COMLEX LEVEL 2 EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
Moderate Persistent Asthma - Correct Answers -Symptoms daily and night time
awakenings more than once a week but not nightly
First Line Treatment for Moderate Persistent Asthma - Correct Answers -inhaled low -
dose glucocorticoids plus an inhaled long - acting beta agonist; a short - acting inhaled
beta agonist is also given for exacerbations
Cranial bones that primarily move in flexion and extension around a transverse axis -
Correct Answers -Midline bones
What are the contraindications to labor inductions? - Correct Answers -uncomplicated
pregnancy under 39 weeks, placenta previa, vasa previa, active genital herpes, breech
position and umbilical cord prolapse
What are the indications for labor inductions? - Correct Answers -pregnancy over 42
weeks ( defined as post - term ), maternal or fetal danger, choriomanionitis, placental
abruption, and premature ROM.
Developmental milestones for 8 - 12 month old children: - Correct Answers -crawl,
sitting to crawling position, pulling self to stand, walking with support, standing without
support, pincer grasp, imitate scribbling/words/ gestures, shake head "no" use "mama"
and "dada", exclamations such as "oh-oh", finger feeds self, cry when a parent leaves
What are the midline bones of the cranium? - Correct Answers -occiput, sphenoid,
ethmoid, vomer
What does the frontal bone do during sphenobasilar flexion? - Correct Answers -it
moves in external rotation
Cranial bones that primarily move in internal and external rotation - Correct Answers -
Paired bones
What are the paired bones of the crainum? - Correct Answers -Temporals, parietals,
maxilla, zygoma, nasals, palatines
,What happens during sphenobasilar flexion? - Correct Answers -(1) Flexion of the
midline bones
(2) External Rotation of the paired bones
(3) Decreased AP diameter of the cranium
(4) Extension of the sacrum
(5) Bregma descends with SBS flexion ( and ascends with extension )
Left sided colon tumors will have... - Correct Answers -hematochezia and narrow stools
Right sided colon tumors will have ... - Correct Answers -melena and occult blood in
stool
Low calcium, low phosphate, elevated PTH - Correct Answers -Vitamin D Deficiency -->
Secondary hyperparathyroidsim
Low calcium, elevated phosphate, elevated PTH - Correct Answers -
Pseudohypoparathyroidism ( also similar labs in renal failure ); can be associated with
Albright's hereditary osteodystrophy
Elevated calcium, normal phosphate, decreased PTH - Correct Answers -Malignancy -
which cause secretion of PTH- related protein leading to an increase in calcium and
subsequent inhibition of PTH
Elevated calcium, low phosphate, elevated PTH - Correct Answers -Primary
Hyperparathyroidism
According to the American Heart Association, procedures requiring prophylaxis are: -
Correct Answers -respiratory tract of infected skin, tissues just under the skin, or
musculoskeletal tissue
The AHA's Latest Guidelines state antibiotics are required for those with: - Correct
Answers -An artificial heart valve or who have had a heart valve repaired with artificial
material, a history of endocarditis, a heart transplant with abnormal heart valve function,
and cyanotic congenital heart disease that has not been fully repaired.
Atypical Depression - Correct Answers -mood reactivity + weight gain, hypersomnia,
leaden paralysis, or sensitivity to rejection
Melancholic Depression - Correct Answers -lack of mood reactivity, early morning
awakening / insomnia, and weight loss/anorexia
The diagnosis of primary hyperaldosteronism should follow the following algorithm: -
Correct Answers -First measure the plasma aldosterone concentration to plasma renin
activity; if it is greater than 25, proceed to sodium loading tests, where patients are
given oral sodium or fludrocortisone over 3 days; if the plasma aldosterone level is not
suppressed below 10ng/dL, the patient has primary hyperaldosteronism.
