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COMLEX Level 2 > Mixed Subject > Flashcards

Mixed Subject Flashcards

1
Q

Odd Ratio =

A

ad/bc (“X”)

The risk of Dz second to exposure

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2
Q

Asterixis is …

A

Flapping Tremor

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3
Q

Fetor Hepaticus is …

A

“breath of the dead”a sweet musty fecal order of the breath associated w/ Liver Dz.

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4
Q

Trendeleburg sign is associated w/ damage to this nerve

A

Superior Gluteal

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5
Q

Dactylitis is …

A

inflammation of the digits associated w/ SCD, Athropathy and TB

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6
Q

Dx a cardiac tamponade w/ …

A

Transthoracic Echocardiogram

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7
Q

Pt w/ no risk factors and Alpha-1-Antitrypsin Deficiency concurrent w/ Liver Dz or COPD will have this abnormal lab.

A

Decreased Albumin

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8
Q

Pt w/ elevated Serum CK and Pulmonary Edema indicates this condition.

A

Acute and Chronic Renal Failure

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9
Q

Pt w/ Dyspnea and elevated BNP will have this condition.

A

Cardiac Failure, MI, Etc…

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10
Q

Pt w/ Dyspnea, Systolic Ejection Murmur, normal Pulmonary exam. Next lab to check…

A

CBC for Anemia

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11
Q

Febrile Pt w/ consolidations on CXR and Dyspnea will have this abnormal lab.

A

Elevated WBC

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12
Q

Straight Leg Test indicates …

A

Sciatic Nerve/Disc Herniation

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13
Q

Seated Flexion Test and ASIS Compression indicates …

A

Sacroilliac Dysfxn

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14
Q

Standing Flexion Test indicates …

A

Illiocsacral Dysfxn

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15
Q

Asthma Pulmonary Fxn tests will indicate ..

A

Decreased FEV, FEV/FVC

Increased DLCO

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16
Q

“Morning After Pill” contains … and is effective if taken w/n …

A

Progestin Only

72 hrs of sex

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17
Q

Tx for Benzo OD

A

Flumazenil

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18
Q

Tx for APAP OD

A

N-acetylcysteine

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19
Q

Tx for Heparin OD

A

Protime

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20
Q

Tx for Lead Toxicity

A

Dimercaprol
Succimer
Edetate Calcium Disodium

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21
Q

Tx for Mercury or Lead Toxicity

A

Dimercaprol

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22
Q

Pt Chest pain that radiates to jaw and had MI w/n last ten days, to r/o reinfarct use…

A

EKG

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23
Q

Pt w/ abd pain out of proportion to physical. Barium Enema indicates thickened mucosal fold. Hx of Malignancy, Infection, Pancreatitis, OCP, Portal HTN.
Dx…
Tx…

A

Acute Mesenteric Ischemia second to Venous Thrombosis

Heparin

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24
Q

Pt w/ abd pain out of proportion to physical. Hx of Heart/Arterial Pathology/Procedure.
Dx…
Tx…

