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Exam (elaborations)

COMLEX II High Yield Exam Questions And Complete Solutions

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  • COMLEX
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Initial study for osteomyelitis How is treatment monitored? - Correct Answer x-ray, but MRI if it is equivocal (more sensitive, so will rule IN the dx) Follow ESR and CRP(prognostic) (WBC is usually normal!!) Pacer required for these blocks - Correct Answer Mobitz type II (3:1 pattern of...

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  • October 3, 2024
  • 80
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • first line for ocd ssris
  • initial study for osteomyelitis how is treatment m
  • pacer required for these blocks mobitz type ii 3
  • acute dystonia timing after drug initiation star
  • when does tardive dyskines

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COMLEX II High Yield Exam Questions And Complete
Solutions
Initial study for osteomyelitis

How is treatment monitored? - Correct Answer x-ray, but MRI if it is equivocal (more sensitive, so will
rule IN the dx)



Follow ESR and CRP(prognostic) (WBC is usually normal!!)



Pacer required for these blocks - Correct Answer Mobitz type II (3:1 pattern of P to QRS, regular R to R)

3rd degree block (P's and QRSs are "divorced)



First line for OCD - Correct Answer SSRIs



acute dystonia (timing after drug initiation) - Correct Answer starts hrs to days after initiation of
antipsychotics



when does tardive dyskinesia arise

Tx? - Correct Answer months to years after a typical antipsychotic med is initiated

switch to an Atypical Antipsychotic



acute akathasia (timing after drug initiation) - Correct Answer restlessness/urge to move within hours to
days of typical antipsychotic initiation



Acute pericarditis in SLE presents with ____ - Correct Answer (all the normal pericarditis sx) and



1. Leukopenia

2.Thrombocytopenia



X-ray in PDA

,Diagnostic murmur - Correct Answer Incresed vascular markings 2/2 L -->R shunt, increased volume in
the pulm system



MACHINE-LIKE @ 2nd Left ICS!!!



early post-valve endocarditis:



late post-valve endocarditis:



native valve endocarditis: - Correct Answer early (within 1 yr): S. aureus, S. epidermidis



late: S. aureus



HACEK: H. flu, Actinobacillus, Cardioacterium, Eikenella, Kingella



Sleep walking and enuresis are treated with - Correct Answer TCAs like Imipramine (shorten stages 3-4
of sleep)Use



Used to augment tx when MDD is resistant to monotx with antidepressants - Correct Answer Lithium



Pts with CHD or an equivalent should be started on a statin if LDL is >_____?



If LDL is below ______, but they have a CHD equivalent, what should be done? - Correct Answer >130



Lifestyle modification



Tx for panic disorder



Tx for GAD - Correct Answer SSRI

,Anxiolytic like buspirone



Tx for acute gout - Correct Answer NSAIDs!!



Dx a hemotx with ____________ - Correct Answer x-ray



14 y/o with palpable pupura, abd pain, arthritis- Dx?



Renal Bx will show - Correct Answer HSP



Mesangial deposits of IgA



Mood reactivity + 2 of the following: hypersomnia, wt gain, leaden paralysis, sensitivity to rejection -
Correct Answer atypical depression



Most specific tests for RA? - Correct Answer X-ray and anti-CCP Abs (RF is not specific and does not rule
out seronegative RA)



R to R in a-fib? - Correct Answer irregular! (also look for p-waves that are hard to define)



R vs L BBB? - Correct Answer WiLLiaM MaRRoW



LBBB: V1: W, V6:M



RBBB: V1: M, V6: W



Electrolyte disturbance seen in Conn syndrome? - Correct Answer Conn syn: Primary
hyperaldosteronism, will have a metabolic alkalosis

, Isolated hypoHDL....tx? - Correct Answer Niacin (ASA before!)



2 murmurs that increase with Valsalva - Correct Answer 1. HOCM (systolic ejection murmure)

2. MVP (mid-systolic click)



How is HOCM treated? - Correct Answer Beta-blocker or verapamil (non-dihydro)



PCWP is low in all types of shock exept: - Correct Answer cardiogenic shock



SVR is high in all types of shock except - Correct Answer Neurogenic

Septic (fever, white count, tachy, tachypnea)



High CO seen in this type of shock: - Correct Answer Septic, but may be normal



Medical management of PVD - Correct Answer Cilostazol



How is spondylolithesis graded? - Correct Answer 3 grades,

below and above 26-50%



Hip drop tests __________ - Correct Answer sidebending of the lumbar spine



Standing flxn tests _______ - Correct Answer Iliosacral dysfunction



AP compression and Seated flxn test ______ - Correct Answer Sacroiliac dysfunction



Straight leg raising tests _________ - Correct Answer Sciatic nerve compression, could be from a
herniated disc



Viscerosomatics: (major organs) - Correct Answer S-stomach/spleen: 5-9

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