COMLEX Level 1 TrueLearn COMBank EXAM LATEST
(2025) COMPLETE QUESTIONS With 100% Verified
Solutions,
Failure to deliver the placenta within 30 mins of birth
Manual extraction may result in profuse, uncontrollable bleeding, w/ retention of
most or all of the placental tissue
Emergent hysterectomy is required
Placental villi attach to the surface of the myometrium - (ANSWER)Placenta
accreta
What are the risk factors of placental accreta spectrum - (ANSWER)Hx of c-
section
Hx of uterine procedures (dilation, curettage, myomectomy, uterine ablation,
Asherman syndrome)
Placental previa
What is included in placenta accreta spectrum and describe each -
(ANSWER)Placenta accreta: placental villi attach to the surface of the
myometrium
Placenta increta: chorionic villi penetrate into the myometrium
,Placenta precreta: chorionic villi penetrate through the myometrium to the
uterine serosa or adjacent organs
Secondary amenorrhea (absence of periods for 3 cycles) following a dilation and
curettage (D&C) - (ANSWER)Asherman syndrome
- Trauma to stratum basalis --> absence of the stratum basalis layer of the
endometrium
Etiology of secondary amenorrhea - (ANSWER)Hypothalamic: Functional
hypothalamic amenorrhea
Pituitary: Hyperprolactinemia, empty sella syndrome, Sheehan syndrome
Ovary: Plycystic ovary syndrome, premature ovarian failure
Uterus: Asherman syndrome
Other: Congenital adrenal hyperplasia, hypothyroidism, adrenal tumors
List the disease for each histology:
1. Abscent stratum basalis in an endometrial biopsy
,2. Benign keratinocytes within the epidermis
3. Enlarged ovaries w/ multiple cystic follicles
4. Hyperplasia of lactotroph cells within the anterior pituitary
5. Numerous corpora albicans and a fibrotic cortex - (ANSWER)1. Asherman
syndrome
2. Imperforate hymen
3. Polycystic ovary syndrome
4. Prolactinoma
5. Atrophic ovary
Diagnosed in infants (< 1 year)
M > F predominance
Most common in Caucasian populations
Symptoms of severe anemia --> pallor, fatigue, cyanosis
Webbed neck (can be confused for Turner syndrome)
Cleft pallet
, Triphalangeal thumbs
Macrocytic anemia (nonmegaloblastic)
Decreased reticulocyte count (< 1% in infants)
Normal leukocytes and platelets
Bone marrow biopsy --> absence of erythroid precursors
Increased HbF on electrophoresis
Nonmegaloblastic macrocytic anemia - (ANSWER)Diamond-Blackfan anemia
- Turner syndrome does not cause macrocytic anemia
Treatment for Diamond-Blackfan anemia - (ANSWER)Corticosteroids
Transfusion
Hematopoietic stem cell transplant
Defect in erythropoiesis --> Pure Red Cell Aplasia (PRCA)
(2025) COMPLETE QUESTIONS With 100% Verified
Solutions,
Failure to deliver the placenta within 30 mins of birth
Manual extraction may result in profuse, uncontrollable bleeding, w/ retention of
most or all of the placental tissue
Emergent hysterectomy is required
Placental villi attach to the surface of the myometrium - (ANSWER)Placenta
accreta
What are the risk factors of placental accreta spectrum - (ANSWER)Hx of c-
section
Hx of uterine procedures (dilation, curettage, myomectomy, uterine ablation,
Asherman syndrome)
Placental previa
What is included in placenta accreta spectrum and describe each -
(ANSWER)Placenta accreta: placental villi attach to the surface of the
myometrium
Placenta increta: chorionic villi penetrate into the myometrium
,Placenta precreta: chorionic villi penetrate through the myometrium to the
uterine serosa or adjacent organs
Secondary amenorrhea (absence of periods for 3 cycles) following a dilation and
curettage (D&C) - (ANSWER)Asherman syndrome
- Trauma to stratum basalis --> absence of the stratum basalis layer of the
endometrium
Etiology of secondary amenorrhea - (ANSWER)Hypothalamic: Functional
hypothalamic amenorrhea
Pituitary: Hyperprolactinemia, empty sella syndrome, Sheehan syndrome
Ovary: Plycystic ovary syndrome, premature ovarian failure
Uterus: Asherman syndrome
Other: Congenital adrenal hyperplasia, hypothyroidism, adrenal tumors
List the disease for each histology:
1. Abscent stratum basalis in an endometrial biopsy
,2. Benign keratinocytes within the epidermis
3. Enlarged ovaries w/ multiple cystic follicles
4. Hyperplasia of lactotroph cells within the anterior pituitary
5. Numerous corpora albicans and a fibrotic cortex - (ANSWER)1. Asherman
syndrome
2. Imperforate hymen
3. Polycystic ovary syndrome
4. Prolactinoma
5. Atrophic ovary
Diagnosed in infants (< 1 year)
M > F predominance
Most common in Caucasian populations
Symptoms of severe anemia --> pallor, fatigue, cyanosis
Webbed neck (can be confused for Turner syndrome)
Cleft pallet
, Triphalangeal thumbs
Macrocytic anemia (nonmegaloblastic)
Decreased reticulocyte count (< 1% in infants)
Normal leukocytes and platelets
Bone marrow biopsy --> absence of erythroid precursors
Increased HbF on electrophoresis
Nonmegaloblastic macrocytic anemia - (ANSWER)Diamond-Blackfan anemia
- Turner syndrome does not cause macrocytic anemia
Treatment for Diamond-Blackfan anemia - (ANSWER)Corticosteroids
Transfusion
Hematopoietic stem cell transplant
Defect in erythropoiesis --> Pure Red Cell Aplasia (PRCA)