A

Acute Mesenteric Ischemia second to Arterial Thrombosis

IV Strepokinase, Papaverineif during Angiography

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25
Pt has resistant MDD, next step in pharm
Lithium | Atypical Antipsychotics, Non-SSRI Antidepressant
26
Pt has Post-Partum Hemorrhage. Amenorrhea, anorexia and inability to breast feed occur d/t ... Dx...
Decreased TSH (all Ant. Pit hormones decreased) Sheehan Syn.
27
ST elevation in II, III, AVF. Infarct at ...
Inferior
28
ST elevation in I, AVL, v5, v6. Infarct at ...
Anteriolateral
29
ST depression in v1, v2, v3. Infarct at ...
Posterior (suspected, confirm w/ posterior EKG and elevations at v7, v8, v9)
30
ST elevation in v1, v2, v3, v4, v5, v6. Infarct at ...
Anterior
31
Lead and heart position
``` I - Lateral II - Inferior III - Inferior AVR - NONE AVL - Lateral AVF - Inferior v1 - Septal v2 - Septal v3 - Anterior v4 - Anterior v5 - Lateral v6 - Lateral ```
32
Alcoholic Pt has Ataxia, Confusion, and Eye dysfxn. Smear shows target cellsMost likely Dx is ...
Wernicke Encephalopathy
33
Difference b/t Wernicke and Korsakoff is
Korsakoff is chronic dementia w/ confabulations
34
Pt w/ urinary frequency and painless hematuria. Dx w/
Cytoscopy and Bx
35
Pt is prev vaca w/ rabies and is bite by a bat, Tx ...
Irrigate wound + 2x Rabies vacc
36
Pt is bite by a bat, Tx ...
Irrigate wound + 4x Rabies vacc + Rabies Ig
37
Baby cant feed, use OMM to Tx ...
Occipital Condyles
38
Cardiac tamponade is a form of this type of shock
Cardiogenic
39
TTP Tx
FFP + Urgent Plasma Exchange
40
Pt w/ elevated LDH, decreased haptoglobin, bloody diarrhea.
HUS
41
Ask Infant presents w/ bright red blood in stool, most likely Dx.
Meckel Diverticulum | Dx w/ Nuc Tec-99 Scan.
42
Pt presents w/ multi Cancers and has Fam Hx w/ Mult Cancers, suspect...
Lynch Syn (HNCC)
43
4 things done by angiotensin II
CNS >> Thirst Posterior Pituitary >> ADH >> Reabsorb Water and Urea Alpha-1 >> Vasoconstriction of renal afferent and efferent Zona Glomerular >> Release ALD >> Pull Water in >> Increase Preload >> Atria release ANP >> Blocks cGMP >> Dialates renal afferent >> Increase GFR, drops two waters
44
Other ways to describe 'Dehydration'
Gaisbock Syn Stress Polycythemia Spurious Plasma Volume Loss
45
The main difference between Polycythemia Vera and Essential Polycythemia.
Essential Polycythemia PLTs >600,000
46
Retroperitoneal Organs
``` SAD PUCKER S = Suprarenal (adrenal) glands. A = Aorta/Inferior Vena Cava. D = Duodenum (second and third segments) P = Pancreas. U = Ureters. C = Colon (ascending and descending only) K = Kidneys. E = Esophagus. R = Rectum. ```
47
When to use CT or MRI
``` Squishy = MRI ( EXCEPT if retroperitoneal, then CT) Hard = CT ```
48
ACTH activates ...
Cortisol | Beta-Lipotropin >> MSH/Endophins
49
What lab determines liver failure?
PT-INR + Albumin < 3
50
Sertoli cells are activated by ... and produce ...
FSH/Testosterone Inhibin B Sperm MIF
51
Leydig Cells are activated by ... and produce ...
LH Testosterone
52
This is a stalker of water
Urea
53
ADH causes ...
water to be reabsorbed
54
Traits of a Lipid Drug
Taken 1-2/day High VOD High Toxicity Proccessed by the liver
55
Sx examples of 'Chronic' Dz. | What Dx Test(s)?
Weakness/Dyspnea or Tachy/Dyspnea Get a UA and CXR
56
Rapid cells regenerate ....
every 5-7 days
57
Second messenger of anabolism
Tyrosine Kinase
58
#1 Cz of death
Heart Failure
59
``` EPO Induced by: Blocked by: Target: MOA: Messenger: ```
``` Induced by: Hypoxia Blocked by: Oxygen Target: Bone Marrow MOA: RBC Production Messenger: TK ```
