Rosh Boost Emergency Medicine
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focus on important and frequently tested topics, helping you study efficiently and effectively.
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✔ Complete Exam Questions covering major concepts
✔ Correct Answers with Detailed Explanations for deeper understanding
✔ Exam-Focused Content based on commonly tested material
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✔ Latest Updated Version for reliable exam preparation
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This study guide helps students simplify complex topics, identify key concepts quickly, and
strengthen exam confidence. By practicing with structured questions and reviewing detailed
answers, you can improve retention and boost your chances of achieving higher scores.
🎯 Perfect For
,• Final exam preparation
• Midterm exam revision
• Weekly study sessions
• Practicing exam-style questions
• Strengthening knowledge before tests
📘 A reliable and effective study companion for students who want structured practice,
clear explanations, and stronger exam performance.
Inability to extend the wrist
A 59-year-old woman with a history of hyperlipidemia presents to the emergency
department via EMS for evaluation of right arm pain. She was walking her dog when the
dog pulled on the leash quickly, causing the patient to fall on an outstretched arm. She
states she felt her arm “snap.” She reports some tingling on her dorsal palm, located
near her thumb. She has no shoulder, elbow, or wrist pain. On physical examination,
she is cradling her right arm. There is a mild deformity noted in her upper arm and
associated moderate swelling. Vital signs are heart rate of 96 bpm, blood pressure of
142/86 mm Hg, respiratory rate of 16/min, and oxygen saturation of 99% on room air.
Radiographs are shown above. Which physical exam finding should make you
suspicious for the most likely associated nerve injury?
AInability to abduct fingers
BInability to extend the wrist
CInability to flex the wrist
DInability to make an OK sign
Short-acting beta-agonist and supplemental oxygen to SpO2 88-92%
A 64-year-old man presents to the emergency department with reports of worsening
productive cough for the past 3 days. He states he has had a persistent wet cough on a
regular basis for the last 2 years, but it has been aggravated over the last few days. He
also notes an increase in sputum production. He reports no alleviating or aggravating
factors. His medical history is significant for hypertension controlled with metoprolol. He
has a 20 pack-year history of smoking. Vital signs include an HR of 89 bpm, BP of
130/82 mm Hg, RR of 24/min, SpO2 of 87% on room air, and T of 98.6°F. On physical
examination, rhonchi and prolonged expiration are noted. What is the initial
management for this patient’s current condition?
AAdministration of ceftriaxone and azithromycin
BEndotracheal intubation
CIV methylprednisolone
DShort-acting beta-agonist and supplemental oxygen to SpO2 88–92%
Neomycin-polymyxin B-hydrocortisone otic drops
A 35-year-old woman presents to the emergency department reporting right ear pain,
yellow discharge, and difficulty hearing out of the right ear for the last 5 days. She
,reports no cold symptoms such as cough, fever, or sore throat. She believes the pain
began about a day after she used a cotton swab to clean her right ear. The pain is a
7/10 intensity. She is currently taking ibuprofen 400 mg as needed for the pain, which
helps, but the pain comes back once the medication wears off. Vital signs include HR of
80 bpm, BP of 120/80 mm Hg, T of 99.2°F, RR of 16/min, BMI of 22.0 kg/m2, and SpO2
of 99% on room air. Her physical exam reveals tenderness over the right tragus and
auricle when moved. The right inner ear canal appears edematous and erythematous.
The right tympanic membrane is intact without erythema and is mobile upon insufflation.
The left ear exam is normal. Which medication should be administered to the patient?
AAcetic acid-hydrocortisone otic drops
BAmoxicillin-clavulanate oral
CCiprofloxacin intravenous
DNeomycin-polymyxin B-hydrocortisone otic drops
Multifocal atrial tachycardia
A 74-year-old man presents to the clinic with a cough, shortness of breath, and a low-
grade fever for the past 3 days. The patient reports no chest pain or leg swelling. He
has a medical history of chronic obstructive pulmonary disease for which he takes
albuterol and glycopyrrolate. Vital signs include an HR of 132 bpm, BP of 135/80 mm
Hg, RR of 22/min, oxygen saturation of 93% on room air, and T of 100.1°F. Physical
examination reveals bilateral expiratory wheezing and no pretibial edema or erythema.
The patient has no rales on auscultation. The patient’s electrocardiogram is shown
above. What rhythm is seen on the above electrocardiogram?
