COMLEX Level 2 One Liners - Questions With Fully
Explained Solutions
Zenker's Diverticulum: Si/Sx? Dx? Tx? Right Answer - Si/Sx:
Dysphagia, Halitosis, Regurgitation of
Undigested Food, Throat Clearing, Neck Mass
Dx: Barium Swallow
Tx: Myotomy of Cricopharyngeus +/- Diverticulectomy
Cervical Cancer Screening Right Answer - - Pap smears start at
age 21
- Age 21-30: Pap q3Y
- Age 30 - 69: Pap q3Y OR Pap + HPV test q5Y
- Age 70: DC if 3 consecutive (-) and no abnormal paps in last 10
years
Breast Cancer Screening Right Answer - Mammography q2Y
starting at age 50 (USPSTF) or 40 (ACOG)
STD Screening Right Answer - - GC and CHL for all sexually
active non-pregnant women 24 y/o and younger
- HIV for all individuals 15-65 y/o
Colorectal Cancer Screening Right Answer - - Start at 50
- FOBTx3 q1Y OR Sigmoidoscopy q5Y OR Colonoscopy q10Y
- Previous polyp: q3Y until clear, then q5Y
- Previous colon ca: 1Y after resection, then 3Y, then 5Y
- FH in single family member: 10 years earlier than age of dx or age
40
- HNPCC: start at 25, q1-2Y
- FAP: start at 12, q1Y
,AAA Screening Right Answer - Men ages 65-75 who have ever
smoked should undergo a one-time abdominal U/S
Guidelines for Pneumovax Right Answer - All persons aged 65
y/o and older should receive a one time pneumococcal vaccination
Booster is recommended if the pt received the vaccine >=5 years
previously and was age <65y/o at time of vaccination
*One time dose for Diabetic patients at time of diagnosis
Adult vaccines Right Answer - - Influenza annually for all
people over 6 mos
- TDaP once after 11 y/o, Td booster q 10 yrs
- VZV at 60 y/o
Mgmt of pt with FAP Right Answer - Total Colectomy (100%
risk of developing colonic adenocarcinoma)
COMQUEST tool for Visceral Innervation Right Answer - S 5-9
L 6-9
P 5-11
S 9-11
K 10-11
B 11-2
L 11-2
Counterstrain Technique Right Answer - 1. Locate and Palpate
TP
2. Place pt in position of optimal comfort (SHORTEN the muscle)
3. Fine tune until 70% tenderness reduction
4. Maintain position for 90 seconds
5. Slowly return to neutral
6. Recheck TP (no more than 30% tenderness should remain)
,Phases of Clinical Trails Right Answer - - I: Testing on a small
number of healthy volunteers to determine SE, metabolism,
excretion etc
- II: Testing on a small number of pts suffering from the disease to
be treated
- III: Large scale trial to test against placebo
- IV: After release; surveillance
RUQ pain, jaundice, ascites...Dx? Initial test? Diagnostic test?
Right Answer - Budd-Chiari Syndrome: thrombosis of hepatic vein
or IVC
- DX: initially Ultrasound, Venography to confirm
- TX: Thrombolytics
Most common cause of Post-Partum Fever? Right Answer -
Endometritis (will also have uterine tenderness)
- TX: broad spectrum abx
Contraindications for breast feeding Right Answer - - Mothers
with HIV, untreated TB, HSV lesions on breast, chemo, radioactive
isotope administration
- Infants with galactosemia
- *Soy based formula instead
Supplementation for exclusively breast-fed infants Right
Answer - - Vitamin D: 400 IU daily soon after birth
- Iron: 1 mg/lg oral starting at 4 months
Woman is exclusively breast feeding, present with pain in
breast...shiny skin of nipple with peeling at the areola...likely
organism? Right Answer - Candida albicans
Woman presents with straw colored discharge from nipple...likely
dx? Right Answer - Intraductal papilloma
, Mgmt of Lobular Carcinoma In Situ Right Answer -
Observation
Mgmt of Ductal Carcinoma In Situ Right Answer - Excision
with post op Radiation
Mgmt of Invasive Lobular/Ductal Ca. Right Answer -
Lumpectomy + Sentinal LN Bx + post op Radiation
Procedures requiring IE PPX Right Answer - Procedures
involving:
- Respiratory tract
- Major dental work
- Infected skin, tissues just under skin, musculoskeletal tissue
Who gets IE PPX? Right Answer - - Artificial heart valve or
heart valve repaired with articificial material
- History of endocarditis
- Heart transplant with abnormal heart fx
- Unrepaired cyanotic congenital heart dz
Thrust of Rib HVLA Right Answer - For Inhaled Ribs: directly
downwards
For Exhaled Ribs: 45 degrees cephalad
How to Dx BPPV Right Answer - Dix-Hallpike Maneuver
How to Tx BPPV Right Answer - Epley Maneuver
Intussusception: Dx? Tx? Right Answer - Dx: Ultrasound in
non-classic presentations
