Kaplan - Comlex Questions

Front 1

Positive arm drop test

Back 1

Supraspinatus tendon tear

Front 2

MCC mastitis

Back 2

Staph aureus

Hint 2

Gram + cocci in clusters
Catalase +
Coagulase -

Front 3

Treatment of myoglobinuria

Back 3

Alkalinization of the urine
Vigorous hydration the NS
Mannitol to augment urine output

Front 4

Spatial Neglect Syndrome

Back 4

Lesions in the inferior parietal lobule of the nondominant hemipshere

Front 5

OMT treatment of the sacrum for dysmenorrhea

Back 5

Continuous pressure on the sacrum --> relaxation of the uterine muscle by increasing PS tone and fluid movement

Front 6

Dx pheochromocytoma

Back 6

Urinary levels of metanephrine and vanillylmandelic acid (VMA) in a 24hr speciman

Hint 6

Sx - pounding HA, palpitation, perspiration, pallor

Front 7

Dx hemolytic jaundice

Back 7

All/most of the elevated bilirubin is unconjugated

Front 8

Tx status epilepticus

Back 8

Benzodiazepines

Hint 8

MOA - increasing the frequency of opening of GABA-assoc Cl channels

Front 9

Ober test

Back 9

Pt on their side - thigh is passively abducted with the knee flexed to 90 - positive test when the leg stays in position without support

Hint 9

Tight IT band

Front 10

Bulb decompression

Back 10

aka CV4 - indicated for a pt in active labor to enhance contractions

Front 11

Myositis ossificans

Back 11

Calcification that occurs in the soft tissues of muscles that have received blunt force trauma that resulted in intracompartmental hemorrhage

Front 12

Adhesive capsulitis

Back 12

Slowly worsening restriction of shoulder motion - esp at the scapulothoracic joint. Pain felt at the end range of motion w/localized tenderness at the anterior portion of the shoulder

Hint 12

Glenohumoral joint moves 2 degrees for every 1 degree of motion at the scapulothoracic joint

Front 13

Abductors of the shoulder

Back 13

Deltoid
Supraspinatus

Front 14

Plantar fasciitis

Back 14

Chronic injury to the plantar fascia by a bony spur on the calcaneus

Hint 14

SD - T10-L2 - somatic dysfunctions of the lower extremities

Front 15

Wallenberg Syndrome

Back 15

Occlusion of the PICA - ataxia, dysphagia, loss of pain & temp IL face, loss of pain & temp CL body, Horner's Synd

Front 16

Treatment of mycoplasma pneumoniae

Back 16

Erythromycin
Tetracyclin

Hint 16

Has no cell wall so it is not effected by cell wall inhibitors

Front 17

Neonatal herpes simplex virus

Back 17

Acquired during birth, transplacentally, nosocomial spread
Skin lesions, hepatitis, pneumonitis, DIC, hypotonia, nuchal rigidity

Hint 17

Treatment with acyclovir

Front 18

Tay Sachs Disease

Back 18

AR - lysosomal storage disease
Decreased eye contact, cherry-red spot on the macula, hyperacusis, hypotonia
Frog-like position

Hint 18

Deficiency of beta-hexosaminidase A

Front 19

Sacral torsion with a left heel strike

Back 19

Left on left sacral torsion - weight bearing on the left leg engages a left oblique axis

Front 20

Posterior Cruciate Ligament (PCL) tear

Back 20

Positive posterior drawer test

Front 21

Thyroid Viscerosomatic Reflex

Back 21

T1-T4

Front 22

Normal CRI

Back 22

Between 10 and 14 cycles per minute

Front 23

Sympathetic innervation of the bladder

Back 23

T11-L2

Front 24

Treatment of urosepsis a/w BPH

Back 24

Ampicillin & gentamicin - cover all the G+ and G-

Front 25

Orbital cellulitis

Back 25

Proptosis and pain on eye movement
Swollen eyelids
Must obtain blood and CSF cultures

Front 26

Treatment of myasthenia crisis

Back 26

Neostigmine

Front 27

Pulsus paradoxus

Back 27

Increased difference in the blood pressure in inspiration vs expiration
Occurs with cardiac tamponade

Front 28

Subarachnoid hemorrhage

Back 28

Sudden onset of the worst HA of your life, N/V, nuchal rigidity

Front 29

MCC otitis media in children

Back 29

S. pneumoniae
H. Influenzae

Front 30

Baker cyst

Back 30

Joint space effusion in the popliteal fossa that causes posterior knee pain

Hint 30

a/w rheumatoid arthritis, meniscal tear, osteoarthritis, Lyme dz

Front 31

Leukemia w/DIC

Back 31

Acute Promyelocytic Leukemia (M3) - t(15;17)

Treat w/all-trans retinoic acid

Front 32

Cholesteatoma

Back 32

Development of abnormal skin-like tissue through the eardrum - can eventually lead to hearing loss

From chronic middle ear infections

Front 33

Echolalia

Back 33

Repeating of words or phrases by the patient - many times using the same words in the question to answer the question

