COMLEX Bundled Exam Questions Package with Correct Answers

GERD that is resistent to medical treatment - Need to have sliding hiatal hernia at top of ddx Charcots triad associated with? Tx? - Ascending cholangitis Treat with Zosyn as it will cover all possible organisms Alcoholic Ketoacidosis - Large anion gap ( Na - (Cl + bicarb)) Normal glucose ...

E. Coli (ETEC) - Epi: recent travel Presentation: watery diarrhea Labs: Treatment: E. Coli (EHEC) - Epi: undercooked beef (hamburger) Presentation: bloody diarrhea - a/w HUS

Opiate withdrawal signs - *yawning piloerection mydriasis diarrhea cocaine withdrawal signs - heavy sleeping increased appetite depression tremors/chills timing of symptoms in alcohol withdrawal

Labs in polycythemia vera - Elevated: Hgb Hct Plt leukocyte Decreased: EPO Dx: headaches, vertigo, pruritus after shower, signs of thrombosis - polycythemia vera Caused by mutation of JAK2 gene

Bias introduced into a study when a clinician is aware of the patient's treatment type. - Observational bias Bias introduced when screening detects a diseae earlier and thus lengthens the time from diagnosis to death. - Lead-time bias If you want to know if geographical location affects infant...

Moderate Persistent Asthma - Symptoms daily and night time awakenings more than once a week but not nightly First Line Treatment for Moderate Persistent Asthma - inhaled low - dose glucocorticoids plus an inhaled long - acting beta agonist; a short - acting inhaled beta agonist is also given fo...

Moderate Persistent Asthma - Symptoms daily and night time awakenings more than once a week but not nightly First Line Treatment for Moderate Persistent Asthma - inhaled low - dose glucocorticoids plus an inhaled long - acting beta agonist; a short - acting inhaled beta agonist is also given fo...

MOA: Paxlitaxal - Microtubule inhibitor Stabilizes polymerized microtubules. prevent completion of mitosis by preventing breakdown of the mitotic spindle MOA + Use: Oxandrolone - MOA: Anabolic-Androgenic steroid Use: Treatment of severe burns ADE: Testicular atrophy MOA: Sirolimus - mTOR inh...

Initial study for osteomyelitis How is treatment monitored? - 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 - Mobitz type II (3:1 pattern of P to QRS, regular R to R) 3rd degre...