Tx: Pneumatic Enema
Explained Solutions
Zenker's Diverticulum: Si/Sx? Dx? Tx? Right Answer - Si/Sx:
Dysphagia, Halitosis, Regurgitation of
Undigested Food, Throat Clearing, Neck Mass
Dx: Barium Swallow
Tx: Myotomy of Cricopharyngeus +/- Diverticulectomy
Cervical Cancer Screening Right Answer - - Pap smears start at
age 21
- Age 21-30: Pap q3Y
- Age 30 - 69: Pap q3Y OR Pap + HPV test q5Y
- Age 70: DC if 3 consecutive (-) and no abnormal paps in last 10
years
Breast Cancer Screening Right Answer - Mammography q2Y
starting at age 50 (USPSTF) or 40 (ACOG)
STD Screening Right Answer - - GC and CHL for all sexually
active non-pregnant women 24 y/o and younger
- HIV for all individuals 15-65 y/o
Colorectal Cancer Screening Right Answer - - Start at 50
- FOBTx3 q1Y OR Sigmoidoscopy q5Y OR Colonoscopy q10Y
- Previous polyp: q3Y until clear, then q5Y
- Previous colon ca: 1Y after resection, then 3Y, then 5Y
- FH in single family member: 10 years earlier than age of dx or age
40
- HNPCC: start at 25, q1-2Y
- FAP: start at 12, q1Y
,AAA Screening Right Answer - Men ages 65-75 who have ever
smoked should undergo a one-time abdominal U/S
Guidelines for Pneumovax Right Answer - All persons aged 65
y/o and older should receive a one time pneumococcal vaccination
Booster is recommended if the pt received the vaccine >=5 years
previously and was age <65y/o at time of vaccination
*One time dose for Diabetic patients at time of diagnosis
Adult vaccines Right Answer - - Influenza annually for all
people over 6 mos
- TDaP once after 11 y/o, Td booster q 10 yrs
- VZV at 60 y/o
Mgmt of pt with FAP Right Answer - Total Colectomy (100%
risk of developing colonic adenocarcinoma)
COMQUEST tool for Visceral Innervation Right Answer - S 5-9
L 6-9
P 5-11
S 9-11
K 10-11
B 11-2
L 11-2
Counterstrain Technique Right Answer - 1. Locate and Palpate
TP
2. Place pt in position of optimal comfort (SHORTEN the muscle)
3. Fine tune until 70% tenderness reduction
4. Maintain position for 90 seconds
5. Slowly return to neutral
6. Recheck TP (no more than 30% tenderness should remain)
,Phases of Clinical Trails Right Answer - - I: Testing on a small
number of healthy volunteers to determine SE, metabolism,
excretion etc
- II: Testing on a small number of pts suffering from the disease to
be treated
- III: Large scale trial to test against placebo
- IV: After release; surveillance
RUQ pain, jaundice, ascites...Dx? Initial test? Diagnostic test?
Right Answer - Budd-Chiari Syndrome: thrombosis of hepatic vein
or IVC
- DX: initially Ultrasound, Venography to confirm
- TX: Thrombolytics
Most common cause of Post-Partum Fever? Right Answer -
Endometritis (will also have uterine tenderness)
- TX: broad spectrum abx
Contraindications for breast feeding Right Answer - - Mothers
with HIV, untreated TB, HSV lesions on breast, chemo, radioactive
isotope administration
- Infants with galactosemia
- *Soy based formula instead
Supplementation for exclusively breast-fed infants Right
Answer - - Vitamin D: 400 IU daily soon after birth
- Iron: 1 mg/lg oral starting at 4 months
Woman is exclusively breast feeding, present with pain in
breast...shiny skin of nipple with peeling at the areola...likely
organism? Right Answer - Candida albicans
Woman presents with straw colored discharge from nipple...likely
dx? Right Answer - Intraductal papilloma
, Mgmt of Lobular Carcinoma In Situ Right Answer -
Observation
Mgmt of Ductal Carcinoma In Situ Right Answer - Excision
with post op Radiation
Mgmt of Invasive Lobular/Ductal Ca. Right Answer -
Lumpectomy + Sentinal LN Bx + post op Radiation
Procedures requiring IE PPX Right Answer - Procedures
involving:
- Respiratory tract
- Major dental work
- Infected skin, tissues just under skin, musculoskeletal tissue
Who gets IE PPX? Right Answer - - Artificial heart valve or
heart valve repaired with articificial material
- History of endocarditis
- Heart transplant with abnormal heart fx
- Unrepaired cyanotic congenital heart dz
Thrust of Rib HVLA Right Answer - For Inhaled Ribs: directly
downwards
For Exhaled Ribs: 45 degrees cephalad
How to Dx BPPV Right Answer - Dix-Hallpike Maneuver
How to Tx BPPV Right Answer - Epley Maneuver
Intussusception: Dx? Tx? Right Answer - Dx: Ultrasound in
non-classic presentations
Tx: Pneumatic Enema