AAtrial fibrillation
BMultifocal atrial tachycardia
CSinus tachycardia with premature ventricular beats
DWandering atrial pacemaker
Adenosine 6 mg IV
A 45-year-old woman presents to the emergency department with reports of sudden-
onset racing heart, lightheadedness, and fatigue. The symptoms began spontaneously
while she was sitting at her desk at work and have continued intermittently for the past
45 minutes. She has had two similar episodes in the past month that lasted only a few
minutes each. Her medical history is significant for GERD and generalized anxiety
disorder. On exam, she is mildly anxious and short of breath. Her blood pressure is
124/80 mm Hg, heart rate is 150 beats/minute, respiratory rate is 22 breaths/minute,
oxygen saturation is 96%, and temperature is 98.0°F. An ECG is shown above. The
patient was instructed on how to perform the Valsalva maneuver and made three
attempts without any change in her heart rate. The emergency department clinician also
attempted initiating a gag with mild improvement in the patient’s heart rate, but after
approximately 60 seconds, her heart rate accelerated to 170 beats per minute. Which of
the following is the most appropriate treatment for this patient?
AAdenosine 6 mg IV
BAmiodarone 150 mg IV
CMetoprolol 5 mg IV
DSynchronized cardioversion
Neuroimaging with MRI
, A 46-year-old man with a medical history of hypertension and hyperlipidemia presents
to the emergency department for evaluation of back and left leg pain, tingling in his left
foot, and an episode of urinary incontinence. He states the symptoms were noticeable
when he woke up this morning but have gotten progressively worse over the course of
the day, and he is unable to walk. He has tried taking ibuprofen and acetaminophen
without relief. He reports no injury or trauma but notes he cleaned out his garage all day
yesterday. He reports no history of back issues or surgical history. He takes lisinopril
and atorvastatin as prescribed and does not use tobacco, daily alcohol, or other
substances. Vital signs are a temperature of 99.0°F, heart rate of 96 bpm, blood
pressure of 144/88 mm Hg, respiratory rate of 18 breaths/min, and oxygen saturation of
98% on room air. On physical examination, the patient is unable to point his toes
downward. He has 2/5 strength of his extensor hallucis longus and anterior tibialis
muscles. No other muscle strength deficits are noted in his left leg, right leg, or bilateral
upper extremities. He has an absent Achilles reflex and intact patellar reflex on the left
side. Decreased rectal tone is noted on digital rectal examination, and the patient has
decreased sensation to light touch in the perineum and perianal regions. Bladder scan
demonstrates < 100 cc of urine in the bladder. What is the most appropriate next step
for the management of this condition?
ACatheterization of the bladder
BEpidural steroid injection
CNeuroimaging with MRI
DNSAIDs and mobilization
Colorectal cancer screening
A 38-year-old woman presents to the emergency department with “aching” left lower
quadrant pain, nausea, vomiting, and diarrhea that began last week. Her vital signs are
a temperature of 102.5°F, blood pressure of 118/78 mm Hg, heart rate of 112 bpm, and
respiratory rate of 23/min. On physical exam, the left lower quadrant is tender to
palpation. Laboratory studies show a white blood cell count of 16,000/µL and
hemoglobin of 14 g/dL with a positive stool occult blood test. A CT of the abdomen and
pelvis shows colon wall thickening and colonic diverticula. She was admitted to the
hospital for IV antibiotics and upon discharge was advised to follow up with
gastroenterology for a colonoscopy. What is the reasoning for ordering a colonoscopy in
this scenario?
AColorectal cancer screening
BDiverticular abscess
CGastrointestinal bleeding
DUlcerative colitis
nitiate aspirin and exercise therapy and follow up with their primary care provider
A 62-year-old man with a medical history of hypertension and hyperlipidemia, treated
with lisinopril and simvastatin, presents to urgent care for evaluation of left leg pain that
occurs during exercise and is relieved by rest. He has a 20 pack-year smoking history
and quit smoking tobacco 15 years ago. Vital signs today include a BMI of 24.1 kg/m2,
heart rate of 87 bpm, blood pressure of 130/78 mm Hg, respiratory rate of 19/minute,
oxygen saturation of 99% on room air, and temperature of 98.6°F. Physical examination
reveals a regular rate and rhythm without cardiac murmurs. His left lower extremity is
slightly cooler to touch than his right lower extremity, with associated pallor and a
Premium General Exam Study Guide –
Complete Questions with Correct Detailed
Answers
⭐ Brand New Version | Exam-Focused | Designed for High
Scores
Take your exam preparation to the next level with this Premium General Exam Study Guide.
This powerful resource is designed to help students review faster, understand key concepts
clearly, and perform confidently in exams.
