Emergency Medicine Board Review: Recent Episodes
EM Board Review by Rosh Review
Launched in 2016, Roshcast Emergency Medicine Board Review is the first question and answer style emergency medicine podcast. Utilizing the time tested questions of Rosh Review, Nachi Gupta, MD and Jeff Nusbaum, MD, both Emergency Physicians in New York City, review core emergency medicine concepts to improve listeners’ performance on the boards and in the wards. Going through questions from the question bank, one by one, they dissect not only the question, but also each of the other answer choices, taking advantage of all possible learning opportunities in addition to reviewing key test-taking strategies. At the beginning of each episode, they open with a rapid review of material covered in previous episodes or on the Rosh Review blog. Then, at the end of the episode, they close out with another rapid review of topics covered during the episode. Spaced repetition at its finest. This podcast is ideal for the emergency physician, physician assistant, nurse practitioner, EMT, and medical student who works in the Emergency Department or has an interest in emergency medicine. Give it a listen….you won’t be disappointed.
Welcome to the next episode of The Reveal where we take you inside the mind of a test-taker to deconstruct and connect the dots of a board-style question so you can become a better student, transform how you learn, and excel not only on high-stakes exams, but also in your general medical knowledge. Let’s get read more...
Welcome back to RoshCast for Episode 52! For those of you taking the upcoming in-training exam, an early congratulations! All of your hard work will surely pay off soon. Remember to listen to this episode and old episodes as you get closer to the end for more review. Good luck from us at the RoshCast team!
Begin to be now what you will be hereafter.–William James
Question 1
A 64-year-old woman presents to the emergency department with a right-sided headache. Past medical history includes hypertension, migraines, and polymyalgia rheumatica. Her symptoms started three days ago and have progressively worsened. She states that this headache is different from her previous migraines. It is frontal and she describes it as an ache without radiation of symptoms. She does describe worsening of symptoms with eating as well as when she brushes her hair. She admits to feeling more tired the last couple of days as well as having partial vision loss in the right eye. She denies any nausea or vomiting. Vital signs demonstrate a temperature of 38°C but otherwise are within normal limits. Physical examination is remarkable for tenderness to palpation over the right temple and visual acuities of 20/40 OS and 20/80 OD. What is the most appropriate next step in this patient’s management?
A. Intravenous methylprednisolone
B. Obtain erythrocyte sedimentation rate and C-reactive protein to confirm the diagnosis
C. Obtain temporal artery biopsy
D. Oral prednisone
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Question 2
A 42-year-old man presents to the emergency department with lower back pain that started acutely while lifting a couch. He complains of pain radiating to the right posterolateral calf. He denies any bowel or bladder incontinence. On examination, he has decreased plantar flexion at the right ankle and numbness of the right lateral foot. Disk herniation at which level is most likely responsible for his findings?
A. L2–L3
B. L3–L4
C. L4–L5
D. L5–S1
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Question 3
Which of the following is most likely to be seen in hepatorenal syndrome?
A. Arteriolar congestion
B. Histologically normal kidneys
C. Necrosis of the renal tubules
D. Segmental sclerosis of the renal glomeruli
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Question 4
A 27-year-old man presents to the ED with left-hand pain. He was at work as an auto mechanic when he accidentally injected his left index finger with a grease gun. On physical exam, the digit is swollen with a central pinhole wound. The remainder of the hand exam is unremarkable. Which of the following will best determine the amount of tissue damage a substance will cause?
A. Chemical properties of the substance
B. The pressure of the injection
C. The temperature of the substance injected
D. The volume of the substance injected
A champion is defined not by their wins but by how they can recover when they fall.–Serena Williams
Welcome back to RoshCast for Episode 51! For those of you taking the initial certification exam, you’re at the home stretch. Remember to listen to this episode and old episodes as you get closer to the end for more review. Good luck from us at the RoshCast team! We have a great episode for you to get you prepped in your final studies!
Question 1
A 46-year-old man presents with a progressive dull headache over the past 3 weeks. It is worse in the morning and with bending over or coughing. He denies any fever or congestion. For the last two days, he has had associated nausea and three episodes of vomiting. Which of the following characteristics seen on neuroimaging would be most consistent with a glioblastoma?
