COMBANK Level 2: Questions With Step-by-Step
Solutions What is Kohler's disease? Correct Answer - Osteonecrosis of the navicular bone What is Freiburg's infarction? Correct Answer - Osteochondrosis of the second metatarsal head What is Panner's disease? Correct Answer - Osteochondrosis of the capitellum in the elbow Sever's disease? Correct Answer - Osteochondrosis of the insertion of the growth plate at the Achille's tendon on the calcaneal tuberosity What can Gingko cause? Correct Answer - Bleeding, dizziness, can be causing GI discomfort etc. D/C prior to surgery What can Camelia Sinensis cause? Green and Black Tea Correct Answer - Chemoprotective and antioxidant, green tea can increase HDL and decrease LDL cholesterol levels What is St. John's wort used for? Correct Answer - Often used in depression Can instigate mania in patients with Bipolar Increased metabolism of P450 drugs What is Echinacea used for? Correct Answer - Immunostimulator used for overall immune function 1 / 4
Nausea, dizziness, dyspnea, rash, dermatitis, pruritus, and hepatotoxicity What is Panax ginseng used in? Correct Answer - Also known as ginseng root, known for aphrodisiac properties and used in the treatment of sexual dysfunction and Type 2 diabetes mellitus One of the side effects is inability to sleep Paroxetine and Venlafaxine are 2 SSRIs with the greatest risk of what? Correct Answer - Discontinuation syndrome So you have to slowly taper them What are the key differences b/w myasthenia gravis and lambert eaton? Correct Answer - Lambert Eaton- Proximal muscle weakness is progressive and symmetrical. Patients report symptoms with gait difficulty or getting out of bed, chairs and/or climbing stairs.Extremity weakness is present in all patients with Lambert Eaton as opposed to those with MG where weakness is ocular and oropharyngeal.Muscle weakness improves with Lambert Eaton but worsens with MG Lambert Eaton-hyporeflexia and lower extremity weakness Symptoms for MG are worsened when? Correct Answer - At the end of the day Characteristics of MS? Correct Answer - 2 / 4
Barrett's esophagus can lead to what? Correct Answer - Esophageal adenocarcinoma Best Tx is omeprazole and surveillance endoscopies In OSA what do you see? Correct Answer - Desaturation with decrease in blood flow Salmeterol which is a long acting beta agonist should never be used when? Correct Answer - Alone, it must be used with inhaled glucocorticoids So an alternative is Montelukast What is the most common bleeding disorder? Correct Answer - VWF What are the lab values for VWF? Correct Answer - Normal platelet count, normal PT, *prolonged PTT, prolonged bleeding time* What is the first line treatment in NSTEMI? Correct Answer - Low molecular weight heparin (Enoxaparin) to prevent further thrombus and reinafarction When do you use ultrasound in thyroid nodule? Correct Answer - To determine if it is solid or cystic If you already know, then what do you do? Then you do FNA to rule out malignancy or see how bad the nodule is What is first line treatment for epistaxis? Correct Answer - Continuous firm pressure on the cartilaginous portion of the nose for up to 30 mins 3 / 4
Then packing then cautery Patient with recent travel history, blood in stool, flu like symptoms, rose spots and splenomegaly is presenting with what? Correct Answer - Typhoid fever from Salmonella Spread through poor hygiene habits Poultry and eggs is common source
E Coli 0157:H7 is usually associated with what? Correct Answer -
Undercooked beef, associated with HUS Vibrio can cause bloody diarrhea and is associated with what?Correct Answer - Ingestion of seafood Shigella can cause what? Correct Answer - Bloody diarrhea with reactive arthritis second most common to HUS What is status epiliptecus? Correct Answer - Any seizure lasting more than 5 minutes.First check ABCs, if stable, then first line is IV thiamine and dextrose b/c hypoglycemia is reversible If all fails, IV Lorazepam should be administered Phenytoin is second line and phenobarb is 3rd Batteries in the esophagus vs small bowel? Correct Answer - In the esophagus should be removed right away, and in the small bowel should be observed in a healthy stable patient
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