ROSH INTERNAL MEDICINE BOOST EOR EXAM EOR WITH ALL
QUESTIONS AND CORRECT ANSWERS!!!! ALREADY GRADED A+
A 40-year-old man presents to the clinic with burning abdominal pain that extends from his navel to his
chest for the past couple of days. Loss of appetite is his only other complaint. Physical exam is normal.
He smokes one pack of cigarettes per day and drinks two to three beers daily. An ulceration in the gastric
lining is seen on upper endoscopy. What is the most likely diagnosis?
A Barrett esophagus
B Gastric cancer
C Peptic ulcer disease
D Ulcerative colitis - (ANSWER)C peptic ulcer disease
A 45-year-old hypertensive man presents with a persistent, dry cough. He is currently taking clonidine
0.1 mg three times daily, amlodipine 10 mg daily, lisinopril 40 mg daily, and aspirin 81 mg daily. Which of
his medications is most likely contributing to his symptoms?
AAmlodipine
BAspirin
CClonidine
DLisinopril - (ANSWER)D lisinopril
A 44-year-old woman with a history of chronic pancreatitis secondary to alcohol use presents to the
clinic for routine care. She reports her symptoms are well-controlled. She was last seen a year ago.
Which of the following tests is indicated for this patient?
AAbdominal ultrasound
BFasting glucose level
CMagnetic resonance cholangiopancreatography
DSerum amylase and lipase - (ANSWER)B fasting glucose level
what is the triad for WPW - (ANSWER)short PR
wide QRS
delta wave
,ROSH INTERNAL MEDICINE BOOST EOR EXAM EOR WITH ALL
QUESTIONS AND