The COMLEX-USA (Comprehensive Osteopathic Medical Licensing Examination of the United States) is a series of standardized medical board exams designed for osteopathic medical students and physicians. Administered by the National Board of Osteopathic Medical Examiners (NBOME), it evaluates candidate...
Vitamin C Deficiency - Answers Everything *normal* in coag panel
Normal PT
Normal PTT
Normal Bleeding Time
Normal Platelet Count
Hemophilia A (X-linked recessive disorder) - Answers 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
, Q&A
Von Willbrand Disease (VWD) (Autosomal Dominant) - Answers 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 - Answers Increased PT
Increased PTT
Increased Bleeding Time
Low Platelet Count
BMP and UA (least costly and invasive and most readily available) -
Answers 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 -
Answers Any pt with BPH and renal insufficiency (elevated Cr) should
have a ____ performed
it's only effective if given within hours after being bitten
, Q&A
anaphylaxis and serum sickness so it is reserved for severe cases -
Answers When is antivenin indicated
What are 2 feared complications
opthlamic flq. make sure to tx both eyes - Answers tx for bacterial
conjunctivitis
placenta previa (definition) - Answers condition in which the placenta
implants near or covering the cervical os
placenta previa (symptoms) - Answers *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) - Answers a condition where the
placenta separates from the wall of the uterus
placental abruption (symptoms) - Answers *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 - Answers
a *severely painful* condition in which the uterus opens at a previous
incision site. occurs during labor or induction of labor.
5. hydatidiform mole (a type of gestational trophoblastic disease)
vasa previa (definition) - Answers a condition in which the fetal
vessels course through the membranes, over the cervical os and insert into
the placenta close to the os.
bedside abdominal US to confirm that the placenta is overlyling the cervical
os
Do this before jumping to c-section immediately - Answers Confirm
dx of suspected placenta previa with
Expectant mgmt if the pt remains stable and her bleeding subsides.
If hemorrhage worsens or persists or there are signs of fetal distress,
immediate C-section is warranted - Answers Tx options for placenta
previa (2)
placenta accreta (definition) - Answers severe OB complication
involving an abnormally deep attachment of the placenta through the
endometrium and into the myometrium (middle layer of the uterine wall)
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