60
You have Hgb, but need Hct
Hgbx3=Hct
61
Ferrous Iron symbol
Fe+2
62
Pt has Hct >55%, Dx... | Next Step...
Polycythemia | Check EPO
63
Pt Labs: EPO Inc, RBC Inc, WBC Inc, PLTs Inc
Polycythemia Vera or Essential Thrombocythemia | look at PLTS, >600K = ET
64
Tx for Essential Thrombocythemia
NS, ASA, Ane
65
Common Cz of Polycythemia
Wilms Tumor RCC Hypoxia
66
Effects of aldosterone
Increase basolateral Na/K exchange
67
Zones/Hormones of Adrenal gland
Glomerulus >> Ang II >> ALD Fasiculata >> ACTH >> Cortisol Reticulanis >> ACTH >> Androgen Medulla >> Catecholomines
68
Most common Renal mass
Cyst
69
Most common primary renal tumor in adults/children
Adults: RCC (adenoma) Children: Wilms
70
``` ALD Induced by: Blocked by: Target: MOA: Messenger: ```
``` Induced by: Low BP/HypoNa/HypoVol/HyperK Blocked by: HyperVol Target: Kidney >> DCT/CD MOA: Stimulate basolateral Na/K Messenger: None ```
71
Conn Syn Path
Too much ALD - - HypoK - - HyperNa - - HyperVol (HTN) - - Met Alkalosis
72
#1 Cz of Adrenal insufficency in world/US
TB/Steroids
73
How to tell the differece b/t adrenal insuff d/t TB or steroids
Steroids will still allow other adrenal Fxn >> will NOT bronze
74
Adrenal Steroid path
Cholesterol >> Pregnolone >> Progesterone >>Zone Dependant Hormone
75
Deficiency of: 11 Hydroxylase ... 17 Hydroxylase ... 21 Hydroxylase ...
HTN/SEX 11 -- HTN (High ALD-like, low Renin)/Virilization/HypoK 17 -- HTN (High ALD)/No Virilization/HypoK 21 -- HypoTN/Virilization/HyperK
76
``` Cortisol Induced by: Blocked by: Target: MOA: Messenger: ```
``` Induced by: Low Sugar Blocked by: High Sugar Target: Anywhere it wants MOA: Upregulates ALL receptors Messenger: none ```
77
Addison's Path
Too little Cortisol
78
Cushing's Syndrome Path
Too Much Cortisol (M+M) - - Moonface - - Truncal obesity - - Purple striae - - Buffalo hump
79
Pt w/ HTN, HypoK. Labs show Low Renin + Low ALD DDx...
2nd HyperALD - - Diuretic Use - - Renin Tumor - - Malig HTN - - Renovascular HTN
80
Pt w/ HTN, HypoK. Labs show Low Renin + High ALD DDx...
Primary Hyper ALD - - ALD Tumor - - Deoxycorticosterone Tumor - - b/l Adrenal hyperplasia
81
Pt w/ HTN, HypoK. Labs show High Renin + High ALD DDx...
Non-ALD Cz - - CAH - - Cushing Syn - - Exogenous Mineralocorticoids
82
Major adverse effect of PTU/Methimazole
Agranulocytosis
83
Antithyroid med, 1st trimester | Side effects include ...
PTU | Hepatic Failure, ANCA Vasculitis
84
Pt is a smoker w/ high Ca and low Phos | Dx and Abnl lab ...
Lung SCC Increased PTH-like protein Decreased PTH
85
Increased Calcitonin occurs in this cancer
Medullary Thyroid
86
MEN Syn
1 >> Pituitary/Pancreas/Parathyroid 2a >> Medullary/Pheo/Parathyroid 2b >> Medullary/Pheo/Mucosal Neuroma Marfan
87
Labs of Ca, Phosphate, PTH in aPt w/ CKD
Ca -- Low Phos -- High PTH -- High
88
Pt develops esophagitis following Hyperthyroid Tx | Dx/Tx
Agranulocytosis | Stop the Drug, CBC w/ Diff
89
Pt w/ hypoglycemia + c-peptide >0.5
Beta-Cell Tumor (Insulinoma)
90
Pt w/ hypoglycemia + c-peptide 0.2-0.5
Sulfonylurea Use
91
Pt w/ HTN, HypoK | Dx Test
Renin + ALD
92
Carcinoid Syndrome
Diarrhea Wheezing Flushing
93
Pt w/ recent stressful event develops Tach, HTN, Arrhythmia, AMS, Lid Lag, Seizure, Fever Dx/Tx
Thyroid Storm | Thyroid panel + propranolol
94
High CK indicates
Damage to heart, kidney or muscle
95
Primary Adrenal Insufficiency labs
ACTH High | ALD/Cortisol Low
96
Secondary Adrenal Insufficiency labs
ACTH/Cortisol Low | ALD nl
97
Correct Calcium Equation
Ca + 0.8 x (4-Albumin)
98
Dx of HyperCa Path
