COMQUEST Level 2 Questions | 100% Correct
Answers | Verified | Latest 2024 Version
What are causes of delirium? - ✔✔MI WATCH DEATH: Metabolic Imbalances Infections Withdrawal
Abuse of substances Trauma CNS pathology Hypoxia Deficiencies in vitamins Endocrine Acute
MI/vascular Toxins/meds Heavy Metals (Mercury, canned tuna)
What is the difference between histrionic personality disorder and borderline? - ✔✔Borderline = feelings
of emptiness, moodiness, and splitting.
Elevated plasma levels of Clozapine are most associated with what SE? - ✔✔Seizures
Transient stress related dissociative symptoms are found in which PD? - ✔✔Borderline
When is buspirone indicated? - ✔✔GAD, BUT NOT FIRST LINE (first line is SSRIs). Don't use as
monotherapy bc it has short lived effects.
What is the most effective therapy for OCD? - ✔✔CBT → then SSRIs
At 45 minutes post acetaminophen ingestion toxicity, what do you give for reversal? - ✔✔Activated
charcoal (N-acetylcysteine if 4 hrs+)
What are the three steps to treating rhabdomyolysis? - ✔✔Remove inciting factor EKG to look at changes
(hyperkalemia) Aggressive hydration
Oculogyric crisis is what type of SE from high potency typical antipsychotics (Haloperidol)? - ✔✔Acute
dystonia - it is an EPS characterized by cramping and spasming of the muscles
Fluphenazine, tapping of the feet. What type of SE is this? - ✔✔EPS
What SE comes on first from antipsychotics? - ✔✔Acute dystonia → akathisia → PD → TD
,How do you treat akathisia? - ✔✔Beta blockers, BDZ, benztropine
What are two treatments for acute dystonia? - ✔✔Bezntropine or diphenydramine
What are the three steps to treat NMS? The three medication options you can give? - ✔✔Stop offending
agent, IV fluids, Give dantrolene, bromocriptine, or amatadine
Is ECT safe during pregnancy? - ✔✔Yes - all trimesters
What do you give to treat delirium tremens? - ✔✔Lorazepam
What do you give for delirium? - ✔✔Haloperidol
What are signs and symptoms of DT? - ✔✔Autonomic hyperactivity, Seizures, Tactile/visual
hallucinations, AMS
What is MDD with psychosis? - ✔✔Mood congruent delusions of a psychotic nature (thoughts of death,
financial ruin, irrationally pessimistic ideas, auditory hallucinations). If psychosis is caused by mood
disorder, they will need mood stabilizers for tx but if psychosis is caused by a psychotic disorder, they will
need antipsychotics.
How do you diagnose OSA? - ✔✔Polysomnography (NOT EEG)
What are symptoms of alcohol withdrawal <12 hrs, 12-24 hrs, and 24-48 hrs? - ✔✔<12 = insomnia,
tremor, anxiety, GI upset, hallucinations, 12-24 = seizures, 24-48 = DT = hallucinations, AMS, tachycardia,
HTN, fever, agitation, diaphoresis.
Tactile hallucinations are withdrawal from what 2 drugs? - ✔✔Cocaine and alcohol
What drug overdose has tremulousness, hyperreflexia, ataxia, dysarthria, dystonia? - ✔✔Lithium
,How do you augment antidepressant effects (3)? - ✔✔With lithium, atypical antipsychotics, or another
antidepressant of another class.
What is the difference between cocaine and amphetamine intoxication? - ✔✔Amphetamines = brown
teeth and dental erosion
What is a complication of PCP toxicity? - ✔✔Rhabdomyolysis
What is the difference between chronic and acute PTSD? - ✔✔Acute = 1-3 months, chronic = 3 months+
What is treatment for illness anxiety disorder? - ✔✔Recurrent monthly appointments with PCP
What is an additional finding of schizoid personality disorder? - ✔✔Diminished sexual interest. WON'T
HAVE AN EMOTIONAL RESPONSE to social situations - just go to great lengths to avoid them.
Alternatives to SSRIs (2) for OCD? - ✔✔Venlafaxine, clomipramine
What do you tell patients with conversion disorder? - ✔✔That their symptoms are likely to improve,
offer outpatient psychotherapy.
What are symptoms of acute psychotic episode vs adjustment disorder? - ✔✔Adjustment disorder is
mood or anxiety symptoms within 3 months of a stressor. This diagnosis is made at the end after others
have been excluded.
Convulsions, cardiac, and coma = what drug overdose? - ✔✔TCA
What drug is similar to TCA? - ✔✔Cyclobenzaprine (muscle relaxant)
What tests do you do before starting Li? - ✔✔Thyroid, Cr/BUN, Pregnancy
, What tests do you check before starting valproic acid? Carbamazepine? - ✔✔Liver test and CBC
(thrombocytopenia). Same for carbamazepine, it can cause leukopenia, blurred vision, skin problems
(SJS)
What treatments are used for OCD? - ✔✔CBT and clomipramine
What type of EKG finding is most commonly found in COPD? Treatment? - ✔✔MAT (3 different P wave
morphologies) Tx = verapamil and underlying disease
What is the difference between MAT and wandering pacemaker? - ✔✔MAT = 3 different p wave
morphologies + HR >100, wandering pacemaker = <100
Excruciating pain after eating fatty foods + abdominal bruit = what dx? - ✔✔Intestinal ischemia
Treatment of septic abortion? - ✔✔IV abx + D&C
Difference in appearance between basal cell carcinoma and actinic keratoses? - ✔✔BCC = ulceration,
translucency, telangiectasias, rolled border. Actinic keratoses = looks scaly, flat papules
Normal fetal heart rate? - ✔✔110-160 bpm
After starting levothyroxine for hypothyroidism, what lab do you check in how long? - ✔✔TSH in 6 weeks
Fatigue, LAD + lymphocytosis = think what blood disease? - ✔✔CLL (see smudge cells)
What is the difference between stool sample and stool toxin test? - ✔✔Stool sample = looks for WBCs
(any inflammatory bacteria like campy, salmonella, shigella, EIEC), stool toxin = toxin from bacteria
What is the next step in treatment of small cell carcinoma after diagnosis? - ✔✔Chemo
What is the next step in treatment of non SCC after diagnosis? - ✔✔Chemo AND surgery
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