ROSH (FM Boost Exam) Final Questions and Answers Latest Updated

ROSH (FM Boost Exam) Final Questions and Answers Latest Updated - CORRECT ANSWER-A 45-year-old man presents to clinic for follow up after recently being diagnosed with hepatitis B. Which of the following serologic markers is the best marker of current viral replication and increased infectivity? A. Hepatitis B core antibody B. Hepatitis B envelope antibody C. Hepatitis B envelope antigen D. Hepatitis B surface antibody - CORRECT ANSWER-A 68-year-old woman presents with worsening right knee pain. She has had pain there for years, but it has gradually increased in the past couple of months. Acetaminophen is no longer effective. Plain films show joint space narrowing bilaterally with osteophytes on the right. Medical history is unremarkable, except for the presence of pyrosis, peptic ulcer disease ten years ago, and lifelong obesity. What treatment would you likely prescribe next? A. Celecoxib 200 mg twice a day B. Hydrocodone 5/325 mg twice a day C. Ibuprofen 800 mg up to four times a day as needed D. Tramadol 50-100 mg up to four times a day as needed A. Admission to the hospital for hydration and intravenous antistaphylococcal antibiotics - CORRECT ANSWER-A 74-year-old man presents with complaints of sudden onset of painful swelling anterior to his left ear and fever. He was recently hospitalized for a total hip replacement. On exam, the patient has tenderness to palpation of his left parotidgland as well as trismus. Purulence is expressed from the left Stensen's duct. What is the treatment of choice for your suspected diagnosis? A. Admission to the hospital for hydration and intravenous antistaphylococcal antibiotics B. Conservative therapy including hydration, parotid massage, and sialogogues C. Incision and drainage D. Outpatient treatment with oral clindamycin A. Age, low bone mineral density, and history of a previous fracture - CORRECT ANSWER-Which of the following risk factors are the three biggest predictors of future fractures in a patient with osteoporosis? A. Age, low bone mineral density, and history of a previous fracture B. Excess alcohol intake, female sex, and rheumatoid arthritis C. Low bone mineral density, smoking, and family history of osteoporosis D. Use of systemic corticosteroids, age, and smoking A. Alopecia areata - CORRECT ANSWER-A previously healthy 20-year-old woman presents to your office with a complaint of hair loss. Physical exam reveals one smooth, circular patch of hair loss about the size of a quarter. The few remaining hairs in the affected area are noted to have tapering at the proximal end of the hair shaft. A pull test of hair at the edge of the patch is positive. Which of the following is the most likely diagnosis? A. Alopecia areata B. Androgenetic alopecia C. Telogen effluvium D. Tinea capitis A. Annual mammography starting at age 40 or five to eight years after radiation therapy - CORRECT ANSWER-Current guidelines recommend which of the following as longterm follow up of female patients with Hodgkin lymphoma who have been treated to remission? A. Annual mammography starting at age 40 or five to eight years after radiation therapy B. CT scan of chest every two years for the first ten years C. Full body PET scan every two years for the first ten years D. Serum parathyroid hormone level every year for the first five years A. Aspirin, nitroglycerin, and oxygen - CORRECT ANSWER-A 56-year-old man is brought by ambulance to the ER complaining of severe chest pain. He is responsive but has great difficulty speaking due to his symptoms. Electrocardiogram shows ST segment elevations in the anterior leads and his oxygen saturation is 89%. While the rest of his history is obtained, what medication(s) should be started immediately if they have not been already by the EMTs? A. Aspirin, nitroglycerin, and oxygen B. Clopidogrel and propranolol C. Lisinopril and warfarin D. No medications, patient should be immediately sent to the cardiac catheterization