Inside this guide, you will find complete exam questions paired with correct, detailed
answers that explain the reasoning behind each response. The structured format allows you to
focus on important and frequently tested topics, helping you study efficiently and effectively.
🔥 Key Highlights
✔ Complete Exam Questions covering major concepts
✔ Correct Answers with Detailed Explanations for deeper understanding
✔ Exam-Focused Content based on commonly tested material
✔ Well-Organized Format for quick and effective revision
✔ Latest Updated Version for reliable exam preparation
✔ Ideal for Fast Review and Last-Minute Study
🚀 Why Students Prefer This Guide
This study guide helps students simplify complex topics, identify key concepts quickly, and
strengthen exam confidence. By practicing with structured questions and reviewing detailed
answers, you can improve retention and boost your chances of achieving higher scores.
🎯 Perfect For
,• Final exam preparation
• Midterm exam revision
• Weekly study sessions
• Practicing exam-style questions
• Strengthening knowledge before tests
📘 A reliable and effective study companion for students who want structured practice,
clear explanations, and stronger exam performance.
Inability to extend the wrist
A 59-year-old woman with a history of hyperlipidemia presents to the emergency
department via EMS for evaluation of right arm pain. She was walking her dog when the
dog pulled on the leash quickly, causing the patient to fall on an outstretched arm. She
states she felt her arm “snap.” She reports some tingling on her dorsal palm, located
near her thumb. She has no shoulder, elbow, or wrist pain. On physical examination,
she is cradling her right arm. There is a mild deformity noted in her upper arm and
associated moderate swelling. Vital signs are heart rate of 96 bpm, blood pressure of
142/86 mm Hg, respiratory rate of 16/min, and oxygen saturation of 99% on room air.
Radiographs are shown above. Which physical exam finding should make you
suspicious for the most likely associated nerve injury?
AInability to abduct fingers
BInability to extend the wrist
CInability to flex the wrist
DInability to make an OK sign
Short-acting beta-agonist and supplemental oxygen to SpO2 88-92%
A 64-year-old man presents to the emergency department with reports of worsening
productive cough for the past 3 days. He states he has had a persistent wet cough on a
regular basis for the last 2 years, but it has been aggravated over the last few days. He
also notes an increase in sputum production. He reports no alleviating or aggravating
factors. His medical history is significant for hypertension controlled with metoprolol. He
has a 20 pack-year history of smoking. Vital signs include an HR of 89 bpm, BP of
130/82 mm Hg, RR of 24/min, SpO2 of 87% on room air, and T of 98.6°F. On physical
examination, rhonchi and prolonged expiration are noted. What is the initial
management for this patient’s current condition?
AAdministration of ceftriaxone and azithromycin
BEndotracheal intubation
CIV methylprednisolone
DShort-acting beta-agonist and supplemental oxygen to SpO2 88–92%
Neomycin-polymyxin B-hydrocortisone otic drops
A 35-year-old woman presents to the emergency department reporting right ear pain,
yellow discharge, and difficulty hearing out of the right ear for the last 5 days. She
,reports no cold symptoms such as cough, fever, or sore throat. She believes the pain
began about a day after she used a cotton swab to clean her right ear. The pain is a
7/10 intensity. She is currently taking ibuprofen 400 mg as needed for the pain, which
helps, but the pain comes back once the medication wears off. Vital signs include HR of
80 bpm, BP of 120/80 mm Hg, T of 99.2°F, RR of 16/min, BMI of 22.0 kg/m2, and SpO2
of 99% on room air. Her physical exam reveals tenderness over the right tragus and
auricle when moved. The right inner ear canal appears edematous and erythematous.
The right tympanic membrane is intact without erythema and is mobile upon insufflation.
The left ear exam is normal. Which medication should be administered to the patient?
AAcetic acid-hydrocortisone otic drops
BAmoxicillin-clavulanate oral
CCiprofloxacin intravenous
DNeomycin-polymyxin B-hydrocortisone otic drops
Multifocal atrial tachycardia
A 74-year-old man presents to the clinic with a cough, shortness of breath, and a low-
grade fever for the past 3 days. The patient reports no chest pain or leg swelling. He
has a medical history of chronic obstructive pulmonary disease for which he takes
albuterol and glycopyrrolate. Vital signs include an HR of 132 bpm, BP of 135/80 mm
Hg, RR of 22/min, oxygen saturation of 93% on room air, and T of 100.1°F. Physical
examination reveals bilateral expiratory wheezing and no pretibial edema or erythema.
