COMLEX LEVEL 3 EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST 2025-
2026 ALREADY GRADED A+
In scoliosis, the curve is named for the convexity rather than the concavity
This patient presents with a right-sided rib hump in the thoracic region and
inflexible curve sidebent to the right in the lumbar region. This represents one
of the most common presentations of scoliosis, a double curve with right
thoracic and left lumbar curves. This is called
Prior abdominal surgeries, which lead to the development of adhesions
the number one risk factor for mechanical small bowel obstruction
VHL
,Clinical hallmarks of _____ disease include the development of retinal and
central nervous system (CNS) hemangioblastomas (blood vessel tumors),
pheochromocytomas, multiple cysts in the pancreas and kidneys, and an
increased risk for malignant transformation of renal cysts into renal cell
carcinoma
otosclerosis
In this disease there is overgrowth of the middle ear bones, most commonly the
stapes, which interferes with sound conduction. When the stapes is involved, it
becomes fixed to the oval window and can no longer be pulled away by the
stapedius muscle in response to loud sounds. This results in loss of the stapedial
reflex.
auto dominant
otosclerosis inheritance pattern
Subacute thyroiditis (de Quervain's)
tx is supportive with NSAIDs
A 23-year-old female presents with a painful lump in her neck for the past 3
weeks. She states she recently recovered from a "cold." Physical exam reveals a
tender, diffuse enlarged gland in the anterior aspect of the neck. There are
tender and edematous tissues within the T1-T4 paravertebral musculature. She
admits to fatigue and malaise. Her thyroid-stimulating hormone level is within
normal limits. The next best step in management is
pleural:serum LDH ratio of >0.6,
pleural: serum protein ratio> 0.5, or pleural fluid LDH > 2/3 the normal upper
limit of serum LDH.
A pleural effusion qualifies as an exudate with the one or more of the following
criteria
,Cavernous hemangiomas
contrast enhanced CT scanning.
the most common benign tumors of the liver. They are best diagnosed with
once symptoms have resolved, this includes being asymptomatic off
medications as well as being cleared for play by a licensed health care provider
According to the American Academy of Neurology, an athlete with a concussion
can safely return to play when?
True. Especially during first 10 days
Athletes with history of concussion are at greater risk for recurrent concussions.
T or F?
Cerebral edema and death are possible and well documented if an athlete
suffers a second impact before recovering from the initial concussion, a
phenomenon known as second-impact syndrome.
If a concussive patient were to return to play before symptoms had resolved
and suffered a second concussion, what is the most serious complication that
may arise
What are 2 feared complications
opthlamic flq. make sure to tx both eyes
tx for bacterial conjunctivitis
placenta previa (definition)
condition in which the placenta implants near or covering the cervical os
placenta previa (symptoms)
, painless, acute vaginal bleeding in the 2nd or 3rd trimester is _____ until proven
otherwise. Can be triggered by intercourse. contractions are absent
placenta abruption (definition)
a condition where the placenta separates from the wall of the uterus
placental abruption (symptoms)
painful vaginal bleeding in the 2nd or 3rd trimester and associated with with
severe tetanic uterine contractions
uterine rupture definition and when does it usually happen
a severely painful condition in which the uterus opens at a previous incision site.
occurs during labor or induction of labor.
uterine rupture risk factors (5)
1. previous rupture
2. previous uterine surgery (esp transfundal)
3. use of prostaglandins or oxytocin
4. short inter-pregnancy interval
5. hydatidiform mole (a type of gestational trophoblastic disease)
vasa previa (definition)
a condition in which the fetal vessels course through the membranes, over the
cervical os and insert into the placenta close to the os.
bedside abdominal US to confirm that the placenta is overlyling the cervical os
Do this before jumping to c-section immediately
Confirm dx of suspected placenta previa with
Expectant mgmt if the pt remains stable and her bleeding subsides.
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST 2025-
2026 ALREADY GRADED A+
In scoliosis, the curve is named for the convexity rather than the concavity
This patient presents with a right-sided rib hump in the thoracic region and
inflexible curve sidebent to the right in the lumbar region. This represents one
of the most common presentations of scoliosis, a double curve with right
thoracic and left lumbar curves. This is called
Prior abdominal surgeries, which lead to the development of adhesions
the number one risk factor for mechanical small bowel obstruction
VHL
,Clinical hallmarks of _____ disease include the development of retinal and
central nervous system (CNS) hemangioblastomas (blood vessel tumors),
pheochromocytomas, multiple cysts in the pancreas and kidneys, and an
increased risk for malignant transformation of renal cysts into renal cell
carcinoma
otosclerosis
In this disease there is overgrowth of the middle ear bones, most commonly the
stapes, which interferes with sound conduction. When the stapes is involved, it
becomes fixed to the oval window and can no longer be pulled away by the
stapedius muscle in response to loud sounds. This results in loss of the stapedial
reflex.
auto dominant
otosclerosis inheritance pattern
Subacute thyroiditis (de Quervain's)
tx is supportive with NSAIDs
A 23-year-old female presents with a painful lump in her neck for the past 3
weeks. She states she recently recovered from a "cold." Physical exam reveals a
tender, diffuse enlarged gland in the anterior aspect of the neck. There are
tender and edematous tissues within the T1-T4 paravertebral musculature. She
admits to fatigue and malaise. Her thyroid-stimulating hormone level is within
normal limits. The next best step in management is
pleural:serum LDH ratio of >0.6,
pleural: serum protein ratio> 0.5, or pleural fluid LDH > 2/3 the normal upper
limit of serum LDH.
A pleural effusion qualifies as an exudate with the one or more of the following
criteria
,Cavernous hemangiomas
contrast enhanced CT scanning.
the most common benign tumors of the liver. They are best diagnosed with
once symptoms have resolved, this includes being asymptomatic off
medications as well as being cleared for play by a licensed health care provider
According to the American Academy of Neurology, an athlete with a concussion
can safely return to play when?
True. Especially during first 10 days
Athletes with history of concussion are at greater risk for recurrent concussions.
T or F?
Cerebral edema and death are possible and well documented if an athlete
suffers a second impact before recovering from the initial concussion, a
phenomenon known as second-impact syndrome.
If a concussive patient were to return to play before symptoms had resolved
and suffered a second concussion, what is the most serious complication that
may arise
What are 2 feared complications
opthlamic flq. make sure to tx both eyes
tx for bacterial conjunctivitis
placenta previa (definition)
condition in which the placenta implants near or covering the cervical os
placenta previa (symptoms)
, painless, acute vaginal bleeding in the 2nd or 3rd trimester is _____ until proven
otherwise. Can be triggered by intercourse. contractions are absent
placenta abruption (definition)
a condition where the placenta separates from the wall of the uterus
placental abruption (symptoms)
painful vaginal bleeding in the 2nd or 3rd trimester and associated with with
severe tetanic uterine contractions
uterine rupture definition and when does it usually happen
a severely painful condition in which the uterus opens at a previous incision site.
occurs during labor or induction of labor.
uterine rupture risk factors (5)
1. previous rupture
2. previous uterine surgery (esp transfundal)
3. use of prostaglandins or oxytocin
4. short inter-pregnancy interval
5. hydatidiform mole (a type of gestational trophoblastic disease)
vasa previa (definition)
a condition in which the fetal vessels course through the membranes, over the
cervical os and insert into the placenta close to the os.
bedside abdominal US to confirm that the placenta is overlyling the cervical os
Do this before jumping to c-section immediately
Confirm dx of suspected placenta previa with
Expectant mgmt if the pt remains stable and her bleeding subsides.
