The purpose of The Rosh Reveal is to get inside the mind of the test taker and understand the thought process in answering difficult board-style questions correctly. In essence, we will identify the clues given to us in a question, connect how they are related, and use them to arrive at the correct answer. I see The Rosh Reveal as the missing ingredient to studying and excelling on high-stakes exams. We know that multiple choice questions are the cornerstone to retrieval practice - a powerful strategy to improve learning. And if we layer on the Rosh Reveal - which takes you inside the mind of the test-taker, 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. Are you ready to join me on this educational endeavor? Let’s go.
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 started.
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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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,
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 started.
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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Family Nurse Practitioner: FNP Certification Exam
Emergency Nurse Practitioner: ENP Certification Exam
Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics:
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 started.
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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PA: Didactics, Rotation Exams, PANCE, PANRE
Family Nurse Practitioner: FNP Certification Exam
Emergency Nurse Practitioner: ENP Certification Exam
Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam,
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 started.
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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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
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 started.
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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PA: Didactics, Rotation Exams, PANCE, PANRE
Family Nurse Practitioner: FNP Certification Exam
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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
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 started.
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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Family Nurse Practitioner: FNP Certification Exam
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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
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 started.
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
Family Medicine: In-Training Exam, Certification Exam
Pediatrics: In-Training Exam,
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 started.
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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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,
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 started.
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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Family Nurse Practitioner: FNP Certification Exam
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Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics:
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 started.
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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Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics:
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 started.
A 42-year-old man with a history of alcohol abuse presents with severe abdominal pain and vomiting following an alcohol binge. Lab values are as follows: WBC 14,000, Hgb 10, platelets 98, lipase 9000, AST 200, ALT 107, T. bill 1.6, Na 134, K 5.1, Cr. 3.1, and glucose 313. Which of the following lab values is associated with increased mortality?
A) AST of 200
B) Creatinine of 3.1
C) Glucose of 313
D) Lipase of 9000
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Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics: In-Training Exam,
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 started.
An 81-year-old man with a history of atrial fibrillation presents with abdominal pain. He fell two weeks ago and was advised to stop his anticoagulation medication after the fall. He reports diffuse, severe abdominal pain but is minimally tender on examination. He has symmetric pulses in his extremities. What is the most likely anatomic location of his pathology?
A) Aortic bifurcation
B) Celiac trunk
C) Inferior mesenteric artery
D) Superior mesenteric artery
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Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics: In-Training Exam,
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 started.
A 61-year-old woman with no past medical history or family history or heart disease presents with a trimalleolar ankle fracture after a fall. As part of her preoperative workup, an electrocardiogram is obtained. A portion of the rhythm strip is shown above. Which of the following is the most appropriate?
A) Administer intravenous calcium chloride, insulin, glucose, and sodium bicarbonate
B) Order serial cardiac biomarkers and admit to cardiology
C) Place transcutaneous pacer pads and make arrangements for a transvenous pacemaker
D) Reassure the patient and the orthopedic surgeon that no treatment is necessary
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Family Nurse Practitioner: FNP Certification Exam
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Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
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 started.
Which of the following is a known complication of chronic lithium toxicity?
A) Diabetes mellitus
B) Hypoparathyroidism
C) Nephrogenic diabetes insipidus
D) Syndrome of inappropriate antidiuretic hormone
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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,
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 started.
Which of the following patients presenting to the emergency department with suicidal ideation would be considered highest risk for completed suicide if released from the department?
A) A 25-year-old African American man who reports depression in the setting of a recent break-up with his girlfriend
B) A 35-year-old white woman with a history of schizophrenia who has not been compliant with her medications
C) A 50-year-old white man who works as a physician and has been diagnosed with severe depressive disorder
D) A 60-year-old married, African American woman with cancer who is tired of her chemotherapy and is ready for “it all to end”
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Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
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 started.
What is the most likely cause of acute anemia in an African-American patient with HIV infection who recently began pneumocystis pneumonia prophylaxis?
