Comquest Q Bank 3

Question 1

When do we put someone in the hospital for suicide concerns?

Answer 1

Plan and intent

Question 2

What is the best initial step in management of actinic keratosis and what can it turn into potentially?

Answer 2

Cryosurgery

SCC

Question 3

What is one of the most common newborn foot abnormalities?

Answer 3

Metatarsus adductus

All metatarsal abruptly deviate toward midline without ROM issues of the foot or ankle

Question 4

Two ways to describe hydatiform moles or molar pregnancy On US?
Also whats up with the uterus?

Answer 4

Multiple small cysts or snowstorm appearance/cluster of grapes
Uterine size is greater than dates

Question 5

Difference between a colles and smith fracture?

Answer 5

Colles fracture is falling on outstretched hand. You fall on the palm side and break distal radius and it displaces dorsally

Smith is falling on a flexed wrist, so the back of your hand. Break distal radius but radius displaces ventrally

Question 6

Where is the conduction disturbance in 1st degree block, second degree type 1, second degree type 2, and 3rd degree or complete block?

Answer 6

SA to AV
AV node
Purkinje system
SA to AV

Question 7

What is Samters triad and what is the dx?

Answer 7

Asthma, nasal polyps, and aspirin intolerance

AERD

Question 8

What are we thinking with pregnant lady and Itchy blisters?

Answer 8

Pemphigoid gestation

Question 9

First line treatment for fungal vaginal infection is?
First line treatment for bacterial vaginal infection is?
First line treatment for trichomoniasis vaginal infection?

Answer 9

Fluconazole
Metro
Metro

Question 10

At what week is gestational debates screened for?
At what week is group B strep screened for?
When is the Rhogam shot given?

Answer 10

28 weeks
36 weeks
28 weeks is Rh negative and within 72 hours after birth

Question 11

First line treatment for general anxiety disorder is?

Answer 11

SSRI

Question 12

Aspirated pneumonia usually has consolidation in what part of the lung?

Answer 12

Right inferior lobe

Question 13

3 major criteria for diagnosis of Ehler Danilo’s Syndrome?

What is the main mutation for the disease?

Answer 13

Wide, atrophic scars
Stretchy skin
Joint laxity
Collagen 5a1 and 5a2

Question 14

What to always remember in the setting of small cell lung carcinoma, in whatever setting?

Answer 14

SIADH, so they are hyponatremic and urine osmolarity is up

Question 15

Isolated dyspepsia should cause evaluation of what?

Answer 15

Infection of H pylori

Question 16

When should we suspect language delay in a child?

What is first line treatment?

Answer 16

No babble by 1 and no speaking by 2

Hearing evaluation

Question 17

What is imaging choice with suspected mastitis?

Answer 17

US

Question 18

What is the best way to confirm mal rotation and volvulus?

Answer 18

Upper GI series

Question 19

When is surgical removal of parathyroid gland indicated?

Answer 19

Hyperparathyroid with the following:
Less than 50
Kidney stones
High calcium
Osteoporosis essentially

Question 20

4 ways to confirm diagnosis of diabetes?

Answer 20

Fasting glucose over 126 on 2 visits
A1C over 6.5 on two visits
2 hour oral glucose test over 200
Random glucose over 200 but needs to have symptoms

Question 21

Why do we need to put diabetic patients on ace inhibitors?

Answer 21

To prevent hyper filtration injury to the kidney

Question 22

What is the first line treatment for premature ejaculation?

Answer 22

SSRI

Question 23

GFR of stage 1,2,3a,3b,4,5 chronic kidney disease?

What stage do patients start to experience complications/symptoms?

Answer 23

Over 90
60-89
45-59
30-44
15-29
Below 15
Stage 3

Question 24

What med to use for corneal abrasions with contact lenses and corneal abrasions without contact lenses?

Answer 24

Cipro drops

PolymyxinB drops

Question 25

What tape worm causes macrocytic anemia, vitamin b12 deficiency?

Answer 25

Diphyl Latum

Question 26

What is the medicine of choice for spontaneous bacterial peritonitis?

Answer 26

Cefotaxime

Question 27

What must not be in a patients system 24 hours in advance of labs?

Answer 27

Alcohol

Question 28

What med to use to treat canker sores?

Answer 28

Triamcinolone

Question 29

What is the most common cause of reactive arthritis?

Answer 29

Chlamydia

Question 30

What is the diagnostic test for anaplastic thyroid carcinoma?

Answer 30

Surgical biopsy

Question 31

4 things to remember about polycythemia Vera?

Answer 31

Headaches, itching, visual problems and clot issues

Question 32

First line treatment for carpal tunnel?

Answer 32

Wrist splinting

Question 33

What is the chemo drug of choice for her2 neu positive breast cancer?

Answer 33

Trastuzumab

Question 34

unilateral hearing loss with white mass behind intact tympanic membrane?

Answer 34

Cholesteatoma

Question 35

What is the recommendation for AAA screening?

Answer 35

65-75 who have ever smoked. Do it with US

Question 36

What is going to commonly be the cause of anemia in an older pt. With kidney disease?

Answer 36

The fact that renal failure decreases EPO

Question 37

Salmon colored rash between newborns eyebrows?

Answer 37

Nevus simplex

Question 38

Let’s say a pt with asthma is on short acting beta 2 agonist and low dose ICS and the symptoms are not controlled, what now?

Answer 38

Either add a LABA or increase ICS dose.

Question 39

In adults, osteomyelitis is most commonly caused by what type of spreading of the infection?

Answer 39

Contiguous, so the structures around the area like soft tissue, etc.

Question 40

What pathogen is the most common cause of food poisoning resulting in watery diarhrea?

Answer 40

Camp

Question 41

McMurray test for medial meniscus and lateral meniscus, what are the movements?

Answer 41

Flex, ER tibia and Valgus while extending knee

Flex, IR tibia, and Varus while extending