A. Heterogenous mass with central necrosis
B. Lack of enhancement with administration of contrast
C. Presence of calcifications
D. Well circumscribed margins
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Question 2
A 16-year-old African American boy presents with a scalp rash. On examination, it is a 5 x 5 cm boggy and thickened area of the right parietal cap with an overlying scaly and crusty plaque and hair loss. The lesion appears yellowish-green under a Wood’s lamp. What is the treatment of choice for this lesion?
A. Clotrimazole ointment
B. Ketoconazole shampoo
C. Oral amphotericin B
D. Oral griseofulvin
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Question 3
A 22-year-old man recently diagnosed with schizophrenia presents to the ED with altered mental status. His blood pressure is 160/80 mm Hg, pulse 130 beats per minute, and temperature is 39.5°C. He is noted to be confused and diaphoretic. He has muscle rigidity and a tremor in his hands. What is the most likely diagnosis?
A. Malignant hyperthermia
B. Neuroleptic malignant syndrome
C. Serotonin syndrome
D. Tyramine reaction
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Question 4
A 21-year-old woman presents with painful urination. She has no vaginal discharge and is not sexually active. Which of the following is most sensitive for a urinary tract infection on urine dipstick testing?
A. Bacteria
B. Blood
C. Leukocyte esterase
D. Nitrites
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Question 5
Which of the following findings would be consistent with a diagnosis of tetralogy of Fallot?
A. Bounding pulses and a continuous machine-like murmur
B. Decreased pulses in lower extremities
C. Increased pulmonary vascular markings on chest radiography
D. Loud, single second heart sound with a harsh systolic murmur
A hero is someone who has given his or her life to something bigger than oneself.–Joseph Campbell
Welcome back to RoshCast for Episode 50! Wow!! We can’t believe we’re already at Episode 50. It’s been a real journey building this podcast from the original concept two years ago. And in the last year, we have seen some pretty big changes, including Megha joining the team. We are excited to see how RoshCast continues to evolve over the next fifty episodes and two years.
None of this would be possible without you, our listeners. Your listenership and feedback is what drives us to keep delivering high-quality content! We value every moment you give your attention to us, and we try our best to design the episode to maximize your learning. We have a pretty involved process for choosing questions to present to you and for how we manipulate and deliver the content before we get it to your ears.
With that, let’s kick off a great episode!
Question 1
A 70-year-old woman with history of coronary artery disease, hypertension, and diabetes presents to the emergency department with chest pressure and shortness of breath. Her exam is notable for a new holosystolic murmur best heard over the midaxillary line as well as diffuse bilateral rales. Which of the following is most likely to be seen on this patient’s ECG?
A. Biventricular tachycardia
B. S1Q3T3 pattern
C. ST-depressions in I, V6, and aVL without ST-elevations
D. ST elevations in II, III, aVF
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Question 2
A 26-year-old woman with no medical history presents with bleeding gums after brushing her teeth for the last three days. Her complaint was preceded two weeks ago by a URI. Her examination is unremarkable except for oozing from the gums. Labs show a platelet count of 23,000. Which of the following is the most appropriate next step in management?
A. IV immunoglobulin
B. Platelet transfusion
C. Steroids, IV immunoglobulin
D. Steroids, IV immunoglobulin, and platelet transfusion
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Question 3
Which of the following is most suggestive of measles infection?
A. A prodrome of fever, lymphadenopathy, and conjunctivitis followed by a maculopapular rash that starts on the face and spreads to the trunk and limbs
B. Diffuse maculopapular rash with white spots on the buccal mucosa
C. High fever for three days followed by the appearance of a pink maculopapular rash after defervescence
D. Presence of shallow ulcers on oral mucosa and vesicular lesions on the palms and soles
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Question 4
A 23-year-old man who has unprotected, receptive anal intercourse presents to the ED with two weeks of worsening rectal pain and dyschezia. On exam, he has numerous ulcers in the anorectal area and a crop of grouped vesicles containing clear fluid on an erythematous base. The surrounding skin shows no sign of cellulitis or abscess.
Life is like riding a bicycle. To keep your balance, you must keep moving.–Albert Einstein
Welcome back to RoshCast for Episode 49! We have a lot of exciting material in this episode. Definitely don’t skip this one! For those taking the initial certification exam, it’s just around the corner. Go back and listen to old episodes and review.
Question 1
A 14-year-old boy developed an itchy, painful, erythematous rash on his hands, forearms, and face about a day after hiking in nearby woods with some friends. Your exam shows linear erythematous papules over his forearms with similar swelling and erythema around his eyes (including eyelids), cheeks, and forehead. You suspect poison ivy that he reports he has had in the past. Which of the following is most likely to improve the course of his illness?