A) Glucose-6-phosphate-dehydrogenase (G6PD) deficiency
B) Hereditary spherocytosis
C) Paroxysmal nocturnal hemoglobinuria
D) Pyruvate kinase deficiency
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Family Nurse Practitioner: FNP Certification Exam
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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:
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 started.
A 44-year-old woman presents to the Emergency Department with one week of crampy abdominal pain that is worse after she eats. She denies alcohol consumption or tobacco abuse. On physical examination, she is overweight and has epigastric and right upper quadrant abdominal tenderness to palpation. Which of the following examination findings is most consistent with cholecystitis?
A) Epigastric rebound tenderness
B) Gray-Turner sign
C) Inspiratory arrest with right upper quadrant palpation
D) Right scapular tenderness
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Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics: In-Training Exam,
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 started.
A 67-year-old man with a history of hypertension and diabetes mellitus presents to the emergency department with sudden onset of left leg weakness. His examination is notable for 3/5 strength in his left lower extremity as well as diminished sensation over his left toes, foot, and leg. He has a flat affect and appears slow in his speech. Which of the following vascular territories is most likely affected in this patient?
A) Left lenticulostriate arteries
B) Left posterior cerebral artery
C) Right anterior cerebral artery
D) Right middle cerebral artery
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Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics:
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 started.
A 6-year-old boy with a past medical history of glucose 6-phosphate dehydrogenase deficiency presents to the Emergency Department for a cough associated with vomiting. His parents state that he has been coughing every day for the last week. He is unimmunized but otherwise healthy. He appears well on exam with a dry cough and occasional wheezes. His laboratory workup reveals a leukocytosis with lymphocytic predominance and a chest X-ray with peribronchial thickening. Based on the suspected diagnosis, which of the following is the most appropriate therapy at this time?
A) Ampicillin-sulbactam
B) Azithromycin
C) Ertapenem
D) Trimethoprim-sulfamethoxazole
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Family Nurse Practitioner: FNP Certification Exam
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Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
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 started.
A 41-year-old man with a long history of alcohol abuse presents to the ED with several weeks of worsening shortness of breath and lower extremity edema. An echocardiogram shows biventricular chamber enlargement, increased systolic and diastolic volumes, and an ejection fraction of 35 percent. What is the most likely diagnosis?
A) Dilated cardiomyopathy
B) Hypertrophic cardiomyopathy
C) Pericardial effusion
D) Pulmonary embolism
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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:
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Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics: In-Training Exam,
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 started.
A 44-year-old man with systemic lupus erythematosus presents to the ED with chest pain and dyspnea. Vital signs are notable for tachycardia and hypotension with a narrow pulse pressure. Bedside ultrasound confirms a large pericardial effusion with collapse of the right ventricle during diastole. Which classic electrocardiogram findings are associated with this disease process?
A) Delta wave and shortened PR interval
B) Diffuse ST elevation
C) Low voltage and electrical alternans
D) S wave in lead I and a Q wave and inverted T wave in lead III
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Family Nurse Practitioner: FNP Certification Exam
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Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics:
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 started.
A 50-year-old woman presents to the Emergency Department following a syncopal episode. On physical exam she is diaphoretic. She is alert and oriented. Her blood pressure is 95/50 mm Hg and respirations are 12 per minute. Her rhythm strip is shown above. What is the most appropriate pharmacologic treatment for this patient’s condition?
A) Adenosine
B) Amiodarone
C) Amlodipine
D) Atropine
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Family Nurse Practitioner: FNP Certification Exam
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Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics: In-Training Exam,
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 started.
Which of the following is the most sensitive finding in cauda equina syndrome?
A) Back pain
B) Saddle anesthesia
C) Urinary incontinence
D) Urinary retention
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PA: Didactics, Rotation Exams, PANCE, PANRE
Family Nurse Practitioner: FNP Certification Exam
Emergency Nurse Practitioner: ENP 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,
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 started.
A 55-year-old man presents with fever and right upper quadrant pain. On examination, you note that the patient is jaundiced and slightly altered. Clinically you make the diagnosis of cholangitis. Which of the following is the final component of Reynold’s pentad?
