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COMLEX Level 3 EXAM WITH COMPLETE SOLUTION 2024_2025.
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COMLEX Level 3 EXAM WITH COMPLETE SOLUTION 2024_2025.
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COMLEX Level 3 EXAM WITH COMPLETESOLUTION 2024/2025
Vitamin C Deficiency
Everything normal in coag panel
Normal PT
Normal PTT
Normal Bleeding Time
Normal Platelet Count
Hemophilia A (X-linked recessive disorder)
AKA Factor VIII deficiency - i.e. intrinsic pathway will be dysfunctional. Same effect as
pts receiving heparin.
Pts. receiving receiving Warfarin will have extrisinc pathway affected - i.e. increased PT
Normal PT
Increased PTT
Normal Bleeding Time
Normal Platelet Count
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Von Willbrand Disease (VWD) (Autosomal Dominant)
MC inherited bleeding disorder and is transmitted as AD trait. Affects platelet binding
and is also a carrier protein for factor VIII (intrinsinc, PTT)
, Normal PT
Increased PTT Increased Bleeding Time
Normal Platelet Count
DIC
Increased PT
Increased PTT
Increased Bleeding Time
Low Platelet Count
BMP and UA (least costly and invasive and most readily available)
In pts with suspected BPH and urinary retention what 2 dx tests would be most
important order first
Renal US - to eval for hydronephrosis and bladder outlet obstruction
Any pt with BPH and renal insufficiency (elevated Cr) should have a ____ performed
it's only effective if given within hours after being bitten
anaphylaxis and serum sickness so it is reserved for severe cases
When is antivenin indicated
What are 2 feared complications
opthlamic flq. make sure to tx both eyes
tx for bacterial conjunctivitis
placenta previa (definition)
condition in which the placenta implants near or covering the cervical os
placenta previa (symptoms)
painless, acute vaginal bleeding in the 2nd or 3rd trimester is _____ until proven
otherwise. Can be triggered by intercourse. contractions are absent
placenta abruption (definition)
a condition where the placenta separates from the wall of the uterus
placental abruption (symptoms)
painful vaginal bleeding in the 2nd or 3rd trimester and associated with with severe
tetanic uterine contractions
uterine rupture definition and when does it usually happen
a severely painful condition in which the uterus opens at a previous incision site.
occurs during labor or induction of labor.
uterine rupture risk factors (5)
1. previous rupture
2. previous uterine surgery (esp transfundal)
3. use of prostaglandins or oxytocin
4. short inter-pregnancy interval
5. hydatidiform mole (a type of gestational trophoblastic disease)
vasa previa (definition)
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