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Example of frustrating COMLEX question

Discussion in 'Step I' started by Red Beard, Jun 12, 2008.

  1. Red Beard

    Red Beard 7+ Year Member

    Apr 25, 2006
    This is from the free NBOME practice test:

    So is it asking "which drug mechanism will cause this additional pathology" or "which drug above would be used to treat this additional pathology"?????

    As it turns out, its asking the latter, based on the given answers (C, E, and C). But it took me several annoying minutes to decide what the freaking question was...:mad:
    Last edited: Jun 12, 2008
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  3. Taus

    Taus . Moderator 10+ Year Member

    Feb 1, 2005
    ha....classic nbome

    on my exam I had something along the lines of

    Hypokalemia with CHF? (literally the entire question)

    and then the answers were a list of drugs...loop/hctz/ace/arb/aldactone/ccb/bb/etc

    did they want the drug that probably caused it ? An agent that can help it and still tx the chf?

    after playing the necessary "what are they probably trying to ask me?" game....I went w/ the loop

    I wanted to write on the screen..."just give the chf'er some damn K"....
    Last edited: Jun 12, 2008
  4. cyclohexanol

    cyclohexanol No, no. Doggie afuera. Physician 10+ Year Member

    Jun 28, 2005
    Snowed In
    It's even better when you get a series of 4 questions that start off with something just as vague.

    Question 1 of 4:
    '34 y/o male comes into your office. What is the diagnosis?' :rolleyes:

    Question 2 of 4:
    'Based on the diagnosis, what is the underlying pathology?'

    Question 3 of 4:
    'What is the next step in treatment?'

    Question 4 of 4:
    'How hard can you punch the screen knowing that you just missed 4 questions?'


    EDIT: the answer is 'with an excessive amount of force'
    Last edited: Jun 12, 2008
  5. djnels01

    djnels01 "You're the man now dog!" Physician 7+ Year Member

    Aug 8, 2005
    What made you decide on the loop?

    I'm REALLY wondering why I'm even bringing this up, but... wouldn't you want to use a K-sparing diuretic in this patient instead of something that would further drop their K level? I realize furosemide is DOC for acute CHF exacerbation/fluid overload states, but I've never read what to do if they're fluid overloaded AND hypoK...

    I just need to take this damn test already and get it over with. 1 week to go! Oh, and cyclohexanol, I feel you on those question sets. Nothing like asking a 5 questions about some horribly asinine protozoal infex to drop one's self confidence. I hate Kaplan qbank sometimes-
  6. Taus

    Taus . Moderator 10+ Year Member

    Feb 1, 2005
    haha....thats what I call the "wtf factor" on the COMLEX....don't overthink the questions....just go w/ your 1st thought/most common thing

    and trying to quickly get liters of fluid out of a chf'er w/ only a k-sparing diuretic is like pissing into the wind...

    give em some KCl

    good luck
    Last edited: Jun 12, 2008
  7. ImNoSuperman

    ImNoSuperman Deep Space 5 2+ Year Member

    Apr 11, 2006
    Stow, OH
    I took it today... oh my WORD!!! If I had to see one more head CT with a bleed I was gonna hang myself with my mouse! Oh, and I had vague pharm questions, 3 or 4 questions that had the answer of Stapylococcus and questions and more than one question regarding meningitis in young peoples. They can keep that 7 1/2 hours of my life. I DID get done an hour before the timer, but I left feeling like I could have conquered or... been mounted and royally screwed.
  8. BrisketAttack

    BrisketAttack 2+ Year Member

    Jun 1, 2008
    that question is so poorly written. it's a g-damn nightmare. so glad i'm not taking the comlex. seems like a real pile of ****.
  9. osli

    osli Senior Member 5+ Year Member

    Oct 13, 2005
    Is it really that bad?!? Geez... glad I'm focusing on USMLE prep only and will roll the dice with the COMLEX. I think I'd go mad if I had to deal with those kinds of questions before the actual exam day.
  10. Taus

    Taus . Moderator 10+ Year Member

    Feb 1, 2005
    that majority of the test wasn't like this and was fairly well-written IMO....but q's like these stick out pretty bad

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