Rosh Review Emergency Medicine
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.
Diarrhea
Which of the following disorders causes a normal anion gap metabolic acidosis?
ACyanide exposure
BDiabetic ketoacidosis
CDiarrhea
DSalicylate ingestion
Trimethoprim-sulfamethoxazole
A 72-year-old woman presents to the clinic for muscle weakness and fatigue for 1 day.
She has a history of hypertension, diabetes mellitus, and heart failure with reduced
ejection fraction. She started an antibiotic for an abscess on her leg 1 week ago. Vital
signs include a BP of 128/86 mm Hg, HR of 64 bpm, RR of 17/minute, and a T of
98.7°F. Physical examination reveals bilateral 4+ muscle strength of the arms and 3+ of
the legs, with intact cranial nerve function. A basic metabolic panel is obtained and is
significant for a potassium of 6.4 mEq/L and a creatinine of 2.1 mg/dL. Which of the
following medications is the most likely cause of her symptoms?
AFurosemide
BHydrochlorothiazide
CMetoprolol
DRegular insulin
ETrimethoprim-sulfamethoxazole
Hypercalcemia
A 70-year-old woman with multiple myeloma presents with confusion, lethargy,
abdominal cramping, nausea, and generalized weakness. Her vital signs are within
normal range. What electrolyte abnormality is likely responsible for this presentation?
AHypercalcemia
BHyperkalemia
CHypocalcemia
DHypokalemia
Ischemic colitis
An 82-year-old nursing-home resident is sent to the emergency department with lower
abdominal pain and bloody diarrhea. He has a history of vascular dementia,
hypertension, and hyperlipidemia. The facility nurse notes that he seems to have the
, most abdominal pain and blood in his stools after eating. On examination, he is afebrile
and a nasogastric aspirate is negative for evidence of bleeding. Which of the following is
the most likely cause of this patient’s bleeding?
AAngiodysplasia
BDiverticular bleeding
CIschemic colitis
DPeptic ulcer disease
Enema washout
A patient with a complete C5 spinal cord injury presents to the ED with dysautonomia.
He has not passed stool for the last 48 hours. Due to his quadriplegia, his nursing aide
performs digital rectal stimulation and disimpaction. However, he has been unable to
remove any stool as of late. An abdominal radiograph shows a significant amount of
stool in the lower rectum. Which of the following is the next best step in managing this
patient’s fecal impaction?
ABalloon tamponade with a Sengstaken-Blakemore device
BColonoscopy
CEnema washout
DPhrenic nerve stimulation
Appendicitis
A 17-year-old girl presents to the ED reporting lower abdominal pain over the past eight
hours associated with a loss of appetite and mild nausea. She states she is sexually
active and on oral contraceptives. Her last menstrual period was three weeks ago. Her
temperature is 38.8°C. On exam, there is tenderness to palpation in the right lower
quadrant of the abdomen. Bowel sounds are absent. Pelvic exam reveals scant white
discharge from the cervical os. There is no cervical motion tenderness, and the adnexa
and ovaries appear normal on exam. Which of the following is the most likely diagnosis?
AAppendicitis
BEctopic pregnancy
CPelvic inflammatory disease
DTubo-ovarian abscess
Adenocarcinoma
In the United States, which of the following conditions, other than postoperative
adhesions, is most likely responsible for causing the diagnosis seen in the image
above?
AAdenocarcinoma
BCrohn disease
CIntussusception
DVolvulus
25 mg by mouth once daily for five days
An 8-year-old, 25 kg boy presents to the emergency department for shortness of breath
and chest pain. He has a past medical history significant for moderate, persistent
asthma for which he takes albuterol as needed and montelukast daily. The patient
clinically improves after three doses of albuterol and ipratropium via nebulizer. You
decide to write the patient a prescription for prednisone tablets. Which of the following
dosing strategies is most appropriate?
A12.5 mg by mouth every six hours for five days
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.
