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COMLEX Level 2 exam version with updated questions and correct answers.graded A+

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COMLEX Level 2 exam version with updated questions and correct answers

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COMLEX Level 2
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COMLEX Level 2










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2024/2025
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COMLEX Level 2 exam version with
updated questions and correct
answers.graded A+


Moderate Persistent Asthma

- answer -Symptoms daily and night time awakenings more than once a week but not nightly



First Line Treatment for Moderate Persistent Asthma

- answer -inhaled low - dose glucocorticoids plus an inhaled long - acting beta agonist; a short - acting
inhaled beta agonist is also given for exacerbations



Cranial bones that primarily move in flexion and extension around a transverse axis

- answer -Midline bones



What are the midline bones of the cranium?

- answer -occiput, sphenoid, ethmoid, vomer



What does the frontal bone do during sphenobasilar flexion?

- answer -it moves in external rotation



Cranial bones that primarily move in internal and external rotation

- answer -Paired bones



What are the paired bones of the crainum?

- answer -Temporals, parietals, maxilla, zygoma, nasals, palatines

,What happens during sphenobasilar flexion?

- answer -(1) Flexion of the midline bones

(2) External Rotation of the paired bones

(3) Decreased AP diameter of the cranium

(4) Extension of the sacrum

(5) Bregma descends with SBS flexion ( and ascends with extension )



Left sided colon tumors will have...

- answer -hematochezia and narrow stools



Right sided colon tumors will have ...

- answer -melena and occult blood in stool



Low calcium, low phosphate, elevated PTH

- answer -Vitamin D Deficiency --> Secondary hyperparathyroidsim



Low calcium, elevated phosphate, elevated PTH

- answer -Pseudohypoparathyroidism ( also similar labs in renal failure ); can be associated with
Albright's hereditary osteodystrophy



Elevated calcium, normal phosphate, decreased PTH

- answer -Malignancy - which cause secretion of PTH- related protein leading to an increase in calcium
and subsequent inhibition of PTH



Elevated calcium, low phosphate, elevated PTH

- answer -Primary Hyperparathyroidism



According to the American Heart Association, procedures requiring prophylaxis are:

- answer -respiratory tract of infected skin, tissues just under the skin, or musculoskeletal tissue

, The AHA's Latest Guidelines state antibiotics are required for those with:

- answer -An artificial heart valve or who have had a heart valve repaired with artificial material, a
history of endocarditis, a heart transplant with abnormal heart valve function, and cyanotic congenital
heart disease that has not been fully repaired.



Atypical Depression

- answer -mood reactivity + weight gain, hypersomnia, leaden paralysis, or sensitivity to rejection



Melancholic Depression

- answer -lack of mood reactivity, early morning awakening / insomnia, and weight loss/anorexia



The diagnosis of primary hyperaldosteronism should follow the following algorithm:

- answer -First measure the plasma aldosterone concentration to plasma renin activity; if it is greater
than 25, proceed to sodium loading tests, where patients are given oral sodium or fludrocortisone over
3 days; if the plasma aldosterone level is not suppressed below 10ng/dL, the patient has primary
hyperaldosteronism.



Symptoms of Cocaine and amphetamine withdrawal

- answer -dysphoria, excessive sleep, and hunger



Symptoms of opioid withdrawal

- answer -rhinorrhea, lacrimation, yawning, abdominal and leg cramping, piloerection, nausea,
vomiting, diarrhea, and dilated pupils



A major symptom of alcohol withdrawal

- answer -seizures



Associated with cocaine use

- answer -Increased sense of energy
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