A. Oral diphenhydramine every six hours
B. Three-week prednisone taper
C. Topical 1% hydrocortisone three times daily
D. Topical calamine lotion twice daily
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Question 2
Which of the following patients will benefit most from receiving tissue plasminogen activator for acute pulmonary embolism detected in the emergency department?
A. 55-year-old man with a history of hypertension with vital signs showing HR 100/min, BP 80/40 mm Hg, R 24/min, and oxygen saturation 92%
B. 55-year-old man with a history of hypertension with vital signs showing HR 145 bpm, BP 136/86 mm Hg, R 24/min, and oxygen saturation 92%
C. 55-year-old woman with a history of hypertension and systemic lupus erythematosus with vital signs showing HR 100 bpm, BP 116/86 mm Hg, R 24/min, and oxygen saturation 85%
D. 55-year-old woman with a history of hypertension with vital signs showing HR 110 bpm, BP 122/80 mm Hg, R 24/min, and oxygen saturation 92% with evidence of right ventricular dysfunction on echocardiogram
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Question 3
A 55-year-old woman presents to the emergency department unresponsive. She and her friend had finished eating 60 minutes earlier when the patient collapsed to the floor while talking. Which of the following foods is most likely the cause?
A. Apricot kernels
B. Fava beans
C. Peanuts
D. Poppy seeds
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Question 4
Which of the following is due to the intense thermal radiation seen in lightning strikes?
A. Cataract formation
B. Hypertension and tachycardia
C. Mydriasis
D. Tympanic membrane rupture
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Question 5
A 32-year-old woman with no past medical history presents to the emergency department with a four-day history of bloody diarrhea and abdominal cramping. She states that her boyfriend is having similar symptoms but did not want to come ...
Success is not final, failure is not fatal: it is the courage to continue that counts.–Winston Churchill
Welcome back to RoshCast for Episode 48! We’re going to jump right into questions this week. Remember to send us feedback for any changes you would like to see at roshcast@roshreview.com.
Question 1
An 8-year-old previously healthy boy presents with back pain and fever for 4 days. He complains of pain in the low back, which is increased with bending or twisting. The pain radiates down into his left leg. He denies trauma. Physical exam is remarkable only for tenderness to palpation over the lumbar spine. What management is indicated
A. Ibuprofen and follow up with his pediatrician
B. MRI of the lumbar spine
C. Plain radiographs of the lumbar spine
D. Urinalysis
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Question 2
A 40-year-old man is brought to the emergency department after being assaulted during a bar fight. He has proptosis of the right eye with a measured intraocular pressure of 50 mm Hg. A lateral canthotomy is started. Once the Kelly clamp is released from the lateral canthus, what is the appropriate next step?
A. Clamp the medial canthus
B. Cut the inferior crus of the lateral canthal tendon
C. Cut the superior crus of the lateral canthal tendon
D. Recheck intraocular pressure
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Question 3
A 25-year-old man presents to the emergency department after sustaining burns to the hands, legs, and chest after falling into a bonfire. On physical examination, there are partial-thickness burns on the upper half of the anterior torso along with the bilateral palms of the hands and bilateral anterior legs. He weighs 70 kg. You begin to initiate fluid resuscitation using the Parkland formula. How much fluid should this patient receive in the first eight hours?
A. 10,640 mL
B. 4,060 mL
C. 5,320 mL
D. 8,120 mL
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Question 4
A 64-year-old man presents to the emergency department with cough and shortness of breath that has progressively been worsening over the last several weeks. He has also been more fatigued and is unable to get around the house anymore. He denies fever and night sweats. He has a past medical history of hypertension and takes lisinopril daily. He is an immigrant from Argentina where he used to work as a miner. He denies tobacco use. What is the most likely diagnosis based on this chest radiograph?
A. Histoplasmosis
B. Miliary tuberculosis
C. Pneumoconiosis
D. Sarcoidosis
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If you fell down yesterday, stand up today. –H. G. Wells
Welcome back to RoshCast for Episode 47! Let’s kick off this episode with a review of Neisseria meningitides, an important topic for clinical practice and personal safety.
