FM COMAT COMQUEST and COMBANK EXAM WITH SOLUTIONS, Exams of Nursing

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What |allows |for |dx |of |ectopic |pregnancy? |- |correct |answer |✔HCG |above | 1500 |with |no |intrauterine |pregnancy |on |US Number |one |cause |of |neonatal |conjunctivitis? |Tx? |- |correct |answer |✔Chlamydia// Oral |erythro 2 |main |causes |of |neonatal |conjunctivitis |and |timing |each |is |seen? |Irritant |that |causes |it? |Timing |of |this? |All |causes |treated |with |___ |regardless |of |etiology |- |correct |answer |✔Neis- |2-7 |days// Chlam- |7-14 |days// Silver |nitrate// 24-48 |hours// artificial |tears |for |irrigation Pap |= |surveillance |or |diagnostic |when? |- |correct |answer |✔If |initial |Pap |screening |is |abnormal Signs |of |PBC? |- |correct |answer |✔Fatigue, |pruritis, |RUQ |pain, |HSM, |jaundice, |xanthelasma, |and |Kayser-Fleischer |rings

All |patients |that |smoke |should |get |what |vaccine? |- |correct |answer |✔Pneum Signs |of |infectious |colitis? |- |correct |answer |✔fever, |N/V, |diarrhea What |signifies |bowel |ishemia |on |imaging? |- |correct |answer |✔blunting |and |thickening |of |mucosal |folds UC |- |Key |symptoms? |Key |sign |on |imaging? |- |correct |answer |✔chronic |bloody |diarrhea, |mucous |discharge |from |the |rectum, |and |tenesmus// Lead |pipe |(loss |of |haustra) Crohns |- |symptoms? |Sign |on |imaging? |- |correct |answer |✔chronic |diarrhea, |diffuse |abd |pain |relieved |by |defecation, |signs |of |imflammation// string |sign |at |terminal |ilem Classic |signs |of |juvenile |myoclonic |epilepsy? |Tx? |- |correct |answer |✔brief, |arrhythmic, |involuntary, |bilateral |UPPER |EXTREMITY |myoclonic |jerks |WITHOUT |loss |of |consciousness// Valproic |acid Childhood |epileptic |encephalopathy |aka_____ |Presents |when? |Key |signs? |- |correct |answer |✔Lennox- |Gastaut |syndrome// 2 |years |old// | mental |reterdation, |along |with |multiplr |types |of |seizures |and |developmental |regression

Schizophrenia |length |of |symptoms? |Signs? |- |correct |answer |✔at |least | 6 |months// delusions, |hallucinations, |disorganized |speech, |etc Suicidal |ideation |who |have |___ |or |___ |. |Number |one |step? |- |correct |answer |✔plan |or |intent// hospitalization CXR |key |finding |of |histo? |- |correct |answer |✔Hilar |lymphadenopathy Key |signs |of |fibrocystic |breast |dz? |Timing? |- |correct |answer |✔Bilateral |breast |pain |and |swelling |with |yellow |discharge// Begin | 1 |week |prior |to |menstration |and |disappear |after |menstruation Breast |pain/swelling |that |begins | 1 |week |prior |to |menstration |and |disappear |after |menstruation? |- |correct |answer |✔Fibrocystic |dz Number |one |benign |breast |neoplasm |in |less |than |30? |Presents |with |what? |- |correct |answer |✔Fibroadenoma// painless. |well- |circum |smooth |rubbery |and |mobile |breast |mass |(usually |just |one |breast) Months |to |years |of |daily |cough |with |mucopurulent |sputum |- |dx? |Classic |CT |finding? |- |correct |answer |✔Bronchiectasis// Signet |ring |sign |(dilated |bronchus |immediately |adjacent |to |smaller |companion |pulmonary |artery

Screen |who |for |chlamydia? |- |correct |answer |✔all |sex |active | 24 |and |under |and |also |over | 24 |if |increased |risk |(history |of |it, |no |condoms, |multiple |partners, |spouse/partner |infidelity Number |one |cause |of |isolated |persistent |prooteinuria |in |kids? |Diagnosis |made |how? |- |correct |answer |✔Orthostatic |proteinuria |(proteinuria |while |upright |which |resolves |when |supine)// first |morning |URINE |PROTEIN-TO-CREATININE |ratio |after |sleeping |supine |position |overnight Cholesteatoma |presents |with |what? |In |who? |Key |PE |finding? |- |correct |answer |✔new-onset |unilateral |conductive |hearing |loss// | child// white |mass |behind |an |intact |TM |(also |see |granulation |tissue) Sign |of |glomus |tumor? |CLassic |PE |finding? |- |correct |answer |✔pulsatile |tinnitus |and |gradual, |painless |hearing |loss// pulsating |reddish |blue |mass |behind |the |TM Treatment |for |febrile |seizures? |Common |triggers? |- |correct |answer |✔Acetaminophen |and |reassurance// URI, |DTP |vacc, |MMR |vacc Patient |with |hypoTH |diagnosed |with |pregnancy |- |first |step? |Then |do |what? |Asesss |TSH |levels |how |often |in |HypooTH |patient |that's |pregnant? |- |correct |answer |✔Immediately |increase |thyroid |meds//

