Comquest Q Bank 1

Question 1

What is considered diagnostic of Celiac Dx?

Answer 1

Upper endoscopy and duodenal biopsy showing enterocyte villous flattening or atrophy

Question 2

What is the most common cause of dementia in patients over 65?

Answer 2

Alzheimer’s

Question 3

In an acute setting of hyperthyroidism, the symptoms are due to what and therefore the best initial treatment is what?

Answer 3

Catecholamine excess.

Beta blockers

Question 4

What is the treatment indicated for schizoid personality disorder?

Answer 4

No treatment is indicated for patients who do not have comorbid mood problems

Question 5

UTI, grunting and straining to urinate and failure to thrive equals what and how do we make the diagnosis?

Answer 5

Posterior urethral valves. Urinary obstruction in new male babies.
Voiding cystourethrogram

Question 6

What is the A1C goal for most diabetic pts?

What is the A1C goal for sick elderly diabetic pts with short life expectancy?

Answer 6

Less than 7

Less than 8

Question 7

What is the most common cause of secondary nephrotic syndrome in adults?
What is a likely complication of nephrotic syndrome in adults?

Answer 7

Diabetes

Hyper-coagulable state causing venous thrombosis

Question 8

What is the first line treatment for menstrual migraines? Second like treatment for menstrual migraines?

Answer 8

NSAIDS

Sumatriptan

Question 9

What age should we guess for an infant pulling themselves up to stand and walk around furniture?

Answer 9

9 months

Question 10

In patients presenting with alcoholic ketoacidosis, how do we start treatment?

Answer 10

Give thiamine before glucose/dextrose and fluid

Question 11

What is the most effective public health measure shown to reduce the prevalence of cavities?

Answer 11

Put fluoride in the public water supply

Question 12

PDE 5 blockers end in?

Answer 12

Afil

Question 13

If i get a patient on the exam that has abdominal pain and then diarrhea or recent upper respiratory and all of the sudden has muscle weakness and loss of reflexes what am I thinking and what is the patho?

Answer 13

Campylobacter infection leading to guillain barre syndrome. The antibodies to camp go after myelin and cause the ascending weakness. Molecular mimicry.

Question 14

What can be a complication of giving a bronchodilator to a patient with an acute exacerbation and what do we do about it?

Answer 14

Transient decrease in arterial oxygen saturation

Giving oxygen should always accompany beta agonist therapy

Question 15

How often are patients with AAA less than 3 cm supposed to have US? 3-4 cm? 4-5.4? Greater than 5.5 cm?

Answer 15

No follow up
Every 2-3 years
6-12 months

Question 16

HIV patients with cd4 less than 200 should not get what vaccines?
Which 3 vaccines are contraindicated in ALL HIV patients regardless of cd4 count?
Which 4 vaccines should HIV patients get if not when younger?

Answer 16

Live vaccines
Bacillus anthracis, smallpox, zoster (shingles)
Inactivated flu, Tdap, pneumococcal, and hep b

Question 17

2 identifiers of IgA nephropathy? What might be part of the vignette?
This is a common cause of what?

Answer 17

Macroscopic hematuria and occurring within 5 days of URI.
Celiac

Nephritic syndrome. Hematuria!

Question 18

What test is done for chlamydia and what two drugs to treat it?

Answer 18

NAAT

Azithromycin or doxy

Question 19

Two drugs for neisseria gonorrhoeae?

Answer 19

Ceftriaxone and cefixime

Question 20

What is recommended during the initial visit for pregnant patients above the age of 21?

Answer 20

Pap smear

Question 21

What is the best initial diagnostic step for patients presenting with symptoms of PAD?
What are symptoms of PAD?
How do we interpret the test?

Answer 21

ABI
Claudication is the most common symptom of PAD
Less than .9 indicates PAD

Question 22

What ovarian tumor is associated with hyperthyroidism?

Answer 22

Struma ovarii, which is a teratoma that can have ectopic thyroid tissue

Question 23

What is he most common cause of breast masses in women?

Answer 23

Fibrocystic breast disease which coincides with menstruation

Question 24

What are the most common benign neoplasms in women?

Answer 24

Fibroadenoma, which are solitary

Question 25

Two things that describe conduct disorder?

Children with conduct disorder diagnosed prior to age 10 are at risk for developing what disorder later in life?

Answer 25

Oppositional and defiant behaviors
And
Antisocial activities

Antisocial personality disorder

Question 26

How to calculate a woman’s estimated due date who has regular 28 day cycles?
35 day cycles?
21 day cycles?

Answer 26

Add 7 days to the first day of their last menstrual cycle and add 9 months.
Add 14 days to first day of last menstrual cycle and add 9 months
Add 0 days and add 9 months

Question 27

After history and physical and you are thinking pneumonia, what is the next best step in management?

Answer 27

Chest X-ray

Question 28

Classic triad of renal cell carcinoma?

Answer 28

Hematuria, flank pain, and flank mass

Question 29

Triglyceride levels over 1000 are associated with increased risk for developing what?

Answer 29

Pancreatitis

Question 30

Patients with autonomic neuropathy present with signs and symptoms of what two things?

Answer 30

Delayed gastric emptying and loss of cardiac vagal tone

Question 31

Any adult patient that smokes, regardless of age should relieve which vaccine?

Answer 31

Pneumococcal

Question 32

How do we define a reactive nonstress test and what does it mean?

Answer 32

2 accelerations in 20 minutes

Reassuring