- Neisseria meningitides is highly contagious and antibiotic prophylaxis is indicated for close contacts of an infected patient, including those in contact with secretions as well as members of the same household or daycare center. Healthcare workers with close contact with the patient’s secretions should also receive prophylaxis. There are three options for prophylaxis: * Rifampin is administered at a dose of 10 mg/kg with a max dose of 600 mg every 12 hours for 4 doses, and this is 100% effective as far as we know. Ceftriaxone 250 mg IM can be given for 1 dose, which is 97–100% effective. The least effective option is Ciprofloxacin 500 mg PO for 1 dose, and that’s 90–95% effective. * Even though rifampin is the most effective, be wary of its side effects, which include turning secretions like tears and urine orange. Contact lens wearers should be warned of permanent staining.
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Now onto this week’s podcast
Question 1
A 33-year-old woman presents to the ED with agitation and severe respiratory distress. She has been taking a significant amount of “pain medication” for low back pain, according to her son. The patient is screaming about her “ears ringing.” Vital signs are BP 100/60 mm Hg, HR 140 beats per minute, RR 35 breaths per minute, and T 100.1°F. Which of the following complications is she at risk of developing?
A. Hemodynamically significant lower gastrointestinal bleeding
B. Increased intracranial pressure
C. Noncardiogenic pulmonary edema
D. Urinary retention requiring catheterization
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Question 2
Which of the following is associated with carbon monoxide poisoning?
A. Bilateral basal ganglia hypodensities
B. Elevated pH
C. Low PO2
D. Odor of bitter almonds
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Question 3
A 62-year-old woman presents to the emergency department with dizziness. She describes the events as a spinning sensation that is worse with position changes. The dizziness is associated with hearing loss as well as tinnitus and vomiting. She notes it started three days ago and that she has had multiple episodes all lasting less than a day since that time. On physical examination, horizontal nystagmus is present as is decreased hearing on the left. The remainder of the ear and neurologic examination is within normal limits. A head CT and brain MRI are performed and are negative. Which of the following is the most likely diagnosis?
A. Acoustic neuroma
B. Labyrinthitis
C. Meniere disease
D. Vestibular neuritis
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Only those who dare to fail greatly can ever achieve greatly.–Robert F. Kennedy
Welcome back to RoshCast for Episode 46! Let’s kick off this episode with a rapid review of molluscum contagiosum.
- Molloscum contagiosum is caused by poxvirus. It is seen in children, sexually active adults, and immunocompromised patients like those with HIV. The rash presents as painless, pearly, umbilicate papules, and it is spread by direct skin-to-skin contact. Children present with lesions on the face, trunk, and extremities, whereas sexually active adults can present with lesions in the genital regions, lower abdomen, and thighs. The rash tends to spare the palms and soles. Most patient will not require therapy with spontaneous resolution occurring in months. Those with extensive lesions may benefit from cryotherapy. HIV positive patients with a CD4 count less than 100 are at greater risk for developing molluscum contagiosum.
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Now onto this week’s podcast
Question 1
Which of the following organisms is one of the most commonly implicated in the development of a lung abscess?
A. Klebsiella pneumoniae
B. Peptostreptococcus
C. Staphylococcus aureus
D. Streptococcus pneumoniae
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Question 2
A 26-year-old man presents to the ED after being hit in the head by a foul baseball. The patient was initially alert and talking to you. He is now becoming progressively more somnolent. Which of the following would you expect to see on a non-contrast computed tomography scan of the head?
A. A collection of blood layering in the basilar cisterns
B. A crescent-shaped frontal hematoma crossing suture lines
C. A lenticular-shaped hematoma in the temporal region
D. An intraparenchymal hemorrhage within the frontal lobe
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Question 3
A 55-year-old man who is taking several antihypertensive medications presents to the ED with nausea, vomiting, shortness of breath, and a rash after eating a home-cooked Thai meal at a friend’s house about one hour ago. The symptoms began within seconds of the first bite of his meal. Despite the patient being administered 2 doses of intramuscular epinephrine, diphenhydramine, dexamethasone, and crystalloid fluids, his blood pressure remains at 75/38 mm Hg. Which other medication should be considered in this patient?
A. Cimetidine
B. Glucagon
C. Norepinephrine
D. Octreotide
Question 4
A 36-year-old man presents to the ED after having a seizure. He has a folder full of medical records dating back 15 years. Several of the records are from other cities and states. It is now 11:00 pm on a Friday night. His primary care physician, neurologist, and psychiatrist are “out of town,” and he believes that he needs to be admitted for the duration of the weekend. He has another episode in the ED and immediately following this he returns to his baseline.
