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COMLEX LEVEL 1 EXAM QUESTIONS AND ANSWERS

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COMLEX LEVEL 1 EXAM QUESTIONS AND ANSWERS

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COMLEX LEVEL 1 EXAM QUESTIONS
AND ANSWERS
cysteine2vstone2v-2vANS---2v*Hexagonal*2vstones
-2v*Ground,2vglass2vappearance*
-2v*(+)2vurinary2vcyanide2vnitroprusside2vtest
-2vDefect2vin2vrenal2vtransport2vof2vCOLA:2vCysteine,2vOrnithine,2vLysine,2vArginine
-2vDoes2vNOT2vrespond2vto2vshock2vwave2vtherapy

angiodysplasia2v-2vANS--most2vcommon2vcause2vof2vlower2vGI2vbleeding2vin2vpt's2v>60

superior2vmesenteric2vartery2v-2vANS--
supplies2vthe2vlower2vportion2vof2vthe2vduodenum,2vjejunum,2vileum,2vcecum,2vascendin
g2vcolon,2vand2vtransverse2vcolon2vto2vthe2vsplenic2vflexure

pancreatic2vcancer2v-2vANS---usually2varises2vin2vthe2v*head*2vof2vthe2vpancreas2v
-
is2vassociated2vwith2v*jaundice2vand2vpain*2vdue2vto2vobstruction2vof2vthe2vcommon2vbile
2vduct
-2vit2vis2vthe2v*4th*2vmost2vcommon2vcause2vof2vcancer2v
-has2va2vvery2vpoor2vprognosis

1.2vCalcium2vchannel2vblockers-->2vspecifically2vsmooth2vmuscle2vantagonists--
>2vSM2vdilation2v
2.2vAlpha2vadrenergic2vreceptor2vblockers2v--
>2vcause2vdilation2vof2vvessels2vinstead2vof2vconstriction2v
3.2vBeta2v22vagonists:2vcauses2vdilation2vof2vsmooth2vmuscle2vvessels2v-2vANS--
Patients2vwith2vGERD2vnormally2vhave2va2vdysfunction2vwith2vLES2vsphincter2vtone2vthat
2vallows2vacid2vto2vreflux2vinto2vthe2vesophagus,2vthus2vdrugs2vthat2vaffect2vsphincter2vto
ne2vwould2vmake2vGERD2vworse.2vWhat2vare2vthe2vname2vof2vthree2vdrug2vcategories2vt
hat2vdo2vthis?

celiac2vdisease2v-2vANS--
malabsorption2vsyndrome2vcaused2vby2van2vimmune2vreaction2vto2vgliadian2vprotein2vin2
vgluten2v
-Tissue2vtransglutaminase2v
-
results2vin2vvillous2vatrophy2vof2vsmall2vintestine2vmucosa2vand2vcauses2vsteatorrhea,2vdi
arrhea,2vbloating2vand2vabdominal2vpain2v
-*also2vassociated2vwith2vother2vautoimmune2vdisorders2vlike2vhashimotos2vthyroiditis*

make2vNPO,2vPlace2von2van2vNG2vtube2vand2vsuction2vobstruction2vout--
>2vthis2vwill2vusually2vresolve2vobstruction2v-2vANS--

,after2va2vpatient2vcomes2vto2vthe2vER2vwith2vsudden2vonset2vof2vpain2vand2vabdominal2v
distention2vW/O2vperitoneal2vsigns2vand2vafter2vx-
ray2vyou2vdiagnose2vher2vwith2va2vsmall2vbowel2vobstruction.2vWhat2vdo2vyou2vdo2vnext?

Low2vtotal2vcalcium2vdue2vto2vlow2valbumin2vlevels2vfrom2vcirrhosis2v(95%2vof2vCa2+2vis2
vbound2vto2valbumin)2vand2vnormal2vionized2vCa2+2vbecause2vPTH2vregulates2vfree2vion
ized2vCa2+2vindependently--
>2vthat2vis2vwhy2vthere2vare2vno2vsigns2vgo2vhypocalcemia2v-2vANS--
In2va2vpatient2vwith2vliver2vcirrhosis2vwhat2vcalcium2vlevels2vwould2vyou2vexpect2vto2vsee
?

Would2vthere2vbe2vsigns2vof2vhypocalcemia--
>2vtetany,2vparesthesias,2vabdominal2vcramps?

T5-T112v-2vANS--
where2vwould2vyou2vfind2va2vviserosomatic2vreflex2vresulting2vin2vplacatory2vchanges2vof
2vthe2vpancreas?


