COMLEX LEVEL 2 EXAM 2026 WITH
100% ACCURATE SOLUTIONS
Leukocytosis w/ left shift indicates? - ANSWER ☑☑Dicloxacillin
Followed by Vanc if Beta-lactamase resistant
- Excess neutrophils ... essential a bacterial infection
Treatment:
Hot tub folliculitis
Impetigo by strep
Contact dermatitis
impetigo, abscess and folliculitis by staph - ANSWER ☑☑Fluoroquinolon, Ciprofloxacin
Cephalexin
Topical steroid
TMP-SMX
Difference between HIB and Influenzae
,What's the pnuemococcal vaccine for? - ANSWER ☑☑HIB
- Cause lower respiratory infection
- HIB vaccine reduce incidence since 1990s
Influenzae
- high fever, runny nose, sore throat, muscle pains, headache, coughing, and feeling tired.
- Yearly vaccine
- Treat w/ neuraminidase inhibitors (oseltamivir and zanamivir) and M2 protein inhibitors (adamantane
derivatives).
Pneumoccocal vaccine
- Protects against S. Pneumoniae
Media
1) Chocolate agar
2) Thayer-Martin
3) Eaton agar
4) Charcoal yeast - ANSWER ☑☑1) H. Influenzae
2) N. Gonorrhea
3) Mycoplasma
4) Legionella
Stains
1) PAS
2) India ink
,3) Silver Stain - ANSWER ☑☑1) Whipple diseae
2) C. neoformans
3) Fungi (e.g., Pneumocystis), Legionella,
Helicobacter pylori
___ antibiotics have better coverage than any other class
List them - ANSWER ☑☑Beta-Lactam
Penicillin, Cephalosporins, carbapenems, aztreonam
Which bacteria are covered by Amoxicillin - ANSWER ☑☑HELPS
H --> H. influenzae
E --> E. Coli
L --> Listeria
P --> Proteus
S --> Salmonella
Piperacillin, ticarcillin, azlocillin, mezlocillin
Cover what kind of bacteria
What are they useful for - ANSWER ☑☑Gram (-)
• Cholecystitis and ascending cholangitis
• Pyelonephritis
• Bacteremia
, -All stuff that can climb up a tract
• Hospital-acquired and ventilator-associated pneumonia
• Neutropenia and fever
Ceftriaxone, Cefotaxime, Ceftazidime
- What class are these?
What is ceftriaxonde first line for?
Avoid ceftriaxone in ____ pt. Why? - ANSWER ☑☑3rd gen cephalosporin
- Meningitis
- Community-acquired pneumonia (in combination with macrolides)
- Gonorrhea
- Lyme involving the heart or brain
Avoid ceftriaxone in neonates because of impaired biliary metabolism.
Best therapy for community-acquired pneumonia, including penicillinresistant pneumococcus
Use ___ for cystitis and pyelonephritis.
____ can be used as a single
agent for diverticulitis and does not need metronidazole. - ANSWER ☑☑Fluoroquinolones
(Ciprofloxacin, Gemifloxacin, Levofloxacin, Moxifloxacin)
* Macrolides and doxycycline also used
Ciprofloxacin
100% ACCURATE SOLUTIONS
Leukocytosis w/ left shift indicates? - ANSWER ☑☑Dicloxacillin
Followed by Vanc if Beta-lactamase resistant
- Excess neutrophils ... essential a bacterial infection
Treatment:
Hot tub folliculitis
Impetigo by strep
Contact dermatitis
impetigo, abscess and folliculitis by staph - ANSWER ☑☑Fluoroquinolon, Ciprofloxacin
Cephalexin
Topical steroid
TMP-SMX
Difference between HIB and Influenzae
,What's the pnuemococcal vaccine for? - ANSWER ☑☑HIB
- Cause lower respiratory infection
- HIB vaccine reduce incidence since 1990s
Influenzae
- high fever, runny nose, sore throat, muscle pains, headache, coughing, and feeling tired.
- Yearly vaccine
- Treat w/ neuraminidase inhibitors (oseltamivir and zanamivir) and M2 protein inhibitors (adamantane
derivatives).
Pneumoccocal vaccine
- Protects against S. Pneumoniae
Media
1) Chocolate agar
2) Thayer-Martin
3) Eaton agar
4) Charcoal yeast - ANSWER ☑☑1) H. Influenzae
2) N. Gonorrhea
3) Mycoplasma
4) Legionella
Stains
1) PAS
2) India ink
,3) Silver Stain - ANSWER ☑☑1) Whipple diseae
2) C. neoformans
3) Fungi (e.g., Pneumocystis), Legionella,
Helicobacter pylori
___ antibiotics have better coverage than any other class
List them - ANSWER ☑☑Beta-Lactam
Penicillin, Cephalosporins, carbapenems, aztreonam
Which bacteria are covered by Amoxicillin - ANSWER ☑☑HELPS
H --> H. influenzae
E --> E. Coli
L --> Listeria
P --> Proteus
S --> Salmonella
Piperacillin, ticarcillin, azlocillin, mezlocillin
Cover what kind of bacteria
What are they useful for - ANSWER ☑☑Gram (-)
• Cholecystitis and ascending cholangitis
• Pyelonephritis
• Bacteremia
, -All stuff that can climb up a tract
• Hospital-acquired and ventilator-associated pneumonia
• Neutropenia and fever
Ceftriaxone, Cefotaxime, Ceftazidime
- What class are these?
What is ceftriaxonde first line for?
Avoid ceftriaxone in ____ pt. Why? - ANSWER ☑☑3rd gen cephalosporin
- Meningitis
- Community-acquired pneumonia (in combination with macrolides)
- Gonorrhea
- Lyme involving the heart or brain
Avoid ceftriaxone in neonates because of impaired biliary metabolism.
Best therapy for community-acquired pneumonia, including penicillinresistant pneumococcus
Use ___ for cystitis and pyelonephritis.
____ can be used as a single
agent for diverticulitis and does not need metronidazole. - ANSWER ☑☑Fluoroquinolones
(Ciprofloxacin, Gemifloxacin, Levofloxacin, Moxifloxacin)
* Macrolides and doxycycline also used
Ciprofloxacin