A) Acute kidney injury
B) Dilated common bile duct
C) Elevated lipase
D) Hypotension
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PA: Didactics, Rotation Exams, PANCE, PANRE
Family Nurse Practitioner: FNP Certification Exam
Emergency Nurse Practitioner: ENP Certification Exam
Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics: In-Training Exam, Certification Exam
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 started.
Which of the following is true regarding the condition seen in the image above?
A) Infants should be treated primarily with lindane
B) Permethrin is contraindicated in lactating women
C) Pregnant women should be treated with permethrin
D) Selenium sulfide shampoo is the treatment of choice in all populations
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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
Family Nurse Practitioner: FNP Certification Exam
Emergency Nurse Practitioner: ENP Certification Exam
Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics: In-Training Exam, Certification Exam
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 started.
A 79-year-old man presents to the ED complaining of dyspnea. His rhythm strip is shown above. What is the most likely underlying process?
A) Chronic obstructive pulmonary disease
B) Crohn’s disease
C) Pericardial effusion
D) Ventricular aneurysm
You can find other episodes of The Rosh Reveal podcast here.
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Apple podcasts
Android
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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
Family Nurse Practitioner: FNP Certification Exam
Emergency Nurse Practitioner: ENP 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:
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 started.
A 22-year-old healthy man presents with acute onset pleuritic, left-sided chest pain and mild dyspnea. Social history includes smoking a pack of cigarettes a week. Vital signs include blood pressure 142/74 mm Hg, heart rate 82 beats/minute, and oxygen saturation 97% on room air. He is in no acute distress. His chest radiograph is shown above. Which of the following is the next best step in management?
A) Discharge home with ibuprofen for pain relief
B) Order a computed tomography scan of the chest
C) Perform a chest tube thoracostomy
D) Place patient on 100% oxygen and repeat chest radiograph in six hours
You can find other episodes of The Rosh Reveal podcast here.
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Apple podcasts
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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
Family Nurse Practitioner: FNP Certification Exam
Emergency Nurse Practitioner: ENP Certification Exam
Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
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 started.
A 57-year-old man presents to the ED with severe dyspnea and frothy sputum. His wife notes he has a “blood problem” that his doctor is monitoring. On physical exam, you note bilateral pulmonary rales to the mid-thorax. Vital signs are BP 124/78 mm Hg, HR 140 beats per minute, RR 35 breaths per minute, and T 99.5°F. Which of the following is the most common etiology of this disease process?
A) Acute myeloid leukemia
B) Multiple myeloma
C) Polycythemia vera
D) Waldenstrom macroglobulinemia
You can find other episodes of The Rosh Reveal podcast here.
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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
Family Nurse Practitioner: FNP Certification Exam
Emergency Nurse Practitioner: ENP Certification Exam
Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics: In-Training Exam,
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 started.
A 56-year-old woman with a history of hypertension, diabetes mellitus, and hypercholesterolemia presents with acute, substernal chest pain that is worse with exertion and associated with nausea and shortness of breath. Her sister and her mother both had “heart attacks” before age 55 years. Which of the following offers a proven mortality benefit in acute coronary syndrome?
A) Amlodipine
B) Aspirin
C) Morphine
D) Nitroglycerin
You can find other episodes of The Rosh Reveal podcast here.
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Apple podcasts
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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
Family Nurse Practitioner: FNP Certification Exam
Emergency Nurse Practitioner: ENP Certification Exam
Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics: In-Training Exam,
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 started.
An 18-year-old presents to the emergency department with severe pain in his penis. He indicates he has had some mild irritation to the glans and foreskin areas recently. After intercourse tonight he was unable to reduce the foreskin and now has severe pain in the tip of his penis. On examination, the penis is flaccid and the foreskin is retracted proximally. There is swelling to the tip of the penis with mild erythema. What is the most likely diagnosis?
A) Paraphimosis
B) Penile fracture
C) Phimosis
D) Priapism
You can find other episodes of The Rosh Reveal podcast here.
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Apple podcasts
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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
Family Nurse Practitioner: FNP Certification Exam
Emergency Nurse Practitioner: ENP Certification Exam
Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics: In-Training Exam,
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 started.