Periductal |mastitis |- |classic |findings? |Number |one |RF? |1st |line |drug? |- |correct |answer |✔Uni |breast |tenderness |and |purulent |nipple |discharge// Smoking// Augmentin Most |important |side |effect |of |ethosuximide? |- |correct |answer |✔Pancytopenia Preggo |Patient |with |history |of |recurrent |HSV |should |be |handled |how? |- |correct |answer |✔Treat |any |recurrent |herpes |episodes |with |oral |acyclovir |and |start |daily |oral |acycolvir |therapy |after | 36 |weeks |even |if |no |episodes Friedrich's |signs? |It's |a |d/o |of |___ |within |__ |and |___ |- |correct |answer |✔wide |based |ataxia, |explosive |dysarthria, |bilateral |Babinski, |and |hyporeflexia// axons// cerebellum |and |dorsal |columns Adrenoleukodystrophy |inheritance? |Mutation |of |____ |which |has |what |function? |- |correct |answer |✔X |linked// ABCD1 |gene// treansporter |of |VLCFA |into |peroxisome Metachromatic |leukodystrophy |- |deficiency |of |____. | 2 |key |signs? |- |correct |answer |✔arylsulfatase |A// nystagmus |and |optic |atrophy

VW |disease |affect |coag |cascade |or |clot |formatiion? |Test |used |to |dx |VWD? |- |correct |answer |✔Both |- |VWF |involved |in |clot |and |VWF |stabilizes |F8 |which |works |in |coag |cascade// Ristocetin |cofactor |assay ____accompanying |hematuria |indicate |extragomerular |source |of |bleeding. |Next |step |if |child |presents |with |what? |- |correct |answer |✔Clots// Renal/bladder |US Hematuria |with |history |of |trauma- |next |step? |Other |time |this |test |is |used? |- |correct |answer |✔Abd |CT// Kidney |stones |very |suspected |with |negative |US Hematuria |that's |cola |colored |or |when |edema |or |HTN |present- |next |step |= |order |what? |- |correct |answer |✔Complement |C3 |level Diagnostic |tool |used |in |the |workup |of |diabetic |retinopathy? |Key |sign |seen |if |bleeding |occurs? |- |correct |answer |✔Fluorescein |angiography// sensation |of |a |falling |curtain |obstructing |their |visual |fields |or |eye |floaters Midline |deviation |of |all |metatarsals? |- |correct |answer |✔Metatarsus |adductus Up |and |out |deviation |of |the |metatarsal |bones? |Rocker |bottom |feet |aka |___ |- |correct |answer |✔Calcaneovalgus |// Congenital |vertical |talus

Signs |of |polycythemia |vera? |Symptoms |due |to |what? |- |correct |answer |✔pruritis, |flushing |(plethora), |HA,, |dizziness, |erythromelalgia, |and |visual |impairment |(retinal |vein |engorgement), |HTN// blood |hyperviscosity 2 |Vaccines |preggo |get |and |when? |- |correct |answer |✔Flu |(seasonal) |and |Tdap |(27--36 |weeks) Number |one |cause |of |secondary |nephrotic |syndrome? |Most |likely |complication |of |nephrotic |syndrome? |Other |ones? |- |correct |answer |✔DM// VTE// AKI, |infection |(leading |cause |of |death), |hypovolemia |(low |albumin |- |pee |alot). |protein |malnutrition |(protein |wasting) 3 |key |signs |of |PE? |Number |one |finding |on |EKG? |uNIQUE |FINDING |ON |EKG? |- |correct |answer |✔acute |onset |pleuritic |chest |pain, |dyspnea, |and |tachycardia// sinustachycardia// S1Q3T3 |(Swave |in |lead |I, |Q |and |inverted |T |in |3) Borderline |peeople |will |always |have |impulsivity |in |what |areas? |Describe |their |relationships |- |correct |answer |✔ 2 |of | 3 |sex, |substance |abuse, |or |reckless |driving// Very |intense Painless |rapidly |growing |neck |mass |and |palpable |goiter |- |dx? |Diagnose |this |how? |Why? |Riedel's |distinguished |by |absence |of |what |on |PE? |- |correct |answer |✔Riedel |thyroiditis//

