COMLEX Level 2-Questions with 100% Correct
Answers
thelarche
breast development
what is the usual course of puberty for biological females
thelarche, pubarche (pubic hair), growth spurt, menarche
Wiskott-Aldrich syndrome is caused by mutation in the ___ gene on the ___ chromosome
WAS
X
7 month old with eczema, thrombocytopenia, pneumonia
wiskott-aldrich syndrome
patients with Wiskott-Aldrich syndrome are particularly susceptible to infections with what
pathogens and why
strep pneumoniae, neisseria meningitidis, h flu
they are encapsulated bacteria, and WAS patients have B and T lymphocyte deficiency
adenosine deaminase deficiency can lead development of
SCID
patients with ataxia telangiectasia can have increased susceptibility to
hematologic malignancy such as Hodgkin lymphoma
patient presents with eczema and cutaneous cold abscesses
hyper igE syndrome
, hyper IgE syndrome results from
defect in JAK-STAT signaling pathway that leads to impaired Th17 cell differentiation
recurrent infections and low or absent immunoglobulin concentrations
x-linked agammaglobulinemia
next step in UC treatment after failed oral prednisone and mesalamine
anti-tumor necrosis factor alpha (TNF-alpha) agent like infliximab
what should be checked before starting infliximab
screen for latent tb
acute pain crisis treatment
aggressive pain control, IV fluids, O2 supplementation
respiratory distress from hypervolemia - dyspnea from pulmonary edema, jvd, widened pulse
pressure, htn hours after transfusion
transfusion-associated cardiac overload / fluid overload secondary to blood transfusions
fever, AMS, seizure, focal deficits, MRI shows temporal lobe enhancement
HSV encephalitis
diagnosis of HSV encephalitis
PCR of CSF is positive for HSV
cerebral infarct out of 4.5 hour window for alteplase treatment --> medication treatment
with?
aspirin
Bell's palsy diagnostic imaging
none needed, clinical diagnosis
Answers
thelarche
breast development
what is the usual course of puberty for biological females
thelarche, pubarche (pubic hair), growth spurt, menarche
Wiskott-Aldrich syndrome is caused by mutation in the ___ gene on the ___ chromosome
WAS
X
7 month old with eczema, thrombocytopenia, pneumonia
wiskott-aldrich syndrome
patients with Wiskott-Aldrich syndrome are particularly susceptible to infections with what
pathogens and why
strep pneumoniae, neisseria meningitidis, h flu
they are encapsulated bacteria, and WAS patients have B and T lymphocyte deficiency
adenosine deaminase deficiency can lead development of
SCID
patients with ataxia telangiectasia can have increased susceptibility to
hematologic malignancy such as Hodgkin lymphoma
patient presents with eczema and cutaneous cold abscesses
hyper igE syndrome
, hyper IgE syndrome results from
defect in JAK-STAT signaling pathway that leads to impaired Th17 cell differentiation
recurrent infections and low or absent immunoglobulin concentrations
x-linked agammaglobulinemia
next step in UC treatment after failed oral prednisone and mesalamine
anti-tumor necrosis factor alpha (TNF-alpha) agent like infliximab
what should be checked before starting infliximab
screen for latent tb
acute pain crisis treatment
aggressive pain control, IV fluids, O2 supplementation
respiratory distress from hypervolemia - dyspnea from pulmonary edema, jvd, widened pulse
pressure, htn hours after transfusion
transfusion-associated cardiac overload / fluid overload secondary to blood transfusions
fever, AMS, seizure, focal deficits, MRI shows temporal lobe enhancement
HSV encephalitis
diagnosis of HSV encephalitis
PCR of CSF is positive for HSV
cerebral infarct out of 4.5 hour window for alteplase treatment --> medication treatment
with?
aspirin
Bell's palsy diagnostic imaging
none needed, clinical diagnosis
