COMLEX Level 2 Actual Exam Questions with 100%
Correct Answers
____ ____ is an antifibrinolytic medication that should be administered to patients who have
moderate TBI (GCS 9-12). For prevention of ___ ___.
1. Tranexamic acid
2. intracranial hemorrhage
Congenital syphilis: baby presents with
o Clear rhinorrhea
o Maculopapular rash on the feet and buttocks that later desquamates
Inferior wall myocardial infarction: ST segment elevations in ___, ___ and ___
II, III and aVF
Mitral regurgitation: III/VI early ___ murmur at the cardiac ____
1. systolic
2. apex
Pulmonary edema: Bibasilar ___
crackles
In a woman with PCOS that is trying to conceive, give ___ (an aromatase inhibitor that
inhibits the conversion of androgens to estrogens)
letrozole
Interstitial nephritis: Most frequently occurs as a ___ reaction. Fever, rash, acute kidney
injury and ___ with ___ blood cell casts
1. drug
2. eosinophiluria
3. white
,Raynaud phenomenon treatment
dihydropyridine calcium channel blockers (nifedipine, amlodipine)
Atomoxetine: ____ reuptake inhibitor. For ___ ADHD for someone who does not want to take
something addictive
1. Norepinephrine
2. adult
Clonidine, guanfacine: Treats ADHD in ____ but NOT ____
1. children
2. adults
Ventricular septal defect: 1/6 ____ over the left lower sternal (or midsternal) border with a
____ rumble over the cardiac apex
1. holosystolic
2. diastolic
Ventricular septal defect: what kind of shunting?
Left-to-right shunting
Ventricular septal defect: prominent ___
S2
Ventricular septal defect: ___ sided volume overload
left
Atrial septal defect: ___ valve flow murmur
pulmonic
Atrial septal defect: ____ sided volume overload
right
,Atrial septal defect: Wide and fixed splitting of ___
S2
Mitral stenosis results from ___ ___
rheumatic fever
Tetralogy of Fallot: Harsh ____ ejection murmur at the left upper sternal border
systolic
Cytomegalovirus infection: ____-like initial illness
Mononucleosis
Cytomegalovirus infection: Fever, malaise, fatigue, absolute ____
lymphocytosis
Cytomegalovirus infection: Mild elevations in ____ levels
aminotransferase
Cytomegalovirus infection: what population is most at risk?
men who have sex with men
What are the four components of acute lymphoblastic leukemia?
o Lymphadenopathy
o Anemia (fatigue)
o Thrombocytopenia (bruising)
o Neutropenia (infection)
What are two medications used for spasticity treatment?
Baclofen (agonist at the GABA-B receptor) or tizanidine (alpha-2 adrenergic agonist)
What are three medications used for fatigue treatment?
, Amantadine, methylphenidate, modafinil
What are two medications used for urge urinary incontinence treatment?
Oxybutynin, tolterodine
What are three medications used for restless legs syndrome treatment?
Primarily gabapentin, pregabalin but can also use pramipexole (dopamine agonist)
Acute tubular necrosis: Renal tubular ____. ____ granular casts. Free renal tubular ____ cells.
1. obstruction
2. Muddy-brown
3. epithelial
Initial treatment of acute decompensated heart failure?
IV loop diuretics (bumetanide) and/or milrinone
Ruptured or enlarging posterior communicating artery aneurysms can compress the ___
nerve causing ___ nerve palsy.
oculomotor
Anterior communicating artery aneurysms can compress the ___ __, causing __ __ ___.
1. optic chiasm
2. bitemporal heteronymous hemianopsia
Hairy cell leukemia is a malignant disorder of well-differentiated ___ lymphocytes. It typically
presents with weakness, fatigue, anemia, thrombocytopenia, neutropenia and palpable ____.
1. B
2. splenomegaly
What bug most frequently causes otitis externa?
Pseudomonas aeruginosa
Correct Answers
____ ____ is an antifibrinolytic medication that should be administered to patients who have
moderate TBI (GCS 9-12). For prevention of ___ ___.
1. Tranexamic acid
2. intracranial hemorrhage
Congenital syphilis: baby presents with
o Clear rhinorrhea
o Maculopapular rash on the feet and buttocks that later desquamates
Inferior wall myocardial infarction: ST segment elevations in ___, ___ and ___
II, III and aVF
Mitral regurgitation: III/VI early ___ murmur at the cardiac ____
1. systolic
2. apex
Pulmonary edema: Bibasilar ___
crackles
In a woman with PCOS that is trying to conceive, give ___ (an aromatase inhibitor that
inhibits the conversion of androgens to estrogens)
letrozole
Interstitial nephritis: Most frequently occurs as a ___ reaction. Fever, rash, acute kidney
injury and ___ with ___ blood cell casts
1. drug
2. eosinophiluria
3. white
,Raynaud phenomenon treatment
dihydropyridine calcium channel blockers (nifedipine, amlodipine)
Atomoxetine: ____ reuptake inhibitor. For ___ ADHD for someone who does not want to take
something addictive
1. Norepinephrine
2. adult
Clonidine, guanfacine: Treats ADHD in ____ but NOT ____
1. children
2. adults
Ventricular septal defect: 1/6 ____ over the left lower sternal (or midsternal) border with a
____ rumble over the cardiac apex
1. holosystolic
2. diastolic
Ventricular septal defect: what kind of shunting?
Left-to-right shunting
Ventricular septal defect: prominent ___
S2
Ventricular septal defect: ___ sided volume overload
left
Atrial septal defect: ___ valve flow murmur
pulmonic
Atrial septal defect: ____ sided volume overload
right
,Atrial septal defect: Wide and fixed splitting of ___
S2
Mitral stenosis results from ___ ___
rheumatic fever
Tetralogy of Fallot: Harsh ____ ejection murmur at the left upper sternal border
systolic
Cytomegalovirus infection: ____-like initial illness
Mononucleosis
Cytomegalovirus infection: Fever, malaise, fatigue, absolute ____
lymphocytosis
Cytomegalovirus infection: Mild elevations in ____ levels
aminotransferase
Cytomegalovirus infection: what population is most at risk?
men who have sex with men
What are the four components of acute lymphoblastic leukemia?
o Lymphadenopathy
o Anemia (fatigue)
o Thrombocytopenia (bruising)
o Neutropenia (infection)
What are two medications used for spasticity treatment?
Baclofen (agonist at the GABA-B receptor) or tizanidine (alpha-2 adrenergic agonist)
What are three medications used for fatigue treatment?
, Amantadine, methylphenidate, modafinil
What are two medications used for urge urinary incontinence treatment?
Oxybutynin, tolterodine
What are three medications used for restless legs syndrome treatment?
Primarily gabapentin, pregabalin but can also use pramipexole (dopamine agonist)
Acute tubular necrosis: Renal tubular ____. ____ granular casts. Free renal tubular ____ cells.
1. obstruction
2. Muddy-brown
3. epithelial
Initial treatment of acute decompensated heart failure?
IV loop diuretics (bumetanide) and/or milrinone
Ruptured or enlarging posterior communicating artery aneurysms can compress the ___
nerve causing ___ nerve palsy.
oculomotor
Anterior communicating artery aneurysms can compress the ___ __, causing __ __ ___.
1. optic chiasm
2. bitemporal heteronymous hemianopsia
Hairy cell leukemia is a malignant disorder of well-differentiated ___ lymphocytes. It typically
presents with weakness, fatigue, anemia, thrombocytopenia, neutropenia and palpable ____.
1. B
2. splenomegaly
What bug most frequently causes otitis externa?
Pseudomonas aeruginosa
