Pneumoniae
Media
1) Chocolate agar
2) Thayer-Martin
3) Eaton agar
4) Charcoal yeast - Answer✔1) H. Influenzae
2) N. Gonorrhea
3) Mycoplasma
4) Legionella
Stains
1) PAS
2) India ink
3) Silver Stain - Answer✔1) Whipple diseae
2) C. neoformans
2|Page
, © EVERLY 2025 ALL RIGHTS RESERVED.
3) Fungi (e.g., Pneumocystis), Legionella,
Helicobacter pylori
___ antibiotics have better coverage than any other class
List them - Answer✔Beta-Lactam
Penicillin, Cephalosporins, carbapenems, aztreonam
Which bacteria are covered by Amoxicillin - Answer✔HELPS
H --> H. influenzae
E --> E. Coli
L --> Listeria
P --> Proteus
S --> Salmonella
Piperacillin, ticarcillin, azlocillin, mezlocillin
Cover what kind of bacteria
What are they useful for - Answer✔Gram (-)
• Cholecystitis and ascending cholangitis
• Pyelonephritis
• Bacteremia
-All stuff that can climb up a tract
• Hospital-acquired and ventilator-associated pneumonia
• Neutropenia and fever
Ceftriaxone, Cefotaxime, Ceftazidime
- What class are these?
3|Page
, © EVERLY 2025 ALL RIGHTS RESERVED.
What is ceftriaxonde first line for?
Avoid ceftriaxone in ____ pt. Why? - Answer✔3rd gen cephalosporin
- Meningitis
- Community-acquired pneumonia (in combination with macrolides)
- Gonorrhea
- Lyme involving the heart or brain
Avoid ceftriaxone in neonates because of impaired biliary metabolism.
Best therapy for community-acquired pneumonia, including penicillinresistant pneumococcus
Use ___ for cystitis and pyelonephritis.
____ can be used as a single
agent for diverticulitis and does not need metronidazole. - Answer✔Fluoroquinolones
(Ciprofloxacin, Gemifloxacin, Levofloxacin, Moxifloxacin)
* Macrolides and doxycycline also used
Ciprofloxacin
Moxifloxacin
Side effect of quinolones - Answer✔Bone growth abnormalities in children and pregnant woman
Tendonitis and tendon rupture
Treatment for cystitis and pneumocystis treatment/prophylaxis
Side effects? - Answer✔Trimethoprim/Sulfamethoxazole
4|Page
