Rosh Review Exam Questions &
Answers
A 73-year-old man presents to his primary care provider complaining of rough bumps on his
head. The man is a retired farmer. On physical exam, there are three rough, erythematous
papules on his forehead. The lesions are nontender to palpation. Which of the following is the
most appropriate management? - ANSWERSTopical 5% 5-fluorouracil
(AK - can progress to SCC)
What is the etiologic agent that causes erysipelas? - ANSWERSStrep pyogenes
Tx with Penicillin
What is the treatment for erysipelas for patients whom are allergic to penicillin? - ANSWERSA
first-generation cephalosporin or macrolide ( Erythromycin/Azithromycin)
A 35-year-old meat cutter comes to your office with persistent symptoms of nausea, vomiting,
and diarrhea, which began about 36 hours ago on the last day of a 5-day Caribbean cruise. His
wife was sick during the first 2 days of the cruise with similar symptoms. Findings on
examination are negative, and a stool specimen is negative for white blood cells. Which one of
the following is the most likely cause of his illness? - ANSWERSNorovirus
(supportive tx)
What population has a high fatality rate if infected with Hepatitis E? - ANSWERSPregnant
women during the second and third trimesters.
Answers
A 73-year-old man presents to his primary care provider complaining of rough bumps on his
head. The man is a retired farmer. On physical exam, there are three rough, erythematous
papules on his forehead. The lesions are nontender to palpation. Which of the following is the
most appropriate management? - ANSWERSTopical 5% 5-fluorouracil
(AK - can progress to SCC)
What is the etiologic agent that causes erysipelas? - ANSWERSStrep pyogenes
Tx with Penicillin
What is the treatment for erysipelas for patients whom are allergic to penicillin? - ANSWERSA
first-generation cephalosporin or macrolide ( Erythromycin/Azithromycin)
A 35-year-old meat cutter comes to your office with persistent symptoms of nausea, vomiting,
and diarrhea, which began about 36 hours ago on the last day of a 5-day Caribbean cruise. His
wife was sick during the first 2 days of the cruise with similar symptoms. Findings on
examination are negative, and a stool specimen is negative for white blood cells. Which one of
the following is the most likely cause of his illness? - ANSWERSNorovirus
(supportive tx)
What population has a high fatality rate if infected with Hepatitis E? - ANSWERSPregnant
women during the second and third trimesters.