Deferoxamine2v(Desferal)2v-2vANS--
iron2vchelating2vagent2vused2vin2vthe2vtreatment2vof2viron2vintoxication

short2vleg2vsyndrome2v-2vANS--
when2va2vpatient2vpresents2vwith2va2vflexible2vscoliotic2vcurve2vit2vis2vimportant2vto2veval
uate2vfor...

inferior2vtrunk--
>2vencompasses2vbroadmann2vareas2v22,39,402vwhich2vare2vin2vthe2vtemporal2vregion2v
-2vANS--Infarct2vto2vwhat2vtrunk2vof2vthe2vLeft2vMCA2vresults2vin2vWernicke's2vaphasia?

Superior2vdivision--
>2vencompasses2vbrooks2varea,2vfrontal2veye2vfield,2vprimary2vmotor2vcortex2vand2vprim
ary2vsomatosensory2vcortex2v-2vANS--
Infarct2vto2vwhat2vtrunk2vof2vthe2vLeft2vMCA2vresults2vin2vBroca's2vaphasia?

Osteosarcoma2v-2vANS--
bone2vtumor2vthat2vis2vpresent2vin2vyoung2vadult2vmales2vthat2vinvolves2vthe2vmetaphysi
s2vof2vthe2vlong2vbones

Ewing's2vsarcoma2vt(11;22)2v-2vANS--
bone2vtumor2vthat2vis2vpresent2vin2vyoung2vadult2vmales2vthat2vinvolves2vthe2v*diaphysis(
mid-shaft)*2vof2vthe2vlong2vbones.

fibrosarcoma2v-2vANS--malignant2vfibroblasts2vwithin2va2vcollagenous2vmatrix

,chondrosarcoma2v-2vANS--
osseous2vsarcomas2vthat2vaffect2volder2vpatients2vand2vhas2va2vpredilection2vfor2vflat2vbo
nes2vin2vthe2v*shoulders2vand2vpelvis*

tyrosine,2vdue2vto2va2vdefect2vin2vphenylalanine2vhydroxylase2v-2vANS--
PKU2vpresents2vas2vfailure2vto2vthrive,2vmental2vretardation,2vgapped2vteeth,2vetc.2vWhat
2vis2vthe2vamino2vacid2vthat2vneeds2vto2vbe2vsupplemented2vdue2vto2va2vdefect2vin2vwhat2
venzyme?


Rib2v22v-2vANS--where2vdoes2vthe2vposterior2vscalene2vattach2vto?

Paclitaxel2v-2vANS--used2vin2vthe2vtreatment2vof2vbreast2vand2vovarian2vcancer2v
MOA:2vhyper2vstabilization2vof2vpolymerized2vmicrotubules--
>2vprevents2vthe2vbreakdown2vof2vthe2vmitotic2vspindle

restrictive2vbarrier2v-2vANS--
maximum2vdistance2va2vpatient2vcan2vactually2vmove2va2vjoint,2vcan2vbe2vpathologic

narcissistic2vpersonality2vdisorder2v-2vANS--
patterns2vof2vgrandiosity,2vneed2vfor2vadmiration,2vlack2vof2vempathy2vfor2vothers

A2vcarotid2vmassage2vcauses2van2vincrease2vin2vstretch2vof2vthe2vcarotid2vbaroreceptors
2vwhich2vcauses2va2vreflexive2vPARASYM2vresponse2vwhich2vslows2vdown2vthe2vconduc
tion2vvelocity2vthrough2vthe2vAV2vnode2vthis2vslowing2vdown2vHeart2vRate--
>2vused2vin2vparoxysmal2vsupra2vventricular2vtachycardia2v-2vANS--
what2vdoes2va2vcarotid2vmassage2vdo2vand2vhow2vdoes2vit2vaffect2vthe2vAV2vnode?

Chronic2vmyelogenous2vleukemia2vt(9;22)-->2vPhilly2vchx2v-2vANS--
a2vform2vof2vleukemia2vcharacterized2vby2vthe2vaccumulation2vof2vabnormal,2vmature2vgr
anulocytes2v(granulocytes2vare2va2vtype2vof2vwhite2vblood2vcell),2vmild2vanemia,2vthromb
ocytosis2vand2vbasophilia.2vWhat2vis2vthe2vassociated2vchromosomal2vtranslocation?

