COMLEX Level 3 Questions and answers

COMLEX Level 3 Questions and answers Calcium oxalate -MC type of kidney stone Rasburicase -Administration of this drug before chemotherapy can prevent the nephrotoxicity associated with tumor lysis syndrome Allopurinol -What can be used if rasburicase is contraindicated (due to G6PD def)for prophylaxis for tumor lysis syndrome? Heart sound in ASD -wide, fixed, and split s2and systolic ejection murmur at the left upper sternal border Facticious hypoglycemia lab values -Low c-peptide and proinsulin lvels Treatment of acute disseminated intravascular coagulation (DIC) -Supportive as needed: 1) FFP or cryoprecipitate if patient is actively bleeding and has an elevated INR or fibrinogen less than 50mg/dl 2) platelet transfusion to keep platelets above 20,000 in patients with no active bleeding and above 50,000 in patients who are actively bleeding Cushing Disease with adrenal tumor lab findings -Low dose and H