Open |surgical |biopsy// Indistinguishable |from |anaplastic |carcinoma |on |FNA// No |cervical |adenopathy Rotterdam |criteria |for |PCOS ? |Increase |risk |of |what |cancer? |- |correct |answer |✔ 2 |of |3: |androgen |excess, |ovulatory |dysfunction, |and |polycystic |ovaries// Endometrial Chronic |bronchitis |requires |what |for |diagnosis? |- |correct |answer |✔chronic |productive |cough |of |3+ |months |in | 2 |consecutive |years |and |evidence |of |airways |obstruction |on |PFT how |do |beta-agonists |change |K |levels? |What |beta |agonists? |- |correct |answer |✔Hypokalemia |(increased |cellular |uptake)// inhaled |or |systemic 3 |possible |causes |of |acute |drop |in |Hgb |in |patients |with |sickle |cell? |Differentiate |the | 3 |causes |how? |Give |diff |- |correct |answer |✔splenic |sequestration, |hyperhemolytic |crisis, |aplastic |anemia// Retic |Count// Normal |RC |- |Splenic |seq Elevated |- |hyperhemolytic |crisis Low- |Aplastic |anemia 1st |line |for |ED? |- |correct |answer |✔PDE-5 |inhibitors

____ |should |be |used |to |treat |corneal |abrasions |in |non-contact |wearers. |What |about |in |contact |wearers? |Why? |- |correct |answer |✔Polymyxin |B/Trimethoprim |ophthalmic |drops// FQ |or |Aminoglycosides |and |avoid |contacts// Pseudomonas Duct |ectasia |- |key |feature? |Diagnosis |confirmed |how? |See |what? |- |correct |answer |✔white |and |creamy |discharge// ductoscopy// dilated |ducts |filled |with |secretions |and |fibrotic |debris Spontaneous |bacterial |peritonitis |key |symptoms? |Keys |on |PE? |Tx? |- |correct |answer |✔Ascites, |fever, |chills, |jaundice// abd |pain/tenderness |and |fluid |wave |and |over | 250 |neutrophils |on |paracentesis |fluid |analysis// Cefotaxime Symptoms |of |Posterior |urethral |valves? |Diagnose |how? |- |correct |answer |✔grunting |and |straining |urethral |valves// Voiding |cystourethrogram Temporal |arteritis |with |visual |disturbances |- |tx? |- |correct |answer |✔IV |methylprednisolone |(oral |steroids |if |no |eye |ditrubances) Tx |for |C |dif? |- |correct |answer |✔Metro |in |mild |and |moderate |cases// Vanco |in |severe |(WBC's, |AKI, |fever, |sepsis, |or |medacolon)

Acute |viral |rhinosinusitis |duration? |fEATUres? |Number |one |viral |pathogen? |- |correct |answer |✔under | 10 |days// absence |of |fevers |>102 |and |no |purulent |nasal |discharge |and |no |severe |facial |pain |(usually |unilateral)// Rhino |(followed |by |influ |and |parainflu) RC |in |sickle |cell? |Why? |- |correct |answer |✔Increased// increased |RBC |turnover |due |to |higher |rate |of |hemolysis Vaccines |given |to |11-12 |year |olds? |- |correct |answer |✔Nonavalent |HPV, |TDaP |booster, |and |Meningococcal |CONJGATE |vaccine Round |painful |oral |ulcers |with |grayish |base |- |dx? |Tx? |- |correct |answer |✔Aphthous |ulcers// Triamcinolone |(and |NSAIDS |(for |pain)) Excessive |alcohol |causes |what |type |of |anemia |? |Why? |- |correct |answer |✔Sideroblastic |anemia// disrupts |heme |synthesis Acanthrosis |is |what? |Can |progress |to |what |symptoms? |This |called |what? |- |correct |answer |✔Black |lung |(black |discoloration |of |lung)// cough, |dyspnea, |and |pulmonary |fibrosis// Coal |Worker's |Pneumoconiosis