, Symptoms of Cocaine and amphetamine withdrawal - Correct Answers -dysphoria,
excessive sleep, and hunger
Symptoms of opioid withdrawal - Correct Answers -rhinorrhea, lacrimation, yawning,
abdominal and leg cramping, piloerection, nausea, vomiting, diarrhea, and dilated pupils
A major symptom of alcohol withdrawal - Correct Answers -seizures
Associated with cocaine use - Correct Answers -Increased sense of energy
Pauciarticular onset JRA - Correct Answers -Female patient, under 5 yrs of age, four or
fewer joints; chief complaint / physical findings will be painless limp and knee swelling;
complications are uveitis, iridocyclitis, and asymmetrical leg length
Characteristics of this disease include conjunctivitis, cough and coryza, Koplik spots;
after these symptoms within 1 week, a maculopapular rash starts on the face and
spreads caudally - Correct Answers -Measles/rubeola/paramyxovirus
Characteristics of this disease include suboccipital and postauricular lymphadenopathy;
associated with maculopapular rash that starts on the face and spreads caudally;
arthralgias are common - Correct Answers -German measles/ togavirus/ rubella
Characteristics of this disease: Patients will have a fever for 2 -5 days which is self -
limiting; it is followed by a maculopapular rash that starts on the trunk and spreads to
the neck and extremities - Correct Answers -HHV 6 causes roseola infantum/ exanthem
subitum / sixth disease
Retinal artery occlusion - Correct Answers -acute, painless, monocular loss of vision
due to embolus. fundoscopic exam shows a pale retina with cherry- red macula.
Porphyria cutanea tarda - Correct Answers -most common type of porphyria; While it
may be hereditary, it may be associated with HIV infection, Hepatitis C, alcohol use,
increased iron levels, estrogen use; it is characterized by painless blistering in sun-
exposed areas of the skin ( the dorsal surfaces of the hands are almost always
affected ) that rupture and become crusted; increased facial hair is also another feature
of this condition; it is caused by a deficiency of uroporphyrinogen decarboxylase;
Plasma, urine and fecal porphyrins are increased and these levels are used to make
this diagnosis; the lack of abdominal pain helps to distinguish it from other types of
porphyrias; treatment consists of chloroquine, or in the case of iron overload,
phlebotomy
Indications for C-section delivery - Correct Answers -placenta previa, vasa previa,
placenta accreta, active or symptomatic herpes lesions, maternal HIV with viral load >
1,000, irreversible fetal distress, and malpresentation
WITH COMPLETE SOLUTIONS
Moderate Persistent Asthma - Correct Answers -Symptoms daily and night time
awakenings more than once a week but not nightly
First Line Treatment for Moderate Persistent Asthma - Correct Answers -inhaled low -
dose glucocorticoids plus an inhaled long - acting beta agonist; a short - acting inhaled
beta agonist is also given for exacerbations
Cranial bones that primarily move in flexion and extension around a transverse axis -
Correct Answers -Midline bones
What are the contraindications to labor inductions? - Correct Answers -uncomplicated
pregnancy under 39 weeks, placenta previa, vasa previa, active genital herpes, breech
position and umbilical cord prolapse
What are the indications for labor inductions? - Correct Answers -pregnancy over 42
weeks ( defined as post - term ), maternal or fetal danger, choriomanionitis, placental
abruption, and premature ROM.
Developmental milestones for 8 - 12 month old children: - Correct Answers -crawl,
sitting to crawling position, pulling self to stand, walking with support, standing without
support, pincer grasp, imitate scribbling/words/ gestures, shake head "no" use "mama"
and "dada", exclamations such as "oh-oh", finger feeds self, cry when a parent leaves
What are the midline bones of the cranium? - Correct Answers -occiput, sphenoid,
ethmoid, vomer
What does the frontal bone do during sphenobasilar flexion? - Correct Answers -it
moves in external rotation
Cranial bones that primarily move in internal and external rotation - Correct Answers -
Paired bones
What are the paired bones of the crainum? - Correct Answers -Temporals, parietals,
maxilla, zygoma, nasals, palatines
,What happens during sphenobasilar flexion? - Correct Answers -(1) Flexion of the
midline bones
(2) External Rotation of the paired bones
(3) Decreased AP diameter of the cranium
(4) Extension of the sacrum
(5) Bregma descends with SBS flexion ( and ascends with extension )
Left sided colon tumors will have... - Correct Answers -hematochezia and narrow stools
Right sided colon tumors will have ... - Correct Answers -melena and occult blood in
stool
Low calcium, low phosphate, elevated PTH - Correct Answers -Vitamin D Deficiency -->
Secondary hyperparathyroidsim
Low calcium, elevated phosphate, elevated PTH - Correct Answers -
Pseudohypoparathyroidism ( also similar labs in renal failure ); can be associated with
Albright's hereditary osteodystrophy
Elevated calcium, normal phosphate, decreased PTH - Correct Answers -Malignancy -
which cause secretion of PTH- related protein leading to an increase in calcium and
subsequent inhibition of PTH
Elevated calcium, low phosphate, elevated PTH - Correct Answers -Primary
Hyperparathyroidism
According to the American Heart Association, procedures requiring prophylaxis are: -
Correct Answers -respiratory tract of infected skin, tissues just under the skin, or
musculoskeletal tissue
The AHA's Latest Guidelines state antibiotics are required for those with: - Correct
Answers -An artificial heart valve or who have had a heart valve repaired with artificial
material, a history of endocarditis, a heart transplant with abnormal heart valve function,
and cyanotic congenital heart disease that has not been fully repaired.
