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COMLEX Level 2 One Liners Exam Questions and Answers 2024/2025( A+ GRADED 100% VERIFIED).
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COMLEX Level 2 One Liners Exam Questions and Answers 2024/2025( A+ GRADED 100% VERIFIED).
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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
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