There is only one corner of the universe you can be certain of improving, and that’s your own self.–Aldous Huxley
Welcome back to RoshCast for Episode 45! Let’s start out with a review of rabies before getting to core content Q&A.
- The most common wild reservoirs of rabies are raccoons, skunks, bats, foxes, and coyotes. Domestic animals like cats, dogs, and cattle can also get rabies. Rodents, reptiles, and birds on the other hand are not carriers and cannot transmit rabies. One important factor in deciding if you get rabies postexposure prophylaxis is whether the animal can be found and held for observation. The rabies postexposure prophylaxis has two parts: the immunoglobulin and the vaccine.* When giving rabies postexposure prophylaxis, inject the immunoglobulin into the wound and start the rabies vaccine series which the patient will receive on days 1, 3, 7, 14, and 28.
Now onto this week’s podcast
Question 1
Which of the following is true regarding acute respiratory distress syndrome?
A. Define as PaO2:FiO2 > 300
B. Empiric corticosteroids should be given
C. Positive end-expiratory pressure should be increased with increases in FiO2
D. Tidal volume should be started at 10 mL/kg in intubated patients
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Question 2
A 35-year-old man presents to the ED after being assaulted in a bar fight. He has signs of significant facial trauma. On physical exam, you note a tooth fracture through the enamel and dentin but does not involve the pulp. Which of the following is the most appropriate next step in management of his dental injury?
A. Calcium hydroxide paste
B. Extract the tooth
C. Immediate dental consult
D. Pencillin VK
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Question 3
A 62-year-old man presents with acute onset of chest pain with radiation to the shoulders and nausea while walking his dog. On examination, he is diaphoretic with heart rate 94 bpm, respiratory rate 20 bpm, blood pressure 92/59 mm Hg, and oxygen saturation 96% on room air. His ECG reveals 2 mm elevation in aVR. Occlusion of which coronary artery is most likely responsible for this patient’s presentation?
A. Left anterior descending artery
B. Left circumflex artery
C. Left main coronary artery
D. Right coronary artery
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Question 4
A 62-year-old man presents for evaluation of chest pain. Approximately three weeks ago the patient had a myocardial infarction with stent placement. Last evening he developed pleuritic chest pain and fever. He has no cough and does not feel short of breath. His ECG is shown above. Which of the following is the most likely diagnosis?
A. Dressler syndrome
B. Infarct pericarditis
C. Left ventricular aneurysm
D.
By failing to prepare, you are preparing to fail. –Benjamin Franklin Welcome back to RoshCast for Episode 44! We are back to an every other week schedule covering core content. Let’s start out with a rapid review of neonatal conjunctivitis. The three dangerous causes of neonatal conjunctivitis that you need to consider in the ED read more...
Always do your best. What you plant now, you will harvest later.–Og Mandino
Welcome back to RoshCast for Episode 43! After a long pause, we are back with new episodes and a lot of announcements. A lot has happened in the past few months. Jeff had a baby and moved to Pittsburg to start his EMS fellowship. In doing so, he is taking a break from Roshcast to focus on fellowship and his new baby. Megha Rajpal, a fourth-year resident at Mount Sinai, will be taking over as co-host.
- For epiglottitis, the patient will usually have a rapid-onset fever and dysphagia. On exam, they could be leaning forward, drooling, and even have inspiratory stridor. The typical radiographic finding for epiglottitis is thumbprint sign, which is seen on a lateral neck film. The most common bacteria associated with epiglottitis are H. influenzae and Streptococcus.* For management in epiglottitis, airway is the crucial piece. Patients may need to be intubated immediately. Don’t forget to start the patient on antibiotics to treat for the common pathogens.
Now onto this week’s podcast
Question 1
Which of the following is the most common presenting vital sign abnormality seen in patients presenting with a pulmonary embolism?
A. Fever
B. Hypoxia
C. Tachycardia
D. Tachypnea
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Question 2
A 72-year-old man presents with pain in the right knee. It has increased over the last 24 hours with redness and swelling. Joint aspiration reveals negative birefringent crystals. He reports an allergy to NSAIDs and is a brittle diabetic. Colchicine is prescribed. Which side effect limits its usefulness due to a narrow therapeutic window?
A. Headache
B. Nausea and vomiting
C. Rash
D. Sore throat
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Question 3
A patient presents to the ED after waking up and finding that he was drooling while drinking his coffee. When he looked in the mirror he noticed that the left side of his face was drooping. Which of the following findings is suggestive of a central process?
