COMLEX Level 3 Exam-Questions with 100%
Correct Answers
What to test for in newly diagnosed vitiligo?
Thyroid function tests
Vitiligo is associated with autoimmune diseases, particularly thyroid disease
Types of hyperthyroidism and findings
Adolescent presenting with unconjugated hyperbilirubinemia precipitated by stress (eg,
fasting, illness). Dx?
Gilbert syndrome
reduced bilirubin conjugation due to deficiency in UDP-glucuronosyltransferase, usually
presents in adolescence
What bacteria can cause AV block?
Borrelia burgdorferi (Lyme disease)
Corynebacterium diphtheriae
Heart block management? reversible causes?
1st degree or Mobitz type 1 (2nd degree) --> workup for reversible causes (observe, unless
symptomatic) ---> if reversible,, reverse it. If irreversible, place permanent pacemaker
Mobitz type 2 (2nd degree) or 3rd degree:
- if stable, workup for reversible causes and follow above pathway
- if unstable, immediate transcutaneous pacing or IV atropine ---> once stable workup for
reversible causes
, Reversible causes: myocardial ischemia, electrolyte abnormalities (hyperkalemia), myocarditis,
endocarditis, post srugery (eg CABG, aortic valve implantation, ablations)
Acalculous cholecystitis: pathogenesis, clinical presentation, diagnosis, treatment,
complications
4yo with hx of asthma comes in with persistent coughing. On exam, focal, monophonic
wheezing. No fever or lymphadenopathy.
Cough with focal or unilateral wheezing ---> think foreign body aspiration (not asthma)
First line tx for keloids
intralesional corticosteroid
Common respiratory conditions and treatments
TTP vs HUS
Classic symptoms of TTP and HUS
TTP:
FAT RN
Fever
Anemia
Thrombocytopenia
Renal dysfunction
Neuro symptoms
HUS:
RAT D
Renal dysfunction
Anemia
Correct Answers
What to test for in newly diagnosed vitiligo?
Thyroid function tests
Vitiligo is associated with autoimmune diseases, particularly thyroid disease
Types of hyperthyroidism and findings
Adolescent presenting with unconjugated hyperbilirubinemia precipitated by stress (eg,
fasting, illness). Dx?
Gilbert syndrome
reduced bilirubin conjugation due to deficiency in UDP-glucuronosyltransferase, usually
presents in adolescence
What bacteria can cause AV block?
Borrelia burgdorferi (Lyme disease)
Corynebacterium diphtheriae
Heart block management? reversible causes?
1st degree or Mobitz type 1 (2nd degree) --> workup for reversible causes (observe, unless
symptomatic) ---> if reversible,, reverse it. If irreversible, place permanent pacemaker
Mobitz type 2 (2nd degree) or 3rd degree:
- if stable, workup for reversible causes and follow above pathway
- if unstable, immediate transcutaneous pacing or IV atropine ---> once stable workup for
reversible causes
, Reversible causes: myocardial ischemia, electrolyte abnormalities (hyperkalemia), myocarditis,
endocarditis, post srugery (eg CABG, aortic valve implantation, ablations)
Acalculous cholecystitis: pathogenesis, clinical presentation, diagnosis, treatment,
complications
4yo with hx of asthma comes in with persistent coughing. On exam, focal, monophonic
wheezing. No fever or lymphadenopathy.
Cough with focal or unilateral wheezing ---> think foreign body aspiration (not asthma)
First line tx for keloids
intralesional corticosteroid
Common respiratory conditions and treatments
TTP vs HUS
Classic symptoms of TTP and HUS
TTP:
FAT RN
Fever
Anemia
Thrombocytopenia
Renal dysfunction
Neuro symptoms
HUS:
RAT D
Renal dysfunction
Anemia