Retest Ca, Correct Ca >> PTH Low? PTH Low (Independent) >> Measure PTHrP/25-Vit D/1-25 Vit D >> DDx = Malignancy, Immobilization, Vit D Toxic, Granulomatous Dz, Thyrotoxicosis, Vit A Toxic PTH nl/High (Dependent) >> Cz is Primary/Tertiary HyperThyroid, Li, or Fam Hypo/HyperCa
99
RAIU >40%, DDx
Graves -- Symmetrical Toxic Goiter -- Asymmetric Toxic Node
100
Antithyroid Peroxidase Ab indicate
Hashimoto's
101
Pt presents w/ Watery Diarrhea, Flushing, Pancreatic Tumor. Dx
VIPoma
102
Monitor DKA w/ this lab
Anion Gap
103
Pt has proximal muscle weakness and HyperThyrois Sx
Chronic HyperThyroid Myopathy
104
Neuroimaging shows cortical volume loss and enlarged ventricles. Pt most likely has this behavior disorder
Schizophrenia
105
Pt has a traumatic experience but is not ready to talk. Next step is to ...
educate Pt on the range of reactions to trauma
106
This type of psychotherapy is indicated for depression and difficulty w/ relationships.
Interpersonal
107
This type of psychotherapy is indicated for pain disorders or physical Sx
Biofeedback
108
This type of psychotherapy is indicated for substance abuse or bad habits
Motivational
109
This type of psychotherapy is indicated for high fxn pt w/ personality disorder, Tx the subconcious
Psychodynamic
110
This type of psychotherapy is indicated for Borderline Personality Disorder.
Dialectical
111
This type of psychotherapy is indicated for lower fxn pt w/ psychosis or crisis
Supportive
112
This type of psychotherapy is indicated for Depression
Cog/Behavioral
113
This type of psychotherapy is indicated for GAD
Cog/Behavioral
114
This type of psychotherapy is indicated for Eating Disorder
Cog/Behavioral
115
This type of psychotherapy is indicated for PTSD
Cog/Behavioral
116
This type of psychotherapy is indicated for Panic Disorder
Cog/Behavioral
117
This type of psychotherapy is indicated for OCD
Cog/Behavioral
118
This type of psychotherapy is indicated for Negative Thought Pattern
Cog/Behavioral
119
Liver levels to suggest alcoholic liver disease
AST/ALT 2:1
120
Risk for C. Diff
>65 yo Abx use Gastric Acid Suppression
121
Elevated Alk Phos indicates
extrahepatic, biliary tree
122
New IDA in elderly pt, next step is
Colonoscopy and endoscopy
123
Pulmonary nodular infiltrate with vegetation, IV drug user. Most likely Dx is
Infectious endocarditis d/t Staph Aureus
124
Tx for pasturella
PCN
125
Holosystolic murmurs
VSD, TR, MR
126
Chlamydia Conjunctivitis presents ... after birth. Tx w/ ....
1-2 weeks | Oral Erythromycin
127
Pt presents w/ impaired taste, rash, impaired healing, and alopecia. Dx...
Zinc Deficient
128
Who gets PPSV23
<65yo w/ chronic condition or current smokers
129
Taenia Solium is transmitted by
contaminated food, water, undercooked pork
130
Pt presents w/ tach, dyspnea, Resp Alk, Hypoxia
Resp failure
131
Pt has rest failure, fever, dry cough and is immune competent. CXR shows b/l infiltrates. LDH increased.
PCP Pneumonia
132
Anti-mitachondrial Antibody
Primary Biliary Cirrhosis
133
Ursodeoxycholic Txs
Gallstones, Primary Biliary Cirrhosis, Primary sclerosis Cholangitis
134
Common bugs travelers diarrhea
Giardia ETEC Crypto Parvum Cyclospora
135
Pt has Neuro, GI, Pulmonary Sx with HypoNa | Dx...
Legionella
136
Pt with alcohol abuse and macrocytic anemia. MMA nl, Homocysteine elevated. Pt is deficient in...
Folate
137
What do atypical antipsychotics, metoclopramide, droperidol, domperidone have in common
Anti Dopoamine -- risk of EPS
138
Pt w/ recent travel hads RUQ pain, Fever, Cyst in right Liver Lobe
E. Histo -- Protozoan infection
139
Restrictive Lung characteristics