Diarrhea
Which of the following disorders causes a normal anion gap metabolic acidosis?
ACyanide exposure
BDiabetic ketoacidosis
CDiarrhea
DSalicylate ingestion
Trimethoprim-sulfamethoxazole
A 72-year-old woman presents to the clinic for muscle weakness and fatigue for 1 day.
She has a history of hypertension, diabetes mellitus, and heart failure with reduced
ejection fraction. She started an antibiotic for an abscess on her leg 1 week ago. Vital
signs include a BP of 128/86 mm Hg, HR of 64 bpm, RR of 17/minute, and a T of
98.7°F. Physical examination reveals bilateral 4+ muscle strength of the arms and 3+ of
the legs, with intact cranial nerve function. A basic metabolic panel is obtained and is
significant for a potassium of 6.4 mEq/L and a creatinine of 2.1 mg/dL. Which of the
following medications is the most likely cause of her symptoms?
AFurosemide
BHydrochlorothiazide
CMetoprolol
DRegular insulin
ETrimethoprim-sulfamethoxazole
Hypercalcemia
A 70-year-old woman with multiple myeloma presents with confusion, lethargy,
abdominal cramping, nausea, and generalized weakness. Her vital signs are within
normal range. What electrolyte abnormality is likely responsible for this presentation?
AHypercalcemia
BHyperkalemia
CHypocalcemia
DHypokalemia
Ischemic colitis
An 82-year-old nursing-home resident is sent to the emergency department with lower
abdominal pain and bloody diarrhea. He has a history of vascular dementia,
hypertension, and hyperlipidemia. The facility nurse notes that he seems to have the
, most abdominal pain and blood in his stools after eating. On examination, he is afebrile
and a nasogastric aspirate is negative for evidence of bleeding. Which of the following is
the most likely cause of this patient’s bleeding?
AAngiodysplasia
BDiverticular bleeding
CIschemic colitis
DPeptic ulcer disease
Enema washout
A patient with a complete C5 spinal cord injury presents to the ED with dysautonomia.
He has not passed stool for the last 48 hours. Due to his quadriplegia, his nursing aide
performs digital rectal stimulation and disimpaction. However, he has been unable to
remove any stool as of late. An abdominal radiograph shows a significant amount of
stool in the lower rectum. Which of the following is the next best step in managing this
patient’s fecal impaction?
ABalloon tamponade with a Sengstaken-Blakemore device
BColonoscopy
CEnema washout
DPhrenic nerve stimulation
Appendicitis
A 17-year-old girl presents to the ED reporting lower abdominal pain over the past eight
hours associated with a loss of appetite and mild nausea. She states she is sexually
active and on oral contraceptives. Her last menstrual period was three weeks ago. Her
temperature is 38.8°C. On exam, there is tenderness to palpation in the right lower
quadrant of the abdomen. Bowel sounds are absent. Pelvic exam reveals scant white
discharge from the cervical os. There is no cervical motion tenderness, and the adnexa
and ovaries appear normal on exam. Which of the following is the most likely diagnosis?
AAppendicitis
BEctopic pregnancy
CPelvic inflammatory disease
DTubo-ovarian abscess
Adenocarcinoma
In the United States, which of the following conditions, other than postoperative
adhesions, is most likely responsible for causing the diagnosis seen in the image
above?
AAdenocarcinoma
BCrohn disease
CIntussusception
DVolvulus
25 mg by mouth once daily for five days
An 8-year-old, 25 kg boy presents to the emergency department for shortness of breath
and chest pain. He has a past medical history significant for moderate, persistent
asthma for which he takes albuterol as needed and montelukast daily. The patient
clinically improves after three doses of albuterol and ipratropium via nebulizer. You
decide to write the patient a prescription for prednisone tablets. Which of the following
dosing strategies is most appropriate?
A12.5 mg by mouth every six hours for five days
