COMLEX2

Question 1

Praziquantel

Answer 1

Treats TINEA SOLIUM infections

Tinea solium- intestinal tape worm infection from contaminated pork, common in LATIN AMERICA

Question 2

Vasovagal syncope

Answer 2

Vagus nerve stimulation—> causes bradycardia and vasodilation

Stimulated by: visceral organ stimulation (peeing, pooping, coughing), carotid bodies, psychogenic

Dx: Tilt table test, usually clinical dx, + prodrome

Tx: BETA BLOCKERS

Question 3

Orthostatic syncope

Answer 3

Orthostatic—> dizzy when standing

Dx: orthostatics

Tx: FLUIDS, if doesnt resolve with IVF—> ANS dysfunction (DDM, Parkinsons, old age)

Question 4

Mechanical heart and arrhythmoa dx syncope

Answer 4

Exertion—> pass out, Dx: echo, tx: lesional dept

Arehythmia—> sudden, no prodrome, Dx 24 hour Holter or event recorder
Tx: arrhythmia specific

Question 5

Neurogenic syncope

Answer 5

Problem with posterior circulation—> sudden, no prodrome, + focal neuro deficit

Dx: carotid u/s, CT ANGIOGRAM

tx: treat the vascular dx

Question 6

Who does not get a statin?

Answer 6

LDL < 70 AND NO CAD

Question 7

LDL 70-189 statin req

Answer 7

STATIN If 40-75 with DM

Question 8

LDL 70-189 with risk factors (smoking, CAD, HTN, obesity, age >45M or > 55f with family history

Answer 8

Statin

Question 9

Inherited basal cell nevis syndrome

Answer 9

Multiple physocal abnormalities and early onset multiple basal cell carcinomas

Palmar pits, odontogenic cysts, frist degree fam hx

Question 10

Case control study

Answer 10

Identify the outcomes first and then go back in history to identify the exposure

Question 11

Acute otits media

Answer 11

Ear pain
Fever
Opaque bulging immobile tympanic membrane

Question 12

Entamoeba histolytica

Answer 12

Causes mucus and bloody diarrhea

GAL/GALNAC LECTIN SPECIFIC TEST

TX: metronidazole

Question 13

Central nervous stystem toxoplasmosis

Answer 13

Circular lesion of decreased density on CT in HIV pts

Tx: pyramethamine sulfadiazine

Question 14

Hypertensive urgency

Answer 14

Severe asymptomatic hypertension WITHOUT signs of end organ damage

Question 15

Blue dot sign

Answer 15

Sign of appendix testis torsion

Tx: rest and NSAIDS

Question 16

Fibromyalgia meds

Answer 16

Duloxetine
Milnacipran
Pregalbin

Question 17

Dumping syndrome test

Answer 17

Glucose challenge test

Question 18

Physiologic barrier

Answer 18

Active range of motion of healthy joint

Question 19

Anatomic barrier

Answer 19

Passive ROM in healthy joint

Question 20

Restrictive/pathologic barrier

Answer 20

Barrier before physiologic barrier that reduces ROM

Question 21

Myasthenia gravis pathophys

Answer 21

Autoabs directed against acetylcholine post synaptic receptors

Question 22

Measles

Answer 22

Cough
Coryza
Conjunctivits
Koik spots

Question 23

Hep B vaccine

Answer 23

Hemodialysis patients
Peritoneal dialysis
Household contact with HepBsAg positive people
Healthcare workers
Diabetics

Question 24

Hypocalcemia and hypokalemia and Tdp

Answer 24

PROLONG QT INTERVAL—> predisposing pt to Tdp

Question 25

Hyperkalemia inital tx

Answer 25

CALCIUM GLUCONATE

IVF AND GLUCOSE

Question 26

Cardiac meds that prolong QT

Answer 26

Procainamide
Sotalol
Quinidine