COMLEX LEVEL 2 EXAM QUESTIONS
AND ANSWERS
Vault hold finger positioning - Correct Answers -Index: g wing of sphenoid
Middle: preauricular part of temporal bone
Ring: mastoid
Little: squamous portion of occiput
VSR for head and neck - Correct Answers -T1-T4 VSR for heart - Correct Answers -T1-T5 hypokalemia on EKG - Correct Answers -u wave that directly follows t wave, flat or inverted t waves treatment of patient from burning home without signs of airway compromise - Correct Answers -100% oxygen via non-rebreather mask pancreatic adenocarcinoma symptoms - Correct Answers -succussion splash, weight loss, early satiety, new unexplained hyperglycemia Burn on head - Correct Answers -9% Burn on chest or back - Correct Answers -18% Burn on arms - Correct Answers -18% total (9% each, anterior and posterior) Burn on legs - Correct Answers -36% total (18% each) Burn on genitals - Correct Answers -1% Parkland formula - Correct Answers -%TBSA x weight (kg) x 4 mL/kg 1/2 given in first 8 hours, rest given over 16 hours treatment for nosocomial pseudomonal (gram neg aerobic) PNA in ICU patient - Correct Answers -anti-pseudomonal B lactam combined with B lactamase inhibitor AND aminoglycoside ex. amikacin & pip-tazo cryoprecipitate - Correct Answers -factors VIII & XIII, fibrinogen, and vWF 1 / 2
-use when indication for FFP present, but pt is volume overloaded or if fibrinogen deficient Whipple procedure - Correct Answers -head of pancreas, duodenum, GB, CBD; prox jejunum, distal stomach prenatal visit frequency - Correct Answers -every 4 weeks from weeks 0-28 every 2-3 weeks from weeks 28-36 every week until delivery
CML - Correct Answers -sx: splenomegaly (epigastric pain & satiety)
labs: leukocytosis, myeloblasts, basophilia, granulocytosis, neutrophils, bands, & segmented mature cells CLL - Correct Answers -most common after 50 y/o
dx: lymphocytosis w/ predom mature small lymphocytes
myelodysplastic syndrome - Correct Answers -dysplastic neutrophils, pancytopenia, hypercellular bone marrow Nocardia - Correct Answers -gram positive branching bacilli cause of hydrocele - Correct Answers -patent processus vaginalis sarcoidosis treatment - Correct Answers -corticosteroids ankylosing spondylitis imaging results - Correct Answers -squaring of L-spine vertebral bodies, complete fusion of vertebral column, diffuse sclerosis, syndesmophytes tx w/ NSAIDs & PT MEN 1 - Correct Answers -pituitary adenoma (vision changes), parathyroid hyperplasia (hyperCa), pancreatic islet cell tumor (gastrinoma) teratoma - Correct Answers -nonseminomatous germ cell tumor, heterogenous w/ calcifications and cystic areas, hyperechoic negative AFP, B-hCG, & estradiol yolk sac tumor (endodermal sinus) - Correct Answers -most common testicular malig in prepubertal males, painless testicular mass -incr AFP w/ negative B-hCG & estradiol
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