``` Dry Cough O2 Low CO2 Low Ph High Ground Glass on XR ```
140
Obstructive Lung characteristics
Wet Cough PO2 Low (early nl) CO2 High Ph Low
141
Kussmaul Breathing
Short rapid breathing seen in DKA
142
Cheyne-Stokes Breathing
Near Death Breathing -- consistency pattern of apnea
143
Biots Breathing
Irregular breathing w/ random apnea
144
Hyponatremia + High Serum Osmo | Dx...
Renal Failure | Hyperglycemic
145
Hyponatremia + Urine Osmo <100 | Dx...
Primary Polydipsia | Malnutrition (Drinker Potomania)
146
Most common cause of HyperNa is ...
HyperVOL Mild Tx w/ 5% Dextrose, 0.5 NS Severe Tx w/ NS
147
Pt w/ DM has Renal damage. First abnormality is ... | First quantified damage is ...
Glomerular Hyperfiltration | Glm BM Thickening
148
Dx imaging for Kidney stones
Non-Contrast CT or U/S
149
Persistant activation of Complement BM deposits on EM IF +C3
MPGN
150
Most common HIV related kidney Damage
Focal Segmental
151
Nephritic Syndromes
PIG ARM ``` Post Strep IgA Goodpasture RPGN MPGN ```
152
Nephrotic Syndromes
``` MGN Focal Segmental Min Change SLE Amyloidosis Diabetic Nephropathy ```
153
AA, Hispanic, Heroin, HIV, Obesity | Nephrotic Syndrome association...
FSGN
154
HSV, Lipodystrophy
MPGN
155
Lymphoma, NSAIDs
Min Change
156
URTI
IgA Nephropathy
157
Lupus, Hep B, NSAIDS, Adenocarcinoma
MGN
158
Best screen for nephropathy
UA microalbuminuria
159
Pt is prescribed a new drug and is also taking digoxin. You reduce the dose of digoxin by 25-50%, what drug was given to the patient
Amiodarone Verapamil Quindine Propafenone
160
Pt has a heart condition controlled by medication. Another drug is added and two weeks later the patient develops Neuro and GI Sx. What is the Dx?
Digoxin Toxicity
161
Free floating bowel in utero elevated AFP thickened bowel lining
Gastroschisis -- defect lateral to bowel wall
162
Causes for elevated MS-AFP
Neural Tube Defect Ventral Wall Defect Mult Gestation
163
``` Low AFP High hCG High Inhibin A Low Estriol Dx... ```
Turner's Down Tri 21 "Turn it Down + say HI!"
164
Low AFP High hCG Low Inhibin A High Estriol
Edward's Tri 18 "HE is Edward"
165
High AFP Normal hCG Normal Inhibin A Normal Estriol
Patau's 13 Aww... F Patau!"
166
Pt is in active labor and is given an epidural. Pt becomes lightheaded and BP drops d/t ...
vasodilation and venous pooling from sympathetic blockade.
167
``` Thorencelntesis shows... pH >7.4 PF/Serum Protein <50% PF/Serum LDH <60% LDH <60% of upper limit (<200) Dx... ```
Transudate Pleural Effusion
168
Best way to prevent post-op pneumonia
Incentive Spirometry
169
Pt has CP and collapses. No pulse is felt. Next best action to allow best chance at survivability is...
Rhythm analysis and shock if necessary
170
Pt has abdominal pain and orthostatic hypotension. Has N, V, and diffuse pain. Last BM was 3 days ago. Dx...
SBO
171
Most common location of ectopic foci that cause atrial fibrillation.
Pulmonary veins
172
Tx for catonia
ECT or Benzo
173
Neuromuscular agitation AML Autonomic Instability Dx/Tx
Seretonin Syndrome, Tx w/ cyproheptadine
174
Benztropine is used to Tx
EPS
175
Pt presents w/ fever, leukocytosis and LUQ pain
Splenic Abcess
176
Neonate w/ Triple Bubble, gasless colon, abdominal distention, bilious vomiting. Mom has Hx of cocaine abuse. Dx...
Jejunum atresia
177
Anti-Arrhythmic drugs that prolong the QRS complex at higher heart ratehigher
CLASS IC Flecainide Propafenone Moricizine
178
Meningitis cause by age <3 mo ... 3mo-10yo... 10yr +
BEL, HSV N. Men, S. Pneumo N. Men
179
Pt >50yo w/ mult sites of pain along w/ elevated ESR Dx... Tx...
Poly Rheumatica | Low dose steroids
