Rosh Exam Packaged Latest 2024 ,2025 with complete solutions

- African-American male (X-linked) - hemolytic anemia after exposure to oxidative agent (fava beans, TMP-SMX, sulfa drugs, ASA, antimalarials, nitrofurantoin, methylene blue) - Heinz bodies (denatured Hgb) on smear - Coombs' negative - Answer-Classic G6PD presentation - Blurred vision, anorexi...

A 10-year-old boy presents to the pediatrics clinic for evaluation of his asthma. He is currently only taking a rescue inhaler as needed. He has daytime symptoms four days per week, nighttime symptoms once per month, and uses a rescue inhaler four days per week. Which of the following medication r...

A 14-year-old girl presents to the ED with agitation, hallucinations, and myalgias. Her father notes she has been sick recently with a viral upper respiratory illness. Upon attempting to drink water, she begins to choke and retch violently. To which of the following was she likely exposed? - *Skun...

33-year-old woman presents to the ED for a two-day history of headache, photophobia, and neck stiffness. Her past medical history is significant for human immunodeficiency virus. While interviewing the patient, she is unable to tell you where she is and appears confused. A lumbar puncture is perf...

34-year-old man presents to the outpatient primary care office with his wife for evaluation. The wife explains that she is concerned about her husband's recent preoccupation with building a vintage Corvette. She came home two weeks ago to find him in the garage with car parts scattered around the...

A 19-year-old woman presents to the emergency department with severe flushing, tremors, and vision changes. Vital signs are BP 240/110 mm Hg, HR 104 beats per minute, RR 20 breaths per minute, and T 100.4°F. She was recently found to have a "mass on her kidney." Which of the following is the mo...

% BSA affected in SJS and TEN? - Answer-SJS < 10% BSA TEN > 30% BSA 12 month old pt comes in and the mother reports that the child has sudden flexion and stiffening of the neck, limbs, and trunk followed by gradual extension and relaxation. These jerking spells have become more frequent an...

A 17-year-old girl with a history of severe menorrhagia was admitted for a blood transfusion after fainting at school. Her history is positive for fatigue, exertional dyspnea, and increased cravings for ice over the past several weeks. Laboratory findings show hemoglobin 6 g/dL, hematocrit 22%, me...

A 10-year-old boy presents with a two day history of sore throat, fever and headache. He denies cough, significant rhinnorhea or head congestion. Physical exam is remarkable for enlarged, erythematous tonsils with a pharyngeal whitish exudate. He has marked lymphadenopathy over his anterior cervic...

16-year-old girl presents with an exudative sore throat and general malaise. On physical exam you observe some posterior chain lymphadenopathy and mild splenomegaly. What diagnosis should you be thinking of? Acute rheumatic fever Epstein-Barr virus Lyme disease Rocky mountain spotted fever - A...

: What is the name for an intra-articular fracture at the base of the thumb metacarpal with associated dislocation or subluxation at the carpometacarpal joint? - Bennett's fracture. 1st degree HRT block - 27-year-old previously healthy man comes to the ED with chest pain. He had a viral syndrome...

AAA screening - All men 65-75y/o who ahve ever smoked with a one time US Abnormal uterine bleeding ddx - PALM (structural) — polyp, adenomyosis, leiomyoma, malignancy COEIN (non structural) — coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, not classified Coagulopathy more commo...

A 75-year-old woman with a history of hypertension presents to the ED with right upper quadrant pain that has been gradually worsening over the past day. Her vital signs are: T 103°F, BP 100/60, HR 100, RR 22, and oxygen saturation 97% on room air. Physical exam reveals scleral icterus and right ...

A 12-year-old baseball player presents with knee pain. It occurs mainly during running the bases. Tenderness and edema are prominent about the right tibial tuberosity, and resisted knee extension is painful. The remainder of the knee examination is normal. Radiographic examination of this patient ...