A. Hyperacusis of the left ear
B. Inability to close the left eye completely
C. Loss of taste sensation
D. Preserved ability to raise the eyebrows
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Question 4
Which of the following is considered a stable cervical spine injury?
A. Bilateral facet dislocation
B. Clay-shoveler’s fracture
C. Hangman fracture
D. Teardrop fracture
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Question 5
A 28-year-old man presents to the emergency department via ambulance after a terrorist set off a large bomb in an airport. On physical exam,
As we mentioned at the end of episode 38, this won’t be a regular old RoshCast. Instead of our regularly scheduled content, we put together an interview with Dr. Adam Rosh - the namesake of the Rosh Review, former program director,
People who are crazy enough to think they can change the world, are the ones who do. -Rob Siltanen Welcome back to Roshcast Episode 33! This episode marks an incredible milestone for Roshcast. Exactly 365 days ago, Roshcast was born (Apgars 7 and 9). It is wild to look back and think about how much read more...
The post Podcast Ep 33: Heart Block, Hypothermia, Bullous Myringitis, & More appeared first on RoshReview.com.
Somewhere, something incredible is waiting to be known. -Sharon Begley Welcome back to Roshcast Episode 32! We are returning to our regular format – letting the question back randomly generate this week’s material. We will have another collaborative episode with the EM Clerkship podcast soon. We start this episode off with another rapid review based on read more...
The post Podcast Ep 32: Iron Overdose, Fundal Height, Serotonin Syndrome, & More appeared first on RoshReview.com.
The only journey is the one within. -Rainer Maria Rilke Welcome back to Episode 31! We are continuing our collaborative effort with the EM Clerkship podcast, focusing this week on tachydysrhythmias in addition to a mixture of random topics. We start the episode off with another rapid review of a few of the recent blog read more...
The post Podcast Ep 31: Ventricular Fibrillation, Traumatic Brain Injury, & More appeared first on RoshReview.com.
Only I can change my life. No one can do it for me. -Carol Burnett Welcome back to Episode 30! First, we must congratulate Sean for winning the trauma ring tone challenge by being the first to respond after the episode release. An honorable mention goes out to Nich and Dhinakar. Stay tuned for future read more...
The post Podcast Ep 30: Status Epilepticus, Isoniazid Toxicity, Hyponatrem appeared first on RoshReview.com.
Success is the sum of small efforts, repeated day in and day out. -Robert J. Collier Welcome back to Episode 29! This week we are starting out with a bit of psychiatry before swinging over to the Pediatric ER for a quick neonatal resuscitation. We may even stop by the trauma bay to see what read more...
The post Podcast Ep 29: Personality Disorders, Neonatal Resuscitation & More appeared first on RoshReview.com.
Welcome back to Episode 28! We are already well into intern year. Remember it is a roller coaster, with ups and downs, but in the end, you will really appreciate just how far you have come. This week we start off with a quick ophthalmology review and then dive into the new material, covering ob/gyn, pediatric dermatology, torsades de pointes and much more. Let's get started.
The post Podcast Ep 28: Vaginal Bleeding, DSM-V, & More appeared first on RoshReview.com.
It is during our darkest moments that we must focus to see the light. -Aristotle Welcome back to Episode 27 and a big welcome to all the new interns who are only about 1 week into residency! We hope you find Roshcast to be easy to listen to and helpful in your education. As we read more...
The post Podcast Ep 27: Hyperkalemia, Blast Injuries & More appeared first on RoshReview.com.
There are two ways of spreading light: to be the candle or the mirror that reflects it. -Edith Wharton Welcome back to Episode 26! Remember to listen for a trauma ring tone and if you hear one send us the time via email or tweet us @Roshcast with the time you hear it. This week, read more...
The post Podcast Ep 26: Retinal Detachment, Meningitis, Chicken Pox & More appeared first on RoshReview.com.
Welcome back to Episode 25 -- our silver anniversary episode! It was great connecting with a few listeners recently at SAEM. At the beginning of this week’s episode, we announced a new contest – be the first to tweet to us (@Roshcast) or email (Roshcast@roshreview.com) the exact time in episodes 26-30 that you hear a trauma phone ring tone to win a 30-day subscription to Rosh Review! First, let us get started with a rapid review covering fish poisonings.