The patient has no rales on auscultation. The patient’s electrocardiogram is shown
above. What rhythm is seen on the above electrocardiogram?
AAtrial fibrillation
BMultifocal atrial tachycardia
CSinus tachycardia with premature ventricular beats
DWandering atrial pacemaker
Adenosine 6 mg IV
A 45-year-old woman presents to the emergency department with reports of sudden-
onset racing heart, lightheadedness, and fatigue. The symptoms began spontaneously
while she was sitting at her desk at work and have continued intermittently for the past
45 minutes. She has had two similar episodes in the past month that lasted only a few
minutes each. Her medical history is significant for GERD and generalized anxiety
disorder. On exam, she is mildly anxious and short of breath. Her blood pressure is
124/80 mm Hg, heart rate is 150 beats/minute, respiratory rate is 22 breaths/minute,
oxygen saturation is 96%, and temperature is 98.0°F. An ECG is shown above. The
patient was instructed on how to perform the Valsalva maneuver and made three
attempts without any change in her heart rate. The emergency department clinician also
attempted initiating a gag with mild improvement in the patient’s heart rate, but after
approximately 60 seconds, her heart rate accelerated to 170 beats per minute. Which of
the following is the most appropriate treatment for this patient?
AAdenosine 6 mg IV
BAmiodarone 150 mg IV
CMetoprolol 5 mg IV
DSynchronized cardioversion
Neuroimaging with MRI
, A 46-year-old man with a medical history of hypertension and hyperlipidemia presents
to the emergency department for evaluation of back and left leg pain, tingling in his left
foot, and an episode of urinary incontinence. He states the symptoms were noticeable
when he woke up this morning but have gotten progressively worse over the course of
the day, and he is unable to walk. He has tried taking ibuprofen and acetaminophen
without relief. He reports no injury or trauma but notes he cleaned out his garage all day
yesterday. He reports no history of back issues or surgical history. He takes lisinopril
and atorvastatin as prescribed and does not use tobacco, daily alcohol, or other
substances. Vital signs are a temperature of 99.0°F, heart rate of 96 bpm, blood
pressure of 144/88 mm Hg, respiratory rate of 18 breaths/min, and oxygen saturation of
98% on room air. On physical examination, the patient is unable to point his toes
downward. He has 2/5 strength of his extensor hallucis longus and anterior tibialis
muscles. No other muscle strength deficits are noted in his left leg, right leg, or bilateral
upper extremities. He has an absent Achilles reflex and intact patellar reflex on the left
side. Decreased rectal tone is noted on digital rectal examination, and the patient has
decreased sensation to light touch in the perineum and perianal regions. Bladder scan
demonstrates < 100 cc of urine in the bladder. What is the most appropriate next step
for the management of this condition?
ACatheterization of the bladder
BEpidural steroid injection
CNeuroimaging with MRI
DNSAIDs and mobilization
Colorectal cancer screening
A 38-year-old woman presents to the emergency department with “aching” left lower
quadrant pain, nausea, vomiting, and diarrhea that began last week. Her vital signs are
a temperature of 102.5°F, blood pressure of 118/78 mm Hg, heart rate of 112 bpm, and
respiratory rate of 23/min. On physical exam, the left lower quadrant is tender to
palpation. Laboratory studies show a white blood cell count of 16,000/µL and
hemoglobin of 14 g/dL with a positive stool occult blood test. A CT of the abdomen and
pelvis shows colon wall thickening and colonic diverticula. She was admitted to the
hospital for IV antibiotics and upon discharge was advised to follow up with
gastroenterology for a colonoscopy. What is the reasoning for ordering a colonoscopy in
this scenario?
AColorectal cancer screening
BDiverticular abscess
CGastrointestinal bleeding
DUlcerative colitis
nitiate aspirin and exercise therapy and follow up with their primary care provider
A 62-year-old man with a medical history of hypertension and hyperlipidemia, treated
with lisinopril and simvastatin, presents to urgent care for evaluation of left leg pain that
occurs during exercise and is relieved by rest. He has a 20 pack-year smoking history
and quit smoking tobacco 15 years ago. Vital signs today include a BMI of 24.1 kg/m2,
heart rate of 87 bpm, blood pressure of 130/78 mm Hg, respiratory rate of 19/minute,
oxygen saturation of 99% on room air, and temperature of 98.6°F. Physical examination
reveals a regular rate and rhythm without cardiac murmurs. His left lower extremity is
slightly cooler to touch than his right lower extremity, with associated pallor and a