Front 34

Echopraxia

Back 34

The imitation of movements or gestures by the patient

Front 35

Preservation

Back 35

Persistence or repetition of a response after the cause of the stimulus has ceased.
Pt typically answers correctly and then keeps giving the same response to each subsequent question

Front 36

Alkaptonuria

Back 36

AR def in homogentisic acid oxidase - causing large amounts of homogentisic acid to accum

Hint 36

Darkening of conjunctiva, cornea & ear cartilage, rheumatoid-like arthritis w/radiographic findings typical of osteoarthritis

Front 37

Enzyme that produces sorbitol

Back 37

Aldose reductase

Hint 37

glucose -> sorbital in an NADPH-dep rxn

Front 38

S/Sx of splenic rupture

Back 38

Hemoperitoneum
Kehr's sign (pain to L shoulder)
LUQ pain
Shock

Front 39

Erythema nodosum

Back 39

Painful, red nodules without ulceration on the anterior aspect of the LE
Predom affects women
a/w infections (syphillus) or drugs

Front 40

Lithium side effects

Back 40

Hypothroidism, tremors, polyuria, excessive weight gain

Hint 40

Valproic acid is second-line for bipolar disorder

Front 41

Pemphigus vulgaris

Back 41

AutoIM dz with IgG deposited at the intercellular connections between keratinocytes --> Comp act --> acantholysis w/+ Nikolsky

Front 42

Mets to the bone

Back 42

Thyroid
Breast
Lung
Multiple Myeloma
RCC
Prostate
Testicular

Front 43

Central spinal stenosis

Back 43

b/l radicular pain that worsens with standing, walking, or climbing stairs with insidious onset
-better with sitting and flexion

Front 44

Chapmans point for the prostate

Back 44

Posterior aspect of the TFL

Front 45

Scabies

Back 45

Sarcoptes scabiei - burrow tract (fine, wavy, scaly lines ~1cm) in finger webs & flexor wrist

Hint 45

Tx - scabicide permethrin cream

Front 46

False positive standing flexion test

Back 46

Tight hamstrings

Front 47

Normal weight-bearing line of L3

Back 47

Over the anterior third of the sacral base

Front 48

Treatment of thyroid storm

Back 48

Beta-blocker to block the peripheral actions of T3 & T4

Front 49

Symp innervation of adrenal medulla

Back 49

T10

SD w/pheochromocytoma

Front 50

Cubitus valgus

Back 50

Increased carrying angle (girls >15 degrees)

Front 51

Concentric contraction

Back 51

Approximation of the muscle's origin and insertion due to generation of force sufficient to overcome resistance

Front 52

Isolytic contraction

Back 52

Contraction against resistance while forcing the muscle to lengthen involuntarily
- the physicians force is greater than the patient's force

Front 53

Isotonic contractoin

Back 53

Approximation of the muscle's origin and insertion without change in its tension (same tension, change in muscle length)

Front 54

Acyclovir

Back 54

Inhibits DNA polymerase via phosphorylated thymidine kinase

Front 55

Felon

Back 55

Infection of the fingertip pulp that can present as cellulitis or as an abscess
Surgical emergency bc septal compartments can't distend easily --> necrosis

Front 56

Idiopathic myoglobinuria

Back 56

Urinalysis + for blood with no RBC in sediment
Elevated creatine kinase
Weakness and swollen muscles after exercise
Floccular degeneration, macrophage ingestion of myofibrils

Front 57

hey

Back 57

hi

Hint 57

hello

Front 58

Eaton-Lambert Syndrome

Back 58

Ab>Ca2+ channels - improved strength with repetitive use

Front 59

Werdnig-Hoffman Disease

Back 59

Spinal muscular atrophy - AR - absence of the telomeric copy of the SMN gene on Chrom 5 - denervation

Front 60

Functional scoliosis

Back 60

Rib hump disappears with sidebending

Hint 60

MCC - growth spurt

Front 61

Side Effect of statins

Back 61

Rhabdomyolysis, Increased transaminases (not a/w hepatic damage)

Front 62

Treatment of torticollis

Back 62

Counterstrain - flexed & rotated away from the side you are treating

Front 63

DOC for enuresis

Back 63

Imipramine - TCA - contraction of the internal spincter of the bladder & urinary retention

Hint 63

Typically have a family hx of bed wetting in the same sex parent

Front 64

Anatomical landmark for T4

Back 64

Sternal angle

Front 65

Pickwickian Synd

Back 65

Obesity related hypoventilation - occurs in some children who have obesity

Front 66

Homonymous hemianopsia

Back 66

Lesion of the visual pathway behind the optic chiasm

Hint 66

Macular sparing - lesion of the visual cortex (Posterior Cerebral Artery)

Front 67

Attachments of the piriformis

Back 67

Anterior Surface of the Sacrum

Hint 67

Superior surface of the greater trochanter

Front 68

Coccygodynia

Back 68

Proctalgia fugax - sudden rectal pain

Hint 68

Tx - myofascial release of the pelvic floor

Front 69

Speed test

Back 69

Flexion of the upper extremity against resistance

Hint 69

Dx of bicipital tendonitis

Front 70

Patellofemoral Synd

Back 70

Anterior knee pain that gets worse when climbing stairs