The post Podcast Ep 25: Acute Mountain Sickness, Hyperthyroidism, & More appeared first on RoshReview.com.
Shoot for the moon and if you miss you will be among the stars. -Les Brown Welcome back to Episode 24! We are coming to you live from Orlando at SAEM this week. Ok, it is not exactly live, but we are launching this episode from Orlando. Although the venue has changed, we have the read more...
The post Podcast Ep 24: Preeclampsia, Scombroid, Influenza, HACE, & More appeared first on RoshReview.com.
Welcome back to Episode 23! It was great running into a few listeners at CORD last week and hearing your feedback. This week, we start off with an OB/GYN related pharmacology review before jumping into the new material. Hope you enjoy!
The post Podcast Ep 23: Multiple Sclerosis, SIRS, BRUEs, Pericarditis, & More appeared first on RoshReview.com.
Welcome back to Episode 22! This week, we have some bread-and-butter emergency medicine with a lot of deeper learning points, so pay close attention as you listen through. Let’s start out with a review of pediatrics before we jump into the new material.
The post Podcast Ep 22: Pneumothorax, Vaginal Bleeding, & More appeared first on RoshReview.com.
Welcome back to Episode 21! We are all over the place this week, tackling topics from orthopedics to electrolyte abnormalities. Thanks to our listeners for the excellent feedback. Keep it coming to roshcast@roshreview.com. Let's get started with a quick neurology rapid review from prior episodes!
The post Podcast Ep 21: Galeazzi Fractures, Malnutrition, & More appeared first on RoshReview.com.
As knowledge increases, wonder deepens. -Charles Morgan Welcome back to Episode 20! We have a great episode lined up for you this week, again covering topics that run the gamut of Emergency Medicine. We are excited to say that we have covered over 100 questions in approximately five hours of Roshcast over six months! As always, read more...
The post Podcast Ep 20: Cocaine Chest Pain, Migraines, Hypothermia, & More appeared first on RoshReview.com.
Knowing is not enough; we must apply. Willing is not enough; we must do. -Johann Wolfgang von Goethe Welcome back to episode 19! We are certainly relieved to have this year’s in-training exam behind us, and we are sure you are too. We hope you recognized some of the content we reviewed in episodes 1-15 read more...
The post Podcast Ep 19: Anaphylaxis, Diabetic Ketoacidosis, & More appeared first on RoshReview.com.
Welcome back to Episode 18! This is the last and final rapid review before the In-Training Exam! Remember to pause the podcast as you go through the review and quiz yourself. Let’s get started with Ob/GYN.
The post Podcast Ep 18: In-Training Exam Review (3 of 3) OB/GYN & More appeared first on RoshReview.com.
Welcome back to Episode 17! This is part 2 of the 3 part ITE rapid review series. In Episode 16, we covered abdominal emergencies, cardiovascular emergencies, cutaneous emergencies, endocrine emergencies, and environmental emergencies. Today we jump right in with HEENT emergencies. Let’s get started!
The post Podcast Ep 17: In-Training Exam Review, Nervous System, & More appeared first on RoshReview.com.
Welcome back to Episode 16! With the In-training exam next week, we are doing things a little different this week. Instead of covering new material before the exam, we are launching three episodes, back to back, reviewing the most high-yield points that we have covered so far, organized by topic. We think this extra layer of spaced repetition will help you gain a few extra points during your test. We have set it up in a quiz format, so you can pause the podcast as you go along.
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Welcome back to episode 15! As promised, we are back to our weekly episodes leading into the ITE. We start this week with a rapid review of some of the infectious disease high-yield points that we have covered in the past few months, and then we dive right into the new material. Stay tuned for some comical outtakes at the end of the podcast for an inside look at the recording of Roshcast. We think you will enjoy it. Let’s get on with the rapid review.
The post Podcast Ep 15: BNP, Pneumothorax, Angioedema, & More appeared first on RoshReview.com.
Welcome back to Episode 14! After a short break for Jeff’s honeymoon, we are back this week with more high-quality review. We have weekly episodes in the works to keep you motivated. Take note of a small change to the format this week - after each question, you will hear a one-second pause to contemplate the answer or to pause the podcast to give you even more time. We made this change in response to listener feedback; keep more feedback coming to Roshcast@roshreview.com.
The post Podcast Ep 14: Otitis Media, Hemophilia, Frostbite, & More appeared first on RoshReview.com.