180
Measurement bias
poor data collection
181
Selection bias
Subjects are specifically selected for a group d/t a certain feature
182
Observer bias
Observer has prior knowledge that influences the results
183
Lead time bias
Earlier Dx w/o affecting outcome
184
Recall bias
Subjects asked to remember previous exposures and outcomes
185
Deletion of paternal chromosome 15q11, Dx...
Prader Willi
186
When to cardiovert
SVT, A-fib, A-flutter, V-tach w/ pulse
187
When to use defibrillation
V-tach w/o pulse, V-fib, Torsades
188
Biolateral loss of sensory and pain reception, areflexia, weakness. Vibratory is intact. Dx...
Arnold-Chiari 1 -- Syringomyelia -- Fluid filled cavity on spinal cord
189
Spasms, cant open mouth, muscle stiffness and pain
C. Tetani
190
Px predictor in CHF pts
sodium
191
Tx of torsades
Stable: Mg Sulfate Unstable: Shock
192
drug indicated for PSVT
Adenosine
193
Drug indicated for hyperkalemia
Ca Gluconate
194
Tx for torsades + Quinidine use
Sodium Bicarb
195
Abortive Migraine Tx
``` NSAID APAP Triptan Ergots Anti-emetic ```
196
Preventive Migraine Tx
Topiramate TCA Beta-Block Divalproex
197
holosystolic murmur at apex
MR
198
papillary muscle rupture post MI occurs w/n ...
2-7 days
199
What is femitus
Vibration Fluid = Increase Air = Decreased Proportional to Breath Sounds
200
Inhalation of burning rubber or plastic may lead to this intoxication
CN
201
Pt presents w/ Sx of CO poisoning but their membranes and skin are blue
Methemoglobinbinemia
202
acute back pain and midline tenderness
vertebral fracture
203
Med to Tx prolactinoma prior to surgery
Bromocriptine | Cabergoline
204
Free of the disease if the test is negative
NPV (will vary depending on pretest probability)
205
Have the disease if the test is positive
PPV
206
b/l motor spasm paresis distal to injury,
Ant. Cord Syn
207
b/l loss of sensory and vibration, common in MS and vascular injury.
Post Cord Syn
208
Ipsilateral weakness, loss of vibration and proprioception | contralateral loss of pain and temp
Brown Sequard
209
Pt has cirrhosis, portal HTN and fluid passage through diaphragmatic defects
Hepatic Hydrothorax
210
Inflammation of the lacrimal sac
Dacryocystitis
211
Dressler Syn
Fever Pleuritic pain Pleuritic Effusion Pericarditis
212
Osteomyelitis after punter through shoe
Pseudomonas
213
3 causes of chronic dry cough
Nasal Drip Asthma GERD
214
Generalizability
External Validity | Can it be applied to other cohorts
215
Internal validity
applied to others of same group
216
Mutated Filagrin | dry rough rash w/ no erythema or exudate
Ichthyosis vulgaris
217
Mutated Filagrin | dry rough rash w/ no erythema or exudate
Ichthyosis vulgaris
218
GI malformation Short Thumb Macules Short stature
Fanconi Anemia
219
Nephrotic syndrome associated w/ HBV
Membranous
220
Nephrotic syndrome associate w/ minorities
MPGN
221
Blisters, bull, scars, hypo/hyperpigmentation on sun exposed skin Hx of HVC, Smoking, Etoh, Estrogen
Pophyria Cutanea Tarda Tx w/ Phleb or hydroxychloroquine
222
Sensory Pain and Temp | Ascend two levels then crosses >> Thalamus >> Parietal Lobe
Spinothalamic Tract
223
Sensory Proprioception and Depth | Crosses Twice >> Thalamus >> Cerebellum
Spinocerebellar Tract
224
Motor Inhibitory | Frontal Gyrus >> Internal Capsule Genu >> Cross at pyramids >> Muscle
Corticospinal Tract
225
Sensory 2pt, proprioception, vibration and position | Ascend >> Cross at pyramids Thalamus >> Parietal Lobe
Dorsal Columns
226
Lateral Pontine Syndrome Ipsilateral fascial paralysis Hearing loss Occlusion at ...
AICA -- CN 7 + 8