Atypical Depression - Correct Answers -mood reactivity + weight gain, hypersomnia,
leaden paralysis, or sensitivity to rejection
Melancholic Depression - Correct Answers -lack of mood reactivity, early morning
awakening / insomnia, and weight loss/anorexia
The diagnosis of primary hyperaldosteronism should follow the following algorithm: -
Correct Answers -First measure the plasma aldosterone concentration to plasma renin
activity; if it is greater than 25, proceed to sodium loading tests, where patients are
given oral sodium or fludrocortisone over 3 days; if the plasma aldosterone level is not
suppressed below 10ng/dL, the patient has primary hyperaldosteronism.
, Symptoms of Cocaine and amphetamine withdrawal - Correct Answers -dysphoria,
excessive sleep, and hunger
Symptoms of opioid withdrawal - Correct Answers -rhinorrhea, lacrimation, yawning,
abdominal and leg cramping, piloerection, nausea, vomiting, diarrhea, and dilated pupils
A major symptom of alcohol withdrawal - Correct Answers -seizures
Associated with cocaine use - Correct Answers -Increased sense of energy
Pauciarticular onset JRA - Correct Answers -Female patient, under 5 yrs of age, four or
fewer joints; chief complaint / physical findings will be painless limp and knee swelling;
complications are uveitis, iridocyclitis, and asymmetrical leg length
Characteristics of this disease include conjunctivitis, cough and coryza, Koplik spots;
after these symptoms within 1 week, a maculopapular rash starts on the face and
spreads caudally - Correct Answers -Measles/rubeola/paramyxovirus
Characteristics of this disease include suboccipital and postauricular lymphadenopathy;
associated with maculopapular rash that starts on the face and spreads caudally;
arthralgias are common - Correct Answers -German measles/ togavirus/ rubella
Characteristics of this disease: Patients will have a fever for 2 -5 days which is self -
limiting; it is followed by a maculopapular rash that starts on the trunk and spreads to
the neck and extremities - Correct Answers -HHV 6 causes roseola infantum/ exanthem
subitum / sixth disease
Retinal artery occlusion - Correct Answers -acute, painless, monocular loss of vision
due to embolus. fundoscopic exam shows a pale retina with cherry- red macula.
Porphyria cutanea tarda - Correct Answers -most common type of porphyria; While it
may be hereditary, it may be associated with HIV infection, Hepatitis C, alcohol use,
increased iron levels, estrogen use; it is characterized by painless blistering in sun-
exposed areas of the skin ( the dorsal surfaces of the hands are almost always
affected ) that rupture and become crusted; increased facial hair is also another feature
of this condition; it is caused by a deficiency of uroporphyrinogen decarboxylase;
Plasma, urine and fecal porphyrins are increased and these levels are used to make
this diagnosis; the lack of abdominal pain helps to distinguish it from other types of
porphyrias; treatment consists of chloroquine, or in the case of iron overload,
phlebotomy
Indications for C-section delivery - Correct Answers -placenta previa, vasa previa,
placenta accreta, active or symptomatic herpes lesions, maternal HIV with viral load >
1,000, irreversible fetal distress, and malpresentation