Welcome back to lucky Episode 13! We will start with a cardiology review based on teaching points from prior episodes. Then, we will take you through some new topics from orthopedics to burns.
The post Podcast Ep 13: Shoulder Dislocations, GERD, Burns, Ethanol Abuse, & More appeared first on RoshReview.com.
Welcome back to Episode 12! This week we once again continued our theme based review. We focused on a few high-yield bites and envenomation. This material is easy to gloss over since we do not come across it too often clinically. Not only will this prepare you at the bedside, but it will also help you pick up a few easy points on the In-Training Exam, which, by the way, is right around the corner.
The post Podcast Ep 12: Drownings, Geriatrics, Bowel Obstruction, & More appeared first on RoshReview.com.
Welcome back to Episode 11! Hope you all had a fantastic holiday and New Year’s break. With the In-Training Exam (ITE) just a few months away, it is time to kick the studying into high gear! We changed the brief initial Rapid Review to cover topics from all prior episodes for better spaced repetition. In this episode, we go over important mnemonics. Consider pausing the podcast briefly and quizzing yourself as you are listening. Do not forget to check out the blog for the other episodes as well as a few new Rosh Quizzes. Lastly, learn some tricks from the high-scoring test-taker Ryan Ribeira, MD.
The post Podcast Ep 11: SVC Syndrome, Metabolic Acidosis, ROSC, & More appeared first on RoshReview.com.
Welcome back to episode 10! This week we review some key ophthalmologic findings with excellent teaching images for you to see. We also hit the lung, the joints, the extremities and even spend time on scorpions, snakes, and spiders.
The post Podcast Ep 10: Gout, Glaucoma, Bronchitis, Spider Bites, & More appeared first on RoshReview.com.
Welcome back to episode 9! This week we review many high yield associations such as organisms and valvular endocarditis. The episodes are short and sweet, so you can even listen twice! We will start this week’s episode off with a Rapid Review of the previous week’s highlights. Be sure to listen to last week’s episode if you missed it.
The post Podcast Ep 9: Pneumonia, Endocarditis, Colchicine Toxicity, Herpes Zoster, & More appeared first on RoshReview.com.
Welcome back to episode 8! With Thanksgiving behind us, let’s keep up the momentum as the In-Training Exam is right around the corner. Here is a sneak peak into the category breakdown established by ABEM for the ITE. Roshcast episodes are 10-15 minutes long so you can focus on a few topics at a time without feeling overwhelmed. The short duration of each episode also allows you to go back and review episodes you may have missed or want to reinforce.
The post Podcast Ep 8: Pneumonia, Herpes Zoster, Lung Ultrasound & More appeared first on RoshReview.com.
Welcome back to another episode of Roshcast. This is Episode 7 and we'll be talking about Rh immunoglobulin, dystonic reactions, chemical-induced corneal Burns, medication-induced hypoglycemia, vaginal candidiasis, ocular Trauma and much more. The In-Training exam is 92 days away. By consistently studying a little every week and identifying your weaknesses, you can increase your In-Training score by 10 points.
The post Podcast Ep 7: Hypoglycemia, Vaginal Candidiasis, Corneal Burns, & More appeared first on RoshReview.com.
Welcome back to another episode of Roshcast. Last week's episode included a new intro Rapid Review...let us know what you think of it. This podcast is fluid, and we are open to making changes that would best suit our listeners’ learning styles. In this episode we cover important topics including bupivacaine toxicity, iron overdose, pancreatic cancer, erythema nodosum, ovarian torsion, EBV infection… and much more. Enjoy.
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Welcome back to another episode of Roshcast. This week are are adding a new level of spaced repetition by doing a brief review of the previous week's key take away points before diving into the new material. In this episode we cover important topics including ketamine, Bell's palsy, tachydysrhythmias, jellyfish sting, type I error, meningitis prophylaxis, and postpartum hemorrhage. Enjoy.
The post Podcast Ep 5: Neisseria meningitidis, Bell’s Palsy, Peripartum Hemorrhage, & More appeared first on RoshReview.com.
We are back with a quick dose of high quality, high yield emergency medicine board review. Episode 4 touches on Ascending cholangitis, NEXUS, SSS, Subarachnoid hemorrhage, Anticholinergic syndrome, Lead poisoning...and many mnemonics.
The post Podcast Ep 4: Mnemonics, SSS, Subarachnoid Hemorrhage, & More appeared first on RoshReview.com.