The Rosh Reveal

Which of the following is the most common pulmonary complication of influenza?

A) Empyema

B) Pneumonia secondary to superimposed bacterial infection

C) Primary viral pneumonia

D) Spontaneous pneumothorax

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PA: Didactics, Rotation Exams, PANCE, PANRE

Nurse Practitioner: Certification Exam, ENP Certification Exam, AGACNP Certification Exam, AGPCNP Certification Exam, CPNP-PC Certification Exam, PMHNP Certification Exam

Nursing: Certified Emergency Nurse (CEN) Certification Exam

Emergency Medicine: In-Training Exam, Certification Exam, ConCert

Family Medicine: In-Training Exam, Certification Exam

Pediatrics: In-Training Exam, Certification Exam

OB/GYN: In-Training Exam, Certification Exam

Internal Medicine: In-Training Exam, Certification Exam

Psychiatry: In-Training Exam, Certification Exam

The post How Much Do You Know About Influenza Complications? appeared first on RoshReview.com.

A 32-year-old G0P0 woman presents with dull, crampy pelvic pain that has been intermittent over the last six months. She is currently menstruating and notes the pain seems to worsen with menses. She also reports pain with intercourse but denies any vaginal discharge. On examination, she is in no acute distress and is afebrile. She has scant blood in the vaginal vault and no significant focal tenderness. No masses are appreciated. Her pregnancy test is negative. What is the most likely diagnosis?

A) Endometriosis

B) Mittelschmerz

C) Pelvic inflammatory disease

D) Ruptured ovarian cyst

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PA: Didactics, Rotation Exams, PANCE, PANRE

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Nursing: Certified Emergency Nurse (CEN) Certification Exam

Emergency Medicine: In-Training Exam, Certification Exam, ConCert

Family Medicine: In-Training Exam, Certification Exam

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OB/GYN: In-Training Exam, Certification Exam

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The post Can You Determine the Cause of This Patient’s Pelvic Pain? appeared first on RoshReview.com.

A 39-year-old woman presents to the emergency department with right leg pain and mild swelling. She denies any previous medical history or trauma. She does not take any medication. Examination is remarkable for tenderness along the right calf venous distribution and minimal swelling of the right lower leg. What is the most appropriate diagnostic workup of this patient?

A) Duplex ultrasonography to evaluate for deep venous thrombosis. If negative, send a D-dimer. If D-dimer is positive, treat for deep venous thrombosis.

B) Duplex ultrasonography to evaluate for deep venous thrombosis. If negative, the patient may be discharged.

C) Send a D-dimer. If negative the patient may be discharged.

D) Send a D-dimer. If positive, treat for deep venous thrombosis.

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Nursing: Certified Emergency Nurse (CEN) Certification Exam

Emergency Medicine: In-Training Exam, Certification Exam, ConCert

Family Medicine: In-Training Exam, Certification Exam

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OB/GYN: In-Training Exam, Certification Exam

Internal Medicine: In-Training Exam, Certification Exam

Psychiatry: In-Training Exam, Certification Exam

The post Test Your Knowledge of Wells Criteria appeared first on RoshReview.com.

A 27-year-old woman presents with chest pain. The patient reports that she was about to give a presentation at her job and suddenly had a feeling of impending doom. In addition to chest pain, she had palpitations and sweating. Which of the following is the most likely diagnosis?

A) Acute stress disorder

B) Agoraphobia

C) Hypomania

D) Panic attack

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Emergency Medicine: In-Training Exam, Certification Exam, ConCert

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The post When Does Chest Pain & Sweating Not Indicate A Cardiac Condition? appeared first on RoshReview.com.

A 61-year-old man presents with intermittent shock-like spasms of pain in his right cheek. The pain only lasts a few seconds at a time but recurs frequently. He notes that shaving each morning causes intense spasms of pain, as does chewing. What is the first-line treatment for his likely diagnosis?

A) Baclofen

B) Botulinum injections

C) Carbamazepine

D) Diazepam

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Family Medicine: In-Training Exam, Certification Exam

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Internal Medicine: In-Training Exam, Certification Exam

Psychiatry: In-Training Exam, Certification Exam

The post How Well Do You Know Nervous System Disorders & Medications? appeared first on RoshReview.com.

A 59-year-old woman presents with pain and swelling of the face that began yesterday. She states that the symptoms began abruptly with a fever and chills. Physical exam reveals bright red, indurated skin in a malar distribution. The skin has a peau d’orange appearance. What is the most likely diagnosis?