A 56-year-old woman with a history of lung cancer presents to the emergency department with confusion, nausea, and vomiting. She is unable to provide much history due to her confusion. She is dehydrated and is oriented only to self. She is afebrile. Her renal function is normal. Her serum calcium level is 14 mg/dl. What is the most likely mechanism for her hypercalcemia?
A) Abnormal calcium clearance in the kidneys
B) Bony erosion due to metastases
C) Production of vitamin D analogues by the tumor
D) Secretion of parathyroid hormone related protein from the tumor
You can find other episodes of The Rosh Reveal podcast here.
Remember to subscribe to the podcast and leave us feedback!
Apple podcasts
Android
Google podcasts
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
Family Nurse Practitioner: FNP Certification Exam
Emergency Nurse Practitioner: ENP Certification Exam
Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam, Certification Exam
Pediatrics:
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 started.
A 22-year-old woman presents with lower abdominal pain that started two days ago. Today, she had three episodes of vomiting but denies any diarrhea or dysuria. On examination, her temperature is 38.8°C, heart rate 105 beats per minute, and blood pressure 128/72 mm Hg. She is ill-appearing with bilateral lower quadrant tenderness. Pelvic examination reveals moderate yellow discharge and uterine tenderness. There are no adnexal masses appreciated. Pregnancy test is negative. What is the next step in the management of this patient?
A) Admission for intravenous cefotetan and doxycycline
B) Admission for intravenous ciprofloxacin and metronidazole
C) Discharge home following intramuscular ceftriaxone and with a 14 day course of oral doxycycline
D) Order a computed tomography scan of the abdomen and pelvis with intravenous and oral contrast
You can find other episodes of The Rosh Reveal podcast here.
Remember to subscribe to the podcast and leave us feedback!
Apple podcasts
Android
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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
Family Nurse Practitioner: FNP Certification Exam
Emergency Nurse Practitioner: ENP Certification Exam
Emergency Medicine: In-Training Exam, Certification Exam, ConCert
Family Medicine: In-Training Exam,
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 started.
What is the most common symptom of hemorrhoids?
A) Bleeding with defecation
B) Mucoid discharge
C) Painful defecation
D) Pruritus
You can find other episodes of The Rosh Reveal podcast here.
Remember to subscribe to the podcast and leave us feedback!
Apple podcasts
Android
Google podcasts
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
Family Nurse Practitioner: FNP Certification Exam
Emergency Nurse Practitioner: ENP 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 Ex...
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 started.
A 32-year-old woman presents to the emergency department with dysuria, back pain, and fever for two days. She indicates she has had urinary tract infections in the past but never this severe. She denies other past medical history and does not take any medications. Vital signs show HR 114, BP 132/80, R 16, T 102.2°F. Examination shows a moderately ill-appearing woman with right costovertebral angle tenderness. What test or tests are required in making an appropriate diagnosis in this patient?
A) Urinalysis
B) Urinalysis and contrast enhanced computed tomography of abdomen/pelvis
C) Urinalysis and non-contrast enhanced computed tomography of abdomen/pelvis
D) Urinalysis and ultrasonography of renal parenchyma
You can find other episodes of The Rosh Reveal podcast here. Remember to subscribe to the podcast and leave us feedback!
Apple podcasts
Android
Google podcasts
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
Family Nurse Practitioner: Certification Exam
Emergency Nurse Practitioner: ENP Certification Exam
Emergency Medicine: In-Training Exam, Certification Exam,
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 started.
Episode 18 is limited to audio only, but video returns for episode 19.
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 started.
A 35-year-old woman presents to the ED with facial swelling. On physical exam, you note the above. Which of the following medications is most likely the cause of this process?
A) Amiodarone
B) Heparin
C) Lisinopril
D) Metoprolol
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 started.
A 34-year-old man presents to the emergency department with left arm pain after a fall on an outstretched hand while walking his dog. An X-ray is obtained as seen above. What eponym is associated with this fracture?
A) Colles fracture
B) Galeazzi fracture
C) Hutchinson fracture
D) Monteggia fracture
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 started.
