Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

COMLEX Level 2CE > HWK SB2 (-6) > Flashcards

HWK SB2 (-6) Flashcards

W2 HWK blocks (16,18,19,21,22,24,25,27,28) Missing blocks 16,19,22,25,27,28

1
Q

what is separation anxiety?

A

= marked fear of being separated

-often younger kids, but it’s possible to see this at any age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how to tx appendiceal abscess?

A

IVF, ABX, NPO, appendectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

until what age do you automatically test sexually active young adults for G/C @ every visit?

A

age < 24 yo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what exercises aren’t allowed during nL pregnancy?

A
  • contact sports
  • high risk of falling (eg. gymnastics, skiing, etc)
  • hot yoga
  • scuba diving
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

which factors are decr by warfarin?

A
  • factors 2, 7, 9, 10

- proteins C & S

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how does exertional heat stroke present?

A

T > 104F (>40C) + AMS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the components of the glasgow coma scale?

A
  1. eye opening
  2. verbal response
  3. motor response
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what does the CSF look like in guillain-barre?

A
  • incr protein
  • nL WBC and glucose
  • no blood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how can Asherman synd present?

A
  • abn uterine bleeding
  • amenorrhea
  • infertility
  • cyclic pelvic pain
  • h/o repeated miscarriages
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what class of meds do you avoid in bipolar pts b/c they can incr mania?

A

SSRIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the 1st line tx for acute bipolar depression?

A
  1. quetiapine (2nd gen antipsychotic)

2. lurasidone (2nd gen antipsychotic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

why must you give adequate pain control for pts w/ rib fracture?

A

adequate pain control –> decr hypoventilation –> decr risk of developing atalectasis and pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the timeline for EtOH withdrawal?

A

12-24 hr = s/s hangover
12-48 hr = hallucinations and/or siezures
48-96 hr = DTs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Expected Fe study results in Fe def anemia vs thalassemias?

A

MCV FE TIBC Ferritin Sat
Fe –> decr decr incr decr decr
T –> DECR incr decr incr INCR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

why is Fe nL/incr in thalassemias?

A

incr RBC turnover

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

other than incr Fe what other lab will be elevated in thalassemias?

A
  • reticulocyte count

- total bilirubin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

if Fe is decr what will TIBC be incr/decr?

A

incr (b/c more available binding sites)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is the nL range for Fe?

A

50-170

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how does acute mesenteric ischemia present?

A

acute abdoment + rectal bleeding

20
Q

how does chronic mesenteric ischemia present?

A
  • crampy abd pain after meals
  • wt loss
  • pt will avoid eating
21
Q

what does SOAPBRAIN MD stand for?

A 
Serositis
Oral ulcers
Arthritis
Photosensitivity
Blood abn (CBC abn)
Renal 
ANA
Immunologic (anti-dsDNA, anti-smith antibodies)
Neuro (AMS, seizures)
Malar rash
Discoid rash
22
Q

what is the difference btwn cirrhosis and adrenal insufficiency affects on sexual f(x)?

A

cirrhosis –> gynecomastia, testicular atrophy

adrenal insufficiency –> ED

23
Q

how does vertebral osteomyelitis present?

A
  • FEVER
  • back pain
  • FOCAL SPINAL TENDERNESS
24
Q

Ddx focal tenderness over spine

A
  • vertebral osteomyelitis
  • vertebral cancer (prostate or breast ca mets)
  • multiple myeloma
  • vertebral compression fracture
25
Q

what specific muscle group can you strengthen to limit knee OA progression?

A

quads

26
Q

how do you distinguish between premature adrenarche, premature thelarche, and precocious puberty from one another?

A

Premature adrenarche = nL bone, early breast
Premature thelarche = nL bone, early breast
Precocious puberty = bone maturity, incr FSH/LH, adv developement

27
Q

how will a lacunar stroke present?

A

FND that does not generally develope incr ICP (no n/v/HA/AMS)

28
Q

how will an intracranial hemorrhage typically present?

A
  1. FND –> 2. incr ICP (n/v, HA, AMS)
29
Q

how will pleural effusion 2/2 pneumonia present?

A
  • small/mod volume that is stable in size
  • on POD 1 or 2
  • NO respiratory s/s
30
Q

how can most pleural effusions 2/2 CABG be managed?

A

watchful waiting. will generally self-resolve

31
Q

what is laryngomalacia?

A
  • supraglottic tissue collapse

- presents as stridor when supine (babies)

32
Q

what is the timeline for larygomalacia presentation?

A
  • stridor peaks at 4-8 mos old

- self-resolves by 18 mos old

33
Q

how does black widow spider bite present?

A

local + systemic presentation (injected toxin)

34
Q

what local s/s does black widow spider bite present w/?

A
  • painless lesion

- does not form deep ulcer

35
Q

what systemic s/s are seen w/ black widow spider bite?

A

-n/v
-muscle pain
-abd rigidity
muscle cramps

36
Q

how does a brown recluse spider bite present?

A
  • local s/s only!

- lesion = painful, deep, expanding ulcer –> eschar

37
Q

what is the drug of choice for infective endocarditis in IVDU?

A

vancomycin

38
Q

when do you start supplementing Fe (to prevent anemia) in infants?

A

pre-term = day 1

full term = age > 4mos

39
Q

what is the 1st line tx for migraine in kids age < 12 yo?

A
  • acetominophen
  • NSAIDS
  • supportive tx

(triptans = 2nd line)

40
Q

what mimics sarcoidosis and should be r/o prior to starting steroids?

A

fungal infections (histoplasmosis, blastomycosis, coccidiomycosis)

41
Q

what is the MCC spontaneous lobar hemorrhage in elderly pts?

A

cerebral amyloid angiopathy

assoc. w/ alzheimer’s dz

42
Q

how do cardioembolic strokes present?

A
  1. stuttering course –> 2. FND
43
Q

imaging findings on cardioembolic stroke = ?

A

multiple ischemic intensities @ grey-white matter junction

44
Q

what does trichophyton rubrum cause?

A
  • ringworm
  • tinea pedis
  • tinea manuum
45
Q

what is herpetic whitlow?

A

HSV infec of hand s/p genital ulcer contact

46
Q

how to decr kidney stone recurrence?

A
  • incr IVF
  • decr Na intake
  • thiazide diuretics
  • KCitrate (incr pH of urine)
  • HCO3-salt (incr pH of urine)

COMLEX Level 2CE (23 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions