COMLEX Level 1 questions with verified answers
graded A+ updated to pass
1. cysteine stone - *Hexagonal* stones
-*Ground, glass appearance*
-*(+) urinary cyanide nitroprusside test
-Defect in renal transport of COLA: Cysteine,
Or- nithine, Lysine, Arginine
-Does NOT respond to shock wave therapy
2. angiodysplasia most common cause of lower GI bleeding in pt's
>60
3. superior mesenteric artery supplies the lower portion of the duodenum,
jejunum,
ileum, cecum, ascending colon, and transverse
colon to the splenic flexure
4. pancreatic cancer -usually arises in the *head* of the pancreas
-is associated with *jaundice and pain* due
to ob- struction of the common bile duct
-it is the *4th* most common cause of cancer
-has a very poor prognosis
,COMLEX Level 1 questions with verified answers
graded A+ updated to pass
5. 1. Calcium channel blockers-- Patients with GERD normally have a dysfunction
> specifically smooth muscle with LES sphincter tone that allows acid to
antago- reflux into
,COMLEX Level 1 questions with verified answers
graded A+ updated to pass
nists--> SM dilation the esophagus, thus drugs that attect sphincter
2. Alpha adrenergic receptor tone would make GERD worse. What are the
block- ers --> cause dilation of name of three drug categories that do this?
vessels in- stead of
constriction
3. Beta 2 agonists: causes
dilation of smooth muscle
vessels
6. celiac disease malabsorption syndrome caused by an
immune reac- tion to gliadian protein in gluten
-Tissue transglutaminase
-results in villous atrophy of small intestine
mucosa and causes steatorrhea, diarrhea,
bloating and ab- dominal pain
-*also associated with other autoimmune
disorders like hashimotos thyroiditis*
7. make NPO, Place on an NG tube and after a patient comes to the ER with sudden
onset of
suction obstruction out--> this no signs go hypocalcemia
will usually resolve
obstruction
8. Low total calcium due to low
albu- min levels from cirrhosis
(95% of Ca2+ is bound to
albumin) and nor- mal ionized
Ca2+ because PTH reg- ulates
free ionized Ca2+ indepen-
dently--> that is why there are
,COMLEX Level 1 questions with verified answers
graded A+ updated to pass
and abdominal distention W/O peritoneal signs and you expect to see?
after x-ray you diagnose her with a small bowel
obstruction. What do you do next? Would there be signs of hypocalcemia--> tetany,
paresthesias, abdominal cramps?
atient with liver cirrhosis what calcium levels would
9. T5-T11 where would you find a viserosomatic reflex
resulting in placatory changes of the
pancreas?
10. Deferoxamine (Desferal)
graded A+ updated to pass
1. cysteine stone - *Hexagonal* stones
-*Ground, glass appearance*
-*(+) urinary cyanide nitroprusside test
-Defect in renal transport of COLA: Cysteine,
Or- nithine, Lysine, Arginine
-Does NOT respond to shock wave therapy
2. angiodysplasia most common cause of lower GI bleeding in pt's
>60
3. superior mesenteric artery supplies the lower portion of the duodenum,
jejunum,
ileum, cecum, ascending colon, and transverse
colon to the splenic flexure
4. pancreatic cancer -usually arises in the *head* of the pancreas
-is associated with *jaundice and pain* due
to ob- struction of the common bile duct
-it is the *4th* most common cause of cancer
-has a very poor prognosis
,COMLEX Level 1 questions with verified answers
graded A+ updated to pass
5. 1. Calcium channel blockers-- Patients with GERD normally have a dysfunction
> specifically smooth muscle with LES sphincter tone that allows acid to
antago- reflux into
,COMLEX Level 1 questions with verified answers
graded A+ updated to pass
nists--> SM dilation the esophagus, thus drugs that attect sphincter
2. Alpha adrenergic receptor tone would make GERD worse. What are the
block- ers --> cause dilation of name of three drug categories that do this?
vessels in- stead of
constriction
3. Beta 2 agonists: causes
dilation of smooth muscle
vessels
6. celiac disease malabsorption syndrome caused by an
immune reac- tion to gliadian protein in gluten
-Tissue transglutaminase
-results in villous atrophy of small intestine
mucosa and causes steatorrhea, diarrhea,
bloating and ab- dominal pain
-*also associated with other autoimmune
disorders like hashimotos thyroiditis*
7. make NPO, Place on an NG tube and after a patient comes to the ER with sudden
onset of
suction obstruction out--> this no signs go hypocalcemia
will usually resolve
obstruction
8. Low total calcium due to low
albu- min levels from cirrhosis
(95% of Ca2+ is bound to
albumin) and nor- mal ionized
Ca2+ because PTH reg- ulates
free ionized Ca2+ indepen-
dently--> that is why there are
,COMLEX Level 1 questions with verified answers
graded A+ updated to pass
and abdominal distention W/O peritoneal signs and you expect to see?
after x-ray you diagnose her with a small bowel
obstruction. What do you do next? Would there be signs of hypocalcemia--> tetany,
paresthesias, abdominal cramps?
atient with liver cirrhosis what calcium levels would
9. T5-T11 where would you find a viserosomatic reflex
resulting in placatory changes of the
pancreas?
10. Deferoxamine (Desferal)