A 23-year-old man with a history of insulin-dependent diabetes presents to the ED with vomiting and shortness of breath. He recently became homeless and has not been using his insulin. On physical exam, he has a fruity odor to his breath. After two hours of treatment in the ED, his serum labs include glucose 190 mg/dL, sodium 133 mEq/L, chloride 101 mEq/L, and bicarbonate 12 mmol/L. Which of the following is the most appropriate next step in management?
A) Allow the patient to eat a turkey sandwich
B) Change to dextrose-containing intravenous fluid
C) Discharge home with endocrinology follow-up
D) Transition to subcutaneous insulin therapy
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 started.
A 39-year-old man presents to the emergency department with left hand pain. He denies recent trauma, genital or oral lesions, or fever. His medical history is significant for diabetes mellitus and tobacco abuse. His examination is shown above. Which of the following is the most appropriate initial therapy for this patient?
A) Acyclovir PO
B) Clindamycin IV
C) Incision and drainage
D) Trephination
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 started.
A 49-year-old woman presents with chest pain and shortness of breath. Her pain is constant, non-exertional and does not radiate into the back. She denies hemoptysis, history of previous venous thromboembolism, trauma or surgery within the last four weeks or unilateral leg swelling. She takes no medications. She smokes a half pack of cigarettes per day. Her vital signs at triage are temperature 98.6°F, blood pressure 120/80 mm Hg, and heart rate 108 bpm. Her heart rate improves to 97 bpm upon reevaluation. Her physician decides to evaluate her for a pulmonary embolism. In addition to an ECG and a chest X-ray, which of the following is the most appropriate next step in the diagnosis of pulmonary embolism?
A) CT pulmonary angiogram
B) D-dimer followed by a CT pulmonary angiogram if positive
C) Use the pulmonary embolism rule-out criteria to exclude pulmonary embolism
D) V/Q scan
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 started.
A 6-week-old infant presents with decreased appetite. The child is underweight for her age, and her mother says she is not eating well. Physical exam reveals a continuous heart murmur in the left infraclavicular space and a thrill in the suprasternal notch. Which of the following findings would be expected on echocardiogram?
A) Overriding aorta
B) Patent ductus arteriosus
C) Right ventricular outflow obstruction
D) Ventricular septal defect
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 started.
Which of the following is one of the most helpful signs to rule out testicular torsion?
A) Presence of a bell-clapper deformity
B) Presence of Prehn’s sign (relief of scrotal pain upon elevation of scrotum)
C) Presence of the cremasteric reflex
D) Vertical lie of testicle
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 started.
An 18-month-old boy presents with his father for a cough and difficulty breathing. The father states that the child has had nasal congestion and coryza for the last two days. On exam, he has a barking cough, inspiratory stridor, and a prolonged inspiratory phase. Which of the following would you expect to see on radiographic evaluation?
A) Edema of the epiglottis
B) Intraluminal membranes of the tracheal wall
C) Subglottic narrowing
D) Thickening of the retropharyngeal space
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 started.
A 38-year-old man presents to the emergency department with low back pain that began this morning when he rolled over in bed. Throughout the day, he tried ibuprofen and acetaminophen without relief, which prompted him to come to the emergency department for further evaluation. Which of the following historical findings is an indication for further investigation?
A) Fever
B) Intentional weight loss with diet and exercise
C) Palpable paraspinal muscle spasm
D) Prolonged use of oxycodone
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 started.
A 5-year-old boy presents to the emergency department complaining of right hip pain. He is febrile and refuses to bear weight on the right foot. There is no history of trauma. X-rays are obtained and are unremarkable. Which of the following diagnostic tests would best confirm or exclude a diagnosis of osteomyelitis?
A) Blood culture
B) Complete blood count with differential
C) Erythrocyte sedimentation rate
D) Serum glucose
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 started.
A 74-year-old woman with a history of hypothyroidism presents to the ED with confusion, rigors, and lightheadedness. Vital signs are BP 110/64 mm Hg, HR 48 beats per minute, RR 12 breaths per minute, and T 95.2°F. Her electrocardiogram is shown above. Which of the following is the most likely diagnosis? A) Digoxin toxicity B) Hyperosmolar nonketotic coma C) Myxedema coma D) Nephrogenic diabetes insipidus
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 started.
