,2025 COMLEX LEVEL 1 EXAM WITH PRECISE SOLUTIONS
- *Hexagonal* stones
- *Ground, glass appearance*
- *(+) urinary cyanide nitroprusside test
- Defect in renal transport of COLA: Cysteine, Ornithine, Lysine,
Arginine
- Does NOT respond to shock wave therapy - Precise Answer
✔✔cysteine stone
most common cause of lower GI bleeding in pt's >60 - Precise Answer
✔✔angiodysplasia
supplies the lower portion of the duodenum, jejunum, ileum, cecum,
ascending colon, and transverse colon to the splenic flexure - Precise
Answer ✔✔superior mesenteric artery
-usually arises in the *head* of the pancreas
-is associated with *jaundice and pain* due to obstruction of the
common bile duct
- it is the *4th* most common cause of cancer
-has a very poor prognosis - Precise Answer ✔✔pancreatic cancer
,Patients with GERD normally have a dysfunction with LES sphincter
tone that allows acid to reflux into the esophagus, thus drugs that affect
sphincter tone would make GERD worse. What are the name of three
drug categories that do this? - Precise Answer ✔✔1. Calcium channel
blockers--> specifically smooth muscle antagonists--> SM dilation
2. Alpha adrenergic receptor blockers --> cause dilation of vessels
instead of constriction
3. Beta 2 agonists: causes dilation of smooth muscle vessels
malabsorption syndrome caused by an immune reaction to gliadian
protein in gluten
-Tissue transglutaminase
-results in villous atrophy of small intestine mucosa and causes
steatorrhea, diarrhea, bloating and abdominal pain
-*also associated with other autoimmune disorders like hashimotos
thyroiditis* - Precise Answer ✔✔celiac disease
after a patient comes to the ER with sudden onset of pain and abdominal
distention W/O peritoneal signs and after x-ray you diagnose her with a
small bowel obstruction. What do you do next? - Precise Answer
✔✔make NPO, Place on an NG tube and suction obstruction out--> this
will usually resolve obstruction
In a patient with liver cirrhosis what calcium levels would you expect to
see?
, Would there be signs of hypocalcemia--> tetany, paresthesias, abdominal
cramps? - Precise Answer ✔✔Low total calcium due to low albumin
levels from cirrhosis (95% of Ca2+ is bound to albumin) and normal
ionized Ca2+ because PTH regulates free ionized Ca2+ independently--
> that is why there are no signs go hypocalcemia
where would you find a viserosomatic reflex resulting in placatory
changes of the pancreas? - Precise Answer ✔✔T5-T11
iron chelating agent used in the treatment of iron intoxication - Precise
Answer ✔✔Deferoxamine (Desferal)
when a patient presents with a flexible scoliotic curve it is important to
evaluate for... - Precise Answer ✔✔short leg syndrome
Infarct to what trunk of the Left MCA results in Wernicke's aphasia? -
Precise Answer ✔✔inferior trunk--> encompasses broadmann areas
22,39,40 which are in the temporal region
Infarct to what trunk of the Left MCA results in Broca's aphasia? -
Precise Answer ✔✔Superior division--> encompasses brooks area,
frontal eye field, primary motor cortex and primary somatosensory
cortex
bone tumor that is present in young adult males that involves the
metaphysis of the long bones - Precise Answer ✔✔Osteosarcoma
- *Hexagonal* stones
- *Ground, glass appearance*
- *(+) urinary cyanide nitroprusside test
- Defect in renal transport of COLA: Cysteine, Ornithine, Lysine,
Arginine
- Does NOT respond to shock wave therapy - Precise Answer
✔✔cysteine stone
most common cause of lower GI bleeding in pt's >60 - Precise Answer
✔✔angiodysplasia
supplies the lower portion of the duodenum, jejunum, ileum, cecum,
ascending colon, and transverse colon to the splenic flexure - Precise
Answer ✔✔superior mesenteric artery
-usually arises in the *head* of the pancreas
-is associated with *jaundice and pain* due to obstruction of the
common bile duct
- it is the *4th* most common cause of cancer
-has a very poor prognosis - Precise Answer ✔✔pancreatic cancer
,Patients with GERD normally have a dysfunction with LES sphincter
tone that allows acid to reflux into the esophagus, thus drugs that affect
sphincter tone would make GERD worse. What are the name of three
drug categories that do this? - Precise Answer ✔✔1. Calcium channel
blockers--> specifically smooth muscle antagonists--> SM dilation
2. Alpha adrenergic receptor blockers --> cause dilation of vessels
instead of constriction
3. Beta 2 agonists: causes dilation of smooth muscle vessels
malabsorption syndrome caused by an immune reaction to gliadian
protein in gluten
-Tissue transglutaminase
-results in villous atrophy of small intestine mucosa and causes
steatorrhea, diarrhea, bloating and abdominal pain
-*also associated with other autoimmune disorders like hashimotos
thyroiditis* - Precise Answer ✔✔celiac disease
after a patient comes to the ER with sudden onset of pain and abdominal
distention W/O peritoneal signs and after x-ray you diagnose her with a
small bowel obstruction. What do you do next? - Precise Answer
✔✔make NPO, Place on an NG tube and suction obstruction out--> this
will usually resolve obstruction
In a patient with liver cirrhosis what calcium levels would you expect to
see?
, Would there be signs of hypocalcemia--> tetany, paresthesias, abdominal
cramps? - Precise Answer ✔✔Low total calcium due to low albumin
levels from cirrhosis (95% of Ca2+ is bound to albumin) and normal
ionized Ca2+ because PTH regulates free ionized Ca2+ independently--
> that is why there are no signs go hypocalcemia
where would you find a viserosomatic reflex resulting in placatory
changes of the pancreas? - Precise Answer ✔✔T5-T11
iron chelating agent used in the treatment of iron intoxication - Precise
Answer ✔✔Deferoxamine (Desferal)
when a patient presents with a flexible scoliotic curve it is important to
evaluate for... - Precise Answer ✔✔short leg syndrome
Infarct to what trunk of the Left MCA results in Wernicke's aphasia? -
Precise Answer ✔✔inferior trunk--> encompasses broadmann areas
22,39,40 which are in the temporal region
Infarct to what trunk of the Left MCA results in Broca's aphasia? -
Precise Answer ✔✔Superior division--> encompasses brooks area,
frontal eye field, primary motor cortex and primary somatosensory
cortex
bone tumor that is present in young adult males that involves the
metaphysis of the long bones - Precise Answer ✔✔Osteosarcoma