227
``` Lateral Medullary Syndrome Ipsilateral limb ataxia Ipsilateral Horners Dysphagia Occlusion at ... ```
PICA (Wallenburg)-- Cerebellar Peduncles, Descend Hypothalamic, Nucleus Ambigus
228
Medial Medullary Syndrome Contralateral spastic hemiparesis Tongue deviates to side Occlusion at ...
Vertebral Artery -- CN 12, Pyramids
229
Median Midbrain Syndrome Contralateral Spastic Hemiparesis of Arm Lower Face paralysis Occlusion at ...
PCA (Weber) -- CST, Corticobulbar
230
FTT, Hypoglycemia, Hepatomegaly, Ketosis | G6P Dysfxn
Von Gierke | Type I
231
<2yo, Cardiopulmonary Failure | Lysosomal Alpha-1,4-Glucosidase Dysfxn
Pompei | Type II
232
FTT, Hypoglycemia, Hepatomegaly, Ketosis | Amyl-1,6-Glucosidase Dysfxn
Cori | Type III
233
<2yo Liver Cirrhosis and failure | Branching 1,4>>1,6 Enzymme Dysfxn
Anderson | Type IV
234
Cant exercise, Muscle cramps | Phosphorylase Dysfxn
McArdle | Type V
235
NNT Equation
1/ARR
236
NNH Equation
1/AR
237
Relative Risk Equation
PPV/VPN
238
Relative Risk Reduction Equation
1-RR
239
Attributive RiskEquation
PPV-VPN
240
Absolute Risk Reduction Equation
VPN-PPV
241
Likelihood Ratio Equation +
Sen/1-Spec = TP/FP = a/b
242
Likelihood Ratio Equation -
1-Sen/Spec = TN/FN = d/c
243
Pt complains of tense and tender limb post burn. Eschar from a 3rd degree burn present Dx...
Vascular compromise d/t Acute Compartment Syndrome
244
Pt presents w/ HA, Nausea, Eye Pain, Eye is red and mid-diaated. Not reactive to light. Test and Dx...
Tonometry | Acute Angle Glaucoma
245
Pts with mono should abstain from contact sports for ...
min 3 wks
246
Tx hoarding disorder w/ ...
CBT
247
Forms of Anabolic Steroids
``` Testosterone Boldenone Trenbolone Stanozolol Nandrolone ```
248
Following heparin therapy, PLTs drop by 50% or a thrombus occurs w/n 10 days
HIT
249
Role of Beta hcG is...
Maintenance of the corpus luteum
250
Tx for chorioamnionitis
Abx and Expedited Delivery
251
Foley catheter produces frank blood post MVA
Pelvic fracture w/ extraperitoneal bladder damage
252
Post cold knife conization, the best way to determine preterm risk is ...
Vag U/S
253
Short cervix defined as ...
Hx of preterm labor: <2.5 cm | No Hx of preterm labor: <2.0 cm
254
Tx for short cervix ...
Hx of Preterm: Progesterone then Cerclage | No Hx of Preterm: Vag Progesterone
255
HIV Pt presents w/ dull TM that is hypomobile. No exudate, fever, chills, HA. Dx...
Non-Infection Serous Otitis Media
256
Baby is tachypneic and cyanotic at rest. Worse w/ feeding, improves w/ crying. Dx...
Choanal Atresia
257
Neonate presents w/ hoarse cry, jaundice, large tongue , decreased activity. Tone is normal. TSH Increased, T4 decreased. Dx...
Congenital hypothyroid d/t Thyroid Dysgenesis.
258
Neonate premie presents w/ hydrocephalus sx. MCC is ...
Intraventricular Hemorrhage
259
Major complications of mumps
Aseptic Meningitis and Orchitis
260
Hernia inferior to Inguinal ligament and medial to the femoral artery
Femoral
261
Hernia medial to inf epigastric vessels
Direct
262
Hernia lateral to inf epigastric vessels
Indirect
263
Pt can't lift arms after acute asthma attack and Tx. Immediately check ...
Electriolyte panal for hypokalemia
264
Pt w/ acute appy Sx. Next step...
Lap surgery
265
Pt is an athlete and has a popping in the knee w/ rapid edema. Joint aspiration is bloody. Dx...
ACL tear
266
Tx for Essential Tremor
Beta-Blocker >> Primidone/Topiramate >> Benzo
267
Allergic Rhinitis Tx
Intranasal Corticosteroid
268
Pt presents w/ 2nd Amenorrhea, Beta HCG is negative. Next test ...
Prolactin, TSH, Testosterone, FSH
269