Carboprost |- |CI |in |asthmatics |(bronchospasm) ____ |is |first |line |treatment |for |tobacco |cessation |in |patients |with |no |specific |indication |for |the |use |of |different |treatment |option. |Avoid |all |other |medications |in |what |population |of |people |trying |to |quit |smoking? |Why? |- |correct |answer |✔Nicotine |replacement |therapy// Alcoholics |(or |anyone |at |increased |seizure |risk)// Buproprion |lowers |seizure |threshold |and |patient |may |decide |to |quit |drinking |- |deadly |seizures Quad |test |done |when? |Number |one |cause |of |elevated |AFP? |Other |causes? |- |correct |answer |✔ 14 |- | 20 |weeks// inaccurate |gestational |age// NTD's Infant |with |meconium |present |and |who |are |not |vigorous |at |delivery |handled |how? |When |else |should |infant |be |intubated? |- |correct |answer |✔immediate |intubation |and |endotracheal |suctioning// no |meconium |but |demnostrate |respiratory |distress |despite |positive |pressure |ventilation |or |hr |less |than | 60 Mutation |in |Ehrlos |Danlos? |Codes |for |what? | 3 |major |criteria |required |to |dx? |- |correct |answer |✔COL5A1 |and |2// Type | 5 |collagen// skin |hyperextensiility, |joint |laxity, |and |widened,atrophic |scars

TGFBR1/2 |mutations |seen |with |what? |Looks |similar |to |. |Key |diff? |- |correct |answer |✔Loeys |Dietz// Marfan// Ectopic |lentis |in |Marfan |but |not |in |Loeys What |testicular |cancer |is |very |aggresive |and |spreads |early? |Remember |how? |What |site |of |metastasis |is |it |particularly |associated |with? |Marker? |- |correct |answer |✔Choriocarcinoma// one |of |the |few |carcinomas |with |early |hematogenous |spread// Brain |mets// Beta-hCG Groups |of |small |papules |that |coalesce |to |form |a |larger |annular |appearing |plaque- |dx? | 2 |key |features |that |distinguish |it? |- |correct |answer |✔Granuloma |annulare// Asx |and |scaling Minimal |change |dz |= |present |with | |without |__ |or |____ |- |correct |answer |✔edema// hematuria |or |HTN What |findings |from |prior |pregnancy |warrants |GBS |prophylaxis? |What |doesn't? |- |correct |answer |✔Does |= |previous |delivery |of |child |eith |invasive |GBS |// Not- |Prior |pregnancy |with |GBS- |positive |bacteriuria

Key |gene |for |RCC? |- |correct |answer |✔VHL Flattening |of |inspiratory |loop |and |normal |FVC |and |FEV1/FVC |ratio |- |dx? |Key |sx's? |- |correct |answer |✔Vocal |cord |dysfunction// non-prod |cough |wheezing |and |dyspnea Dx |steps |in |Guillain |Barre? |CSF |findings? |- |correct |answer |✔LP |with |CSF |analysis |and |nerve |conduction |studies// elevated |protein TENSE |fluid |filled |bullae |- |dx? |- |correct |answer |✔Bullous |Pemphigoid Bullous |Pemphigoid |vs |Pemphigus |vulgaris |- |difference? |Which |has |MUCOSAL |involvement? |Which |causes |acantholysis? |Why? |- |correct |answer |✔PV |- |IgG |against |the |desmosomes |so |flaccid |bullae// BP |- |IgG |against |hemidesmosomes |so |tense |bullae// PV// PV// separates |epidermal |cells |from |one |another What |does |McMurray |test |? |Positive |test? |- |correct |answer |✔Meniscal |tear// pop, |click. |or |pain |upon |extending |the |knee Ovarian |tumor |plus |weight |loss |tachycardia, |HTN |-DX? |Why? |Dx |how? |- |correct |answer |✔Struma |ovarii//

teratoma |composed |of |mature |thyroid |follicles// histo |evaluation |demonstrating |thyroid |follicles |in |the |resected |ovary Pelvic |mass |with |unexplained |hyperTH? |- |correct |answer |✔Struma |ovarii Key |S/S |with |Multiple |Myeloma? |What |confirms |dx? |- |correct |answer |✔bone |pain, |anemia |symptoms, |lytic |bone |lesions, |hyperCa |and |renal |failure |(causing |normo |normo |anemia)// monoclonal |spike |of |IgG |or |IgA |or |BM |biopsy |with |10% |or |more |abnormal |plasma |cells Patient |with |signs |of |bleeding |due |to |isolated |TCP |- |dx? | 2 |forms |and |who |gets |each? |- |correct |answer |✔Immune |TCP |purpura// Acute- |kids |afte |viral |infection// Chronic |- |women |between | 20 |and | 40 Best |public |health |measure |to |decrease |the |prevelance |of |dental |caries? |- |correct |answer |✔Addition |of |fluoride |to |public |water |supply What |happens |in |1st |degree |AV |block? |- |correct |answer |✔Delayed |conduction |between |the |SA |and |AV |node Type | 1 |Second |degree |AV |block |due |to |disturbance |in |conduction |where? |Type | 2 |where? |- |correct |answer |✔at |the |AV |node// distal |to |the |AV |node |(usually |in |His-Purkinje |system)