Exam (elaborations)
COMLEX Level 2 One Liners Exam Questions and Answers 2024/2025( A+ GRADED 100% VERIFIED).
- Course
- Institution
COMLEX Level 2 One Liners Exam Questions and Answers 2024/2025( A+ GRADED 100% VERIFIED).
[Show more]
Content preview
COMLEX Level 2 One LinersZenker's Diverticulum: Si/Sx? Dx? Tx? - ANS Si/Sx: Dysphagia, Halitosis, Regurgitation of
Undigested Food, Throat Clearing, Neck Mass
Dx: Barium Swallow
Tx: Myotomy of Cricopharyngeal +/- Diverticulectomy
Cervical Cancer Screening - ANS - 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 - ANS Mammography q2Y starting at age 50 (USPSTF) or 40
(ACOG)
STD Screening - ANS - 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 - ANS - 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 - ANS Men ages 65-75 who have ever smoked should undergo a one-time
abdominal U/S
Guidelines for Pneumovax - ANS 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 <65
y/o at time of vaccination
*One time dose for Diabetic patients at time of diagnosis
Adult vaccines - ANS - 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 - ANS Total Colectomy (100% risk of developing colonic adenocarcinoma)
,COMQUEST tool for Visceral Innervation - ANS S 5-9
L 6-9
P 5-11
S 9-11
K 10-11
B 11-2
L 11-2
Counterstrain Technique - ANS 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 Trials - ANS - 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? - ANS Budd-Chiari Syndrome:
thrombosis of hepatic vein or IVC
- DX: initially Ultrasound, Venography to confirm
- TX: Thrombolytics
Most common cause of Postpartum Fever? - ANS Endometritis (will also have uterine
tenderness)
- TX: broad spectrum abx
Contraindications for breastfeeding - ANS - 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 - ANS - 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? - ANS Candida albicans
,Woman presents with straw colored discharge from nipple...likely dx? - ANS Intraductal
papilloma
Mgmt of Lobular Carcinoma In Situ - ANS Observation
Mgmt of Ductal Carcinoma In Situ - ANS Excision with post op Radiation
Mgmt of Invasive Lobular/Ductal Ca. - ANS Lumpectomy + Sentinel LN Bx + post op Radiation
Procedures requiring IE PPX - ANS Procedures involving:
- Respiratory tract
- Major dental work
- Infected skin, tissues just under skin, musculoskeletal tissue
Who gets IE PPX? - ANS - Artificial heart valve or heart valve repaired with artificial material
- History of endocarditis
- Heart transplant with abnormal heart fx
- Unrepaired cyanotic congenital heart dz
Thrust of Rib HVLA - ANS For Inhaled Ribs: directly downwards
For Exhaled Ribs: 45 degrees cephalad
How to Dx BPPV - ANS Dix-Hallpike Maneuver
How to Tx BPPV - ANS Epley Maneuver
Intussusception: Dx? Tx? - ANS Dx: Ultrasound in non-classic presentations
Tx: Pneumatic Enema
Sx of Opioid withdrawal - ANS Lacrimation, Rhinorrhea
Sx of Cocaine/Amphetamine withdrawal - ANS Dysphoria, Excessive Sleep, Hunger
Sx of Alcohol withdrawal - ANS Seizure
What is the most appropriate initial test for Urolithiasis - ANS Ultrasound
What is the most sensitive and specific test for Urolithiasis - ANS Non-contrast Helical CT
Causes of Transitional Cell Carcinoma - ANS "Pee SAC"
- Phenacetin
- Smoking
- Aniline Dyes
- Cyclophosphamide
, Initial diagnostic test for Boerhaave's Syndrome - ANS CXR → pneumomediastinum
Tx for Boerhaave's Syndrome - ANS Contained Perf: NPO, NG suction, IV fluids, IV abx
Free Perf: Surgery
MEN I - ANS 3 Ps: Pancreatic, Parathyroid, Pituitary Tumors
MEN IIa - ANS 1 M 2 Ps: Medullary Thyroid Ca, Pheochromocytoma, Parathyroid Tumors
MEN IIb - ANS 2 Ms 1 P: Medullary Thyroid Ca, Pheochromocytoma, Marfanoid
Habitus/Mucosal Neuromas
Pt presents with a thyroid nodule... - ANS 1. Order TSH
2. If normal/high → FNA
If low → Scintigraphy
3. Hypofunctional → Surgery
Female of reproductive age who has been using OCPs has a hepatic tumor. Likely dx? - ANS
Hepatic Adenoma
- Benign, associated with OCPs, anabolic steroids, and glycogen storage dz
- Surgical resection if symptomatic
Female of reproductive age has a hepatic tumor with a central scar on imaging. Dx? Tx? - ANS
Focal Nodular Hyperplasia
NOT associated with OCPs
No further management required
Mgmt of hepatic angioma (cavernous hemangioma)? - ANS Risk of rupture
<5cm: watch expectantly, follow with imaging
>5cm or symptomatic: surgical removal
Neonate develops conjunctivitis within the first 24 hours of life... - ANS Chemical Conjunctivitis
- Usually 2/2 Erythromycin drops
- Tx: Reassurance + saline flush
Neonate develops conjunctivitis at 2-5 days - ANS Gonorrheal Conjunctivitis
- + Purulent dc
- Tx: IM ceftriaxone + Topical Erythromycin
Neonate develops conjunctivitis at 5-14 days - ANS Chlamydial Conjunctivitis
- + Mucopurulent dc and palpebral erythema
- Tx: Oral +/- Topical Erythromycin
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LECTDERRICK. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now