COMLEX LEVEL 1 ACTUAL QUESTIONS WITH

COMLEX LEVEL 1 (ACTUAL / ) QUESTIONS WITH

VERIFIED 100% CORRECT ANSWERS GRADED A+

Atovaquone/Proguanil -----Answers---traditionally used to treat babesia, it is also an alternative treatment for malaria if first line agents fail

Chloroquine -----Answers---considered the drug of choice for the treatment of the erythrocytic forms of all non- falciparum species of plasmodium but there is a high rate of *resistance* so other meds should be considered first

Mefloquine -----Answers---used for prophylaxis and treatment for all susceptible malaria species

associated with sleep disturbances and not effective against hypnozoites

quinidine -----Answers---class Ia antiarythmic and antimalarial used IV for severe forms

*Vd=dose/Co*, A high Vd means a smaller percent remains in the plasma (small Co) and thus is less likely to be bound to plasma -----Answers---what does a drug with a high Volume distribution mean?

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illness anxiety disorder (hypochondriasis) -----Answers---a disorder in which a person interprets normal physical sensations as symptoms of a disease

Generally SOMATIC SYMPTOMS ARE NOT PRESENT

Delusional disorder, somatic type -----Answers---delusions that the person has some physical defect or general medical condition for at least 1 month

DOES NOT FOCUS ON A CONCRETE ILLNESS

hypercapneic respiratory failure secondary to status asthmaticus---> Will see an elevated serum hydrogen concentration due to failure to blow off CO2 due to respiratory muscle weakening -----Answers---patient with a history of asthma presents with diaphragm flattening, a rib somatic dysfunction and viserosomatic changes as well as increased breathing rate, high BP, fast HR and decreased O2 sat on room air.

What is this patient suffering from

Churg-Strauss Syndrome -----Answers---aka allergic granulomatous angiitis,

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necrotizing vasculitis, variant of polyarteritis nodosa, involves *pulmonary vasculature,* peripheral eosinophilia*, and asthma p128

Characterized by increased ESR, neuropathy and associated with p-ANCA

calcium gluconate -----Answers---Antidote for magnesium sulfate

Loss of deep tendon reflexes -----Answers---Signs of magnesium toxicity include respiratory paralysis, coma and

_______

*It is important to test for this once Mg Sulfate is administered to patients with eclampsia*

croup -----Answers---most common infectious cause of stridor in children younger than 3 years of age. Commonly caused by parainfluenza virus and radiographs show the classic steeple sign which is caused by laryngotracheal edema

LABA (salmeterol, formoterol) -----Answers---Patient presents with difficulties controlling her daily asthma symptoms of coughing and wheezing. Her SABA and low dose corticosteroid are not working, what is the next medication that should be tried in order to control her symptoms

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Asthmatic bronchospasm due to ASA sensitivity and treatment is *zafrilukast* -----Answers---a child presents with poorly controlled asthma, recent illness with fever and UR symptoms as well as nasal polyps. She has also been given Aspirin today to help with her myalgias

what is going on and what is the treatment?

imipenem -----Answers---beta-lactamase resistant cell wall inhibitor

Cilastatin, inhibitor of renal dehydropeptidase I -----Answers- --What is Imipenem always administered with?

WeCner's Granulomatosis aka granulomatosis w/polyangiitis and c-ANCA -----Answers---mucosal ulcers, sinusitis and rapidly progressive findings are classic findings of what vasculitis? What is the associated finding?

Crohn's disease -----Answers---type of inflammatory bowel disease that presents with watery diarrhea, arthritis, skin rashes, uveitis and abdominal pain

*postitive for ASCA antibodies*

There is a compensatory increase in sodium reabsorption in the distal tubule and chloride follows sodium so this causes hyperchloremia -----Answers---acetazolamide prevents

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