Burkitt's2vlymphoma2vt(8;14)2v-2vANS--
germinal2vB2vcelll2vlymphoma2vthat2vis2vassociated2vwith2va2vtranslocation2vbetween2vc-
MYC2vand2vthe2vIg2vheavy2vchain2von2vwhich2vtwo2vchromosomes?2vIt2vis2vendemic2vin2v
the2vcontinent2vof2vAfrica2vwhich2vproduces2vthis

follicular2vlymphoma2vt(14;18)2v-2vANS--
second2vmost2vcommon2vlymphoma2vin2vthe2vUS,2varises2vfrom2vgerminal2vcenter2vB-
cells.2vPresents2vwith2vpainless2vperipheral2vlymphadenopathy2vw/2va2vhistory2vof2vlymp
h2vnode2venlargement2v.2vPositive2vfor2vCD2v10,2vCD2v192vand2vCD2v202vexpression.2vR
esults2vin2vwhat2vchromosomal2vtranslocation2vevolving2vthe2vBCL-22vgene?

Acute2vpromyelocytic2vleukemia2vt(15;17)2v-2vANS--PML/RARA2vfusion2vgene

, associated2vwith2vDIC,2vcharacteristic2vfolded,2vbilobed2vnuclei2vare2vfound2vin2vthese2vc
ertain2vtype2vof2vcells.2vCoarse2vazurorophilic2vgranules2vand2vmultiple2vAuer2vrods2vare2
valso2vpresent2von2vhisto


Clopidogrel2v-2vANS--
inhibits2vplatelet2vaggregation2vby2virreversibly2vblocking2vthe2vP2Y122vcomponent2vof2v
ADP2vreceptors

Bacillus2vanthracis,2vtendonopathy2v-2vANS--
textile2vindustry2vworker2vthat2vdevelops2va2vlow-grade2vfever,2vnon-
productive2vcough2vand2vsubsternal2vchest2vpain2vhave2vwhat2vbug?2vTreatment2vis2vwit
h2va2vfluroquinolone2vand2vwhy2vare2vfrequently2vassociated2vwith2vwhat2vADR?

G-6-PD2vdeficiency2v-2vANS--X-
linked2vrecessive2vdisorder2vpresent2vin2vAAs2vand2vMediterraneans2vthat2vcause2van2vin
ability2vto2vgenerate2vreduced2vglutathione2vand2vlead2vto2vacute2vhemolysis2vwhen2vstre
ss2voccurs.2vYou2vwill2vsee2vbite2vcells2vand2vHeinz2vbodies2von2vperipheral2vblood2vsme
ar.

Itranuclear2vopthalmoplegia2v-2vANS--
seen2vin2vthose2vwith2vMS,2vcauses2vimpaired2vhorizontal2veye2vmovement2vw/2vweak2va
dduction2vof2vthe2vaffected2veye2vand2vabduction2vnystagmus2vof2vthe2vcontralateral2vey
e.2vDue2vto2va2vlesion2vin2vthe2vMLF2vin2vthe2vdorsomedial2vbrainstem2vtegmentum2vof2v
wither2vthe2vpons2vor2vthe2vmidbrain

lead2vpoisoning2v-2vANS--causes2vlethargy,2vseizures,2vor2vcoma--
>2vcan2valso2vdevelop2vdistal2vmotor2vneuropathies.2v
-
leads2vto2vdenaturation2vof2vthe2venzyme2vribonuclease2vwhich2vcauses2vribosomes2vto2
vpersist2vin2vthe2vthe2vRBCs2vand2vlead2vto2vbasophilic2vstippling


myofasical2vrelease,2vBLT,2vFPR,2vcounterstain2v-2vANS--
what2vare2vindirect2vOMM2vtechniques?

Articulatory2vtechnique2v-2vANS--
OMM2vtechnique2vclassified2vas2vlow2vvelocity,2vmoderate2vto2vhigh2vamplitude

pericarditis2v-2vANS--
EKG2vpresents2vwith2vPR2vdepression,2vST2vsegment2velevation2vand2vPR2velevation2vin
2vlead2vII.2vThey2valso2vhave2vsharp,2vmidsternal,2vnon-
radiating2vchest2vpain2vand2vmild2vlethargy.2vWhat2vdo2vthey2vhave?

Bottom2vrib2vin2vISD/2vTop2vrib2vin2vESD2v-2vANS--
BITE2vmnemonic2vis2vused2vfor2vrib2vdysfunction2vtreatments,2vwhat2vis2vit?

pectoralis2vminor2vmuscle2v-2vANS--what2vmuscle2vconnects2vto2vribs2v3-5?

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