COMLEX Level 3 Study Guide-Questions with 100%
Correct Answers
What to expect after administration of methotrexate?
Can have increase in bhcg in day 1-4 but between 4-7 should have 15% decrease, if not
administer second dose
How to treat nursemaid's elbow
Flex elbow to 90 degrees and hyperpronate
Iron overload increases risk of what micro
Vibrio
Translation is
Opposite sidebending
Tx for epidural hematoma with mental decline
Neurosurgery
Lumbar Points
2-4 F SA RT
PE causes what acid base
Mixed metabolic acidosis (likely lactic) with respiratory alkalosis (blowing off H+/CO2)
What to avoid in Wolf Parkinson White
Calcium channel blockers, Digoxin, anything that can cause AV nodal blocking (Increase risk a-
fib)
AA joint plane
Transverse
, Ludwig Angina
serious infection of the submandibular space, with a risk of spread to the neck and chest
Herniated disc tx
NSAIDs
Tx for tinea capitis
Oral terbinafine
Bruising, elevated PT and long term antibiotic use
Vitamin K deficiency, give vitamin K
Delusional Disorder vs Paranoid
Delusional technically could be true but does not interfere with life, paranoid is well paranoid
Sezary Syndrome
Erythroderma, pruritis, lymphadenopathy, cerbriform nucleus
Prolactinoma
Bitemporal hemianopia with galactorrhea
Most common benign salivary tumor
Pleomorphic adenoma (vs mucoepidermoid which involves facial nerve)
Epididymitis in child
In children most likely not bacterial so treat supportively NSAIDS
Neutropenic fever in child with chemo or malignancy coverage
Needs pseudomonal coverage like Zosyn (Ertapenem does not cover pseudomonas)
L5 and Sacrum
Rotate opposite, sidebend/axis same. Forward type I are neutral, backward type II at L5
Correct Answers
What to expect after administration of methotrexate?
Can have increase in bhcg in day 1-4 but between 4-7 should have 15% decrease, if not
administer second dose
How to treat nursemaid's elbow
Flex elbow to 90 degrees and hyperpronate
Iron overload increases risk of what micro
Vibrio
Translation is
Opposite sidebending
Tx for epidural hematoma with mental decline
Neurosurgery
Lumbar Points
2-4 F SA RT
PE causes what acid base
Mixed metabolic acidosis (likely lactic) with respiratory alkalosis (blowing off H+/CO2)
What to avoid in Wolf Parkinson White
Calcium channel blockers, Digoxin, anything that can cause AV nodal blocking (Increase risk a-
fib)
AA joint plane
Transverse
, Ludwig Angina
serious infection of the submandibular space, with a risk of spread to the neck and chest
Herniated disc tx
NSAIDs
Tx for tinea capitis
Oral terbinafine
Bruising, elevated PT and long term antibiotic use
Vitamin K deficiency, give vitamin K
Delusional Disorder vs Paranoid
Delusional technically could be true but does not interfere with life, paranoid is well paranoid
Sezary Syndrome
Erythroderma, pruritis, lymphadenopathy, cerbriform nucleus
Prolactinoma
Bitemporal hemianopia with galactorrhea
Most common benign salivary tumor
Pleomorphic adenoma (vs mucoepidermoid which involves facial nerve)
Epididymitis in child
In children most likely not bacterial so treat supportively NSAIDS
Neutropenic fever in child with chemo or malignancy coverage
Needs pseudomonal coverage like Zosyn (Ertapenem does not cover pseudomonas)
L5 and Sacrum
Rotate opposite, sidebend/axis same. Forward type I are neutral, backward type II at L5
