COMLEX-USA Level 3 Osteopathic Medical Practice
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COMLEX Level 3 examination covering clinical management, evidence-based medicine, and independent osteopathic medical practice for licensure completion. Administered by National Board of Osteopathic Medical Examiners as a linear computer-based (levels 1, 2-ce, 3 at prometric); osce (level 2-pe, suspended) format exam. Key domains include Diagnosis and Assessment, Medical Jurisprudence and Ethics, Osteopathic Principles and Manipulative Medicine and Patient Management.
Preguntas de Muestra
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A 70-year-old woman presents to the ED with sudden-onset severe lower back pain radiating to the abdomen and a pulsatile abdominal mass on examination. BP 88/56, HR 120. She has a known 5.5-cm infrarenal AAA. Bedside ultrasound confirms the AAA. Per SVS 2018 (current) AAA rupture management, what is the most appropriate next step?
A 31-year-old woman at 28 weeks gestation has gestational diabetes. After nutrition therapy, fasting glucose values remain 104-112 mg/dL and 1-hour postprandial values are often 150-165 mg/dL. Fetal growth is appropriate. What is the most appropriate next treatment?
A 27-year-old man with acute right anterior shoulder pain after a bench-press injury presents for OMT. Examination reveals tender point at the medial coracoid process, with the patient describing reproducible pain on palpation. The physician chooses to perform Counterstrain (Strain-Counterstrain) technique. What is the optimal position to seek a 70% pain reduction at this anterior shoulder tender point?
A 35-year-old man presents to the ED 30 minutes after a witnessed seizure. He is now post-ictal but breathing on his own with SaO2 94%. His vitals: HR 110, BP 142/82, RR 18, T 37.4 C. He has had 3 generalized tonic-clonic seizures in the past hour, each lasting 2-3 minutes, with no return to baseline between. Per AAN 2016 (current) status epilepticus guidelines, what is the most appropriate immediate management?
A 65-year-old woman presents with new-onset progressive dyspnea and bilateral leg edema. Echocardiogram shows LVEF 60% with grade 2 diastolic dysfunction, mild mitral regurgitation, normal RV function, and a left atrial volume index of 38 mL/m2. NT-proBNP is 1,840 pg/mL. Which is the most likely diagnosis?