Pt has syncope, chest pain, neck pain, pericardial effusion, and widened mediastinum. Next step ...
CT Angiography to r/o aortic dissection
270
Menopausal pt w/ ovarian cyst, next step ...
U/S and Ca-125
271
Trisomy 18 heart defects
VSD, ASD, PDA
272
Infant sinus/pulmonary infections, eczema, thrombocytopenia
Wiskott-Aldrich
273
X-linked Agammagloblinemia
All Ig is low
274
MCC of urinary tract obstruction that leads to Potter Sequence
Post Urethral Valves
275
Tx for NMS
Dantrolene | Bromocriptine
276
Tx for NMS
Dantrolene | Bromocriptine
277
Biphasic stridor in infant that improves w/ neck extension
Vascular Ring/Sling
278
Pt with precocious puberty, first test ...
Bone Age
279
Tay-Sach Sx
Red macula Diminished motor milestones Hyperreflexia Beta-Hexosaminadase A Deficient
280
Niemann Pick Sx
``` Red Macula Loss of motor milestone Areflexia Hepatosplenomegaly Sphingomyelinase Deficient ```
281
``` Lysosomal Hydrolase Deficient Course face Hernia Cataracts Hepatosplenomegaly ```
Hurler
282
Gaucher Sx
Glucocerebrosidase Deficient Anemia Thrombocytopenia Hepatosplenomegaly
283
Krabbe Sx
Galactocerebrosidase Deficient Hypotonia Loss of milestone Areflexia
284
Increased risk of placenta abruption increases the risk of this bleeding pathology
DIC
285
Meaning of neonate intrauterine acceleration, deceleration
VEAL CHOP ``` Variable = Cord compression Early = Head compression Acceleration = Okay! Late = Placental Insuff. ```
286
Abdominal pain w/ Hip Extension
Psoas Sign
287
Pt w/ Ptosis. Ice pack test may help Dx ...
MG
288
Rx to facilitate passage of a stone
Tamsulosin
289
ALS Rx...
Riluzole
290
MG pt cant swallow, mcc ...
thyoma
291
First line considerations in acute incontinence in the elderly
DIAPPERS ``` Delirium Infection Atrophy Pharm Psychologic Excessive urine Restricted mobility Stool Impaction ```
292
Rheumatoid arthritis involves the ... joints | Morning stiffness lasts ...
MCP | >1hr
293
Osteoarthritis involves the ... joints of the hands | Morning stiffness lasts ...
DIPS and PIPS | <1hr
294
Pt arrives during July in AZ and presents w/ Syncope, Sweating, Nausea, Vomiting, Cramps, Weak pulse
Heat Exhaustion | Cool Pt
295
Pt arrives during July in AZ and presents w/ HA, Fever >104, Dry skin, Nausea, Vomiting, Strong pulse, loses consciousness
Heat Stroke | Seek immediate attention
296
Calcium affect on body systems
``` High = Slows Down Low = Speeds UP ```
297
Bugs that cause osteomyelitis in children
S. Aures | Salmonella
298
Pt in active labor. When is "arrested labor"
No change in dilation/station w/n 4 hrs w/ regular contractions. W/n 6 hr w/ irregular contractions.
299
Acute psychosis in children. Consider ...
Substance abuse | Wilsons Dz
300
Thyroid nodule is found. Next step?
TSH, U/S
301
Pt Tx w/ Chemo/Rad for Hodgkin Lymphoma years prior. Now presents w/ various Sx ... Dx
2nd malignancy of Lung, Bone, Breast, Thyroid, GI
302
Upper motor dysfxn sx
Hyperreflexia, Hypertonicity, Babinski +, Spastic
303
Lower motor dysfxn sx
Wasting, Weakness, Fasciculations, Areflexia
304
Tx for acute alcohol w/d
Benzo
305
CP improves w/ nitro. Spontaneous pain to hot and cold foot. Food regurge. Dx Test...
Esophageal motility study for esophageal spasm
306
Pt w/ HTN and DM has sudden onset double vision, Ptosis w/ no other findings. MCC ...
Nerve ischemia
307
First line HTN med for preggo
Beta Blocker CCB Hydralazine Methyldopa
308
Emergency contraception pill
Ulipristal > Levonogestrel
309
Systolic Murmur w/ wide S2 split
Pulm Stenosis

COMLEX Level 2 (8 decks)

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