A) Erysipelas

B) Rosacea

C) Scarlet fever

D) Systemic lupus erythematosus

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PA: Didactics, Rotation Exams, PANCE, PANRE

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Emergency Medicine: In-Training Exam, Certification Exam, ConCert

Family Medicine: In-Training Exam, Certification Exam

Pediatrics: In-Training Exam, Certification Exam

OB/GYN: In-Training Exam, Certification Exam

Internal Medicine: In-Training Exam, Certification Exam

Psychiatry: In-Training Exam, Certification Exam

The post Test Your Dermatology Knowledge With This Question appeared first on RoshReview.com.

A 75-year-old man with a long-standing history of constipation presents complaining of abdominal pain for the last two days. He is now experiencing abdominal distention, constipation, and inability to pass gas for the last 12 hours. On examination, his abdomen is distended and tympanitic to percussion. You obtain an upright abdominal X-ray as seen above. What is the most likely diagnosis?

A) Cecal volvulus

B) Intussusception

C) Irritable bowel syndrome

D) Sigmoid volvulus

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Emergency Medicine: In-Training Exam, Certification Exam, ConCert

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OB/GYN: In-Training Exam, Certification Exam

Internal Medicine: In-Training Exam, Certification Exam

Psychiatry: In-Training Exam, Certification Exam

The post Can You Correctly Interpret This Abdominal X-Ray? appeared first on RoshReview.com.

What is the most common site of compartment syndrome?

A) Anterior compartment of the lower leg

B) Anterior compartment of the thigh

C) Lateral compartment of the lower leg

D) Volar compartment of the forearm

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PA: Didactics, Rotation Exams, PANCE, PANRE

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Nursing: Certified Emergency Nurse (CEN) Certification Exam

Emergency Medicine: In-Training Exam, Certification Exam, ConCert

Family Medicine: In-Training Exam, Certification Exam

Pediatrics: In-Training Exam, Certification Exam

OB/GYN: In-Training Exam, Certification Exam

Internal Medicine: In-Training Exam, Certification Exam

Psychiatry: In-Training Exam, Certification Exam

The post You Know It or You Don’t: The Most Common Site of Compartment Syndrome appeared first on RoshReview.com.

A 24-year-old woman presents to the emergency department with a headache and receives a lumbar puncture. She is eventually discharged home in improved condition, but returns 24 hours later with a worsened headache, now throbbing in nature, which is worse in the standing position and relieved in the supine position. Which of the following reduces the risk of post-lumbar puncture headache?

A) Inserting the needle bevel perpendicular to the spine

B) Lying supine for one hour after the lumbar puncture is completed

C) Using a higher gauge needle

D) Using a Quincke needle

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PA: Didactics, Rotation Exams, PANCE, PANRE

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Nursing: Certified Emergency Nurse (CEN) Certification Exam

Emergency Medicine: In-Training Exam, Certification Exam, ConCert

Family Medicine: In-Training Exam, Certification Exam

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Internal Medicine: In-Training Exam, Certification Exam

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The post How Do You Reduce the Risk of Post-Lumbar Puncture Headache? appeared first on RoshReview.com.

A 25-year-old man is brought to the Emergency Department by police for bizarre behavior. His family arrives and states that his behavior changed about eight months ago. He does not abuse drugs or alcohol. On examination, he has a flat affect and appears to be responding to internal stimuli. His speech is disorganized and he says, “I’ve been running from the Russians who are trying to steal my thoughts.” His laboratory and urine studies are unremarkable. What is the most likely diagnosis?

A) Schizoaffective disorder

B) Schizophrenia

C) Schizophreniform disorder

D) Schizotypal personality disorder

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For more great Rosh Review content, including thousands of more questions, explanations, and custom teaching images, visit any of the pages below:

PA: Didactics, Rotation Exams, PANCE, PANRE

Nurse Practitioner: Certification Exam, ENP Certification Exam, AGACNP Certification Exam, AGPCNP Certification Exam, CPNP-PC Certification Exam, PMHNP Certification Exam

Nursing: Certified Emergency Nurse (CEN) Certification Exam

Emergency Medicine: In-Training Exam, Certification Exam, ConCert

Family Medicine: In-Training Exam, Certification Exam

Pediatrics: In-Training Exam, Certification Exam

OB/GYN: In-Training Exam, Certification Exam

Internal Medicine: In-Training Exam, Certification Exam

Psychiatry: In-Training Exam, Certification Exam

The post Can You Determine This Patient’s Most Likely Psychiatric Condition? appeared first on RoshReview.com.