Exam (elaborations)

Rosh Internal Medicine Boost 121 Exam EOR Q&A: Everything You Need to Know|71 Pages

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Rosh Internal Medicine

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Rosh Internal Medicine

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Uploaded on November 23, 2024
Number of pages 71
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

rosh internal medicine boost eor

Institution Rosh Internal Medicine
Course Rosh Internal Medicine

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A 24-year-old man presents to the emergency
department with fever and chills, right upper quadrant
pain, and jaundice. Abdominal ultrasound shows dilation
of the common bile duct. What is the most likely
diagnosis?
AAcute cholangitis
BAcute cholecystitis
CAcute hepatitis
DCholelithiasis - ✔ ✔ A acute cholangitis
A 50-year-old man with a body mass index of 52 kg/m²
presents to the clinic complaining of daytime sleepiness
and dyspnea on exertion. His peripheral oxygen
saturation on room air is 93%. Further testing reveals
obesity hypoventilation syndrome with concurrent
obstructive sleep apnea. The patient is put on a weight
loss regimen which includes diet and exercise. In

,addition, which of the following is the best choice for
initial therapy in this patient?
ANocturnal bilevel positive airway pressure
BNocturnal continuous positive airway pressure
COral theophylline dosed every twelve hours
DTwenty-four hour supplemental oxygen - ✔ ✔ B
nocturnal continuous positive airway pressure
A 52-year-old man presents to the emergency
department for dyspnea and cough for the past day that
has progressively worsened. The cough is nonproductive,
and he describes it as an urge to cough when he feels he
is unable to catch his breath. He also has chest pain on
the right side when he takes a deep breath. He had knee
replacement surgery 1 week ago without any
complications. Medical history includes obesity, diabetes,
and hypertension. Medications include metformin,
lisinopril, metoprolol, and hydrochlorothiazide. Allergy
history includes a documented severe anaphylactic
reaction to iodinated contrast. Review of systems is
positive for dyspnea, cough, and chest pain and negative
for sputum production, fever, congestion, rhinorrhea,

,gastrointestinal, or genitourinary symptoms. He is
afebrile, blood pressure is 130/80 mm Hg, pulse is 106
beats/min, respiratory rate is 16/min, and oxygen
saturation is 94%. Physical - ✔ ✔ D ventilation-
perfusion scan
A 52-year-old man with a history of hepatitis B presents
with complaints of fever, weakness, and pain in his right
thigh and knee. He reports a 25-pound weight loss over
the past three months. Physical examination reveals
patchy, well demarcated reticular rash and palpable
tender lumps over the lower extremities. Foot drop is
noted as well. Immunofluorescence testing for
antineutrophil cytoplasmic antibodies is negative. Renal
biopsy reveals inflammation of the medium-sized
arteries as well as polymorphonuclear cells. Which of the
following is the most likely diagnosis?
AEosinophilic granulomatosis with polyangiitis
BGranulomatosis with polyangiitis
CHenoch-Schönlein purpura
DPolyarteritis nodosa - ✔ ✔ D polyarteritis nodosa

, A 53-year-old patient presents to your clinic with a chief
complaint of persistent hematuria. Further workup
reveals a mass in the left kidney consistent with renal cell
carcinoma. Which of the following is a significant risk
factor for the development of renal cell carcinoma?
AAlcohol intake
BFemale sex
CLow body mass index
DSmoking - ✔ ✔ D smoking
thickening. Which of the following is the most likely
diagnosis?
AAsthma
BBronchiectasis
CChronic bronchitis
DEmphysema - ✔ ✔ B bronchiectasis
A 24-year-old woman is admitted to the intensive care
unit after developing thyroid storm status post
appendectomy and is being treated with

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Exam (elaborations)

Rosh Internal Medicine Boost 121 Exam EOR Q&A: Everything You Need to Know|71 Pages

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