A 65-year-old man with a past medical history of hypertension presents to the Emergency Department with “tearing” chest and abdominal pain radiating towards his back. His blood pressure is 185/98 mm Hg. Which of the following medications should be administered first? A) Aspirin B) Esmolol C) Heparin D) Nitroprusside Check out all of the episodes of “The Reveal” on the Rosh Review You Tube Channel.
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 started.
A 52-year-old man with a history of diabetes mellitus and hypertension presents to the ED with palpitations and dyspnea that have been present intermittently over the past week. His vital signs include HR 135 beats/minute, blood pressure 136/87 mm Hg, RR 15 breaths/minute, and oxygen saturation of 97% on room air. His electrocardiogram is shown above. Which of the following is the most appropriate initial management? A) Administer intravenous adenosine B) Administer intravenous diltiazem C) Sedate the patient and perform synchronized cardioversion with 100 joules D) Transport the patient to the cardiac catheterization suite Check out all of the episodes of “The Reveal” on the Rosh Review You Tube Channel.
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 started.
An 8-year-old African-American girl with a history of sickle cell anemia presents with diffuse pain consistent with an acute sickle cell pain crisis. While in the emergency department, she develops acute onset headache, right-sided facial droop, and right arm weakness. A CT scan confirms the diagnosis. Which of the following is the next best step in management? A) Alteplase B) Exchange transfusion C) MRI brain D) Tranexamic acid Check out all of the episodes of “The Reveal” on the Rosh Review You Tube Channel.
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 started.
A 76-year-old man presents to the emergency department with shortness of breath and lightheadedness. Vital signs include blood pressure 70/56 mm Hg, heart rate 124 beats/minute, respiratory rate 22 breaths/minute, and temperature 37.6°C. He has distended neck veins and occasional dropped radial beats. His lungs are clear to auscultation, but his heart sounds are distant. He has some fullness to palpation of the right upper quadrant of his abdomen. Which of the following is the most appropriate diagnostic test? A) Bedside echocardiography B) Chest radiograph C) Computed tomography angiogram of the chest D) Electrocardiogram Check out all of the episodes of “The Reveal” on the Rosh Review You Tube Channel.
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 started.
An 18-month-old boy presents to the emergency department with worsening shortness of breath. The parents report he has had a cough, runny nose, and fussiness for the past five days. On exam, the patient demonstrates subcostal retractions, tachypnea, and diffuse wheezing. The patient is given an albuterol nebulizer treatment without any improvement of his wheezing. Chest X-ray does not show any abnormality. Which of the following organisms is the most likely cause of his symptoms? A) Bordetella pertussis B) Haemophilus influenzae C) Parainfluenza virus D) Respiratory syncytial virus Check out all of the episodes of “The Reveal” on the Rosh Review You Tube Channel.
This is Adam Rosh from RoshCast and I want to welcome you to Ep1 of The Reveal where I will 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 started.
A 14-year-old boy presents complaining of intense pruritus in his groin, axillae, and between his fingers after returning home from summer camp one week ago. He reports several other campers had similar symptoms. On exam, you note excoriations in the inguinal region and axillae surrounding scattered, erythematous papules. Which of the following is the most appropriate treatment? A) Ketoconazole B) Lindane C) Permethrin D) Prednisone Check out all of the episodes of “The Reveal” on the Rosh Review You Tube Channel.
Today I’d like to introduce our new show from RoshCast called The Reveal. The purpose of The Reveal is to get inside the mind of the test taker and understand the thought process in answering difficult board-style questions correctly. In essence, we will identify the clues given to us in a question, connect how they are related, and use them to arrive at the correct answer. I see The Reveal as the missing ingredient to studying and excelling on high-stakes exams. We know that multiple choice questions are the cornerstone to retrieval practice – a powerful strategy to improve learning. And if we layer on the Reveal – which takes you inside the mind of the test-taker, 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. Are you ready to join me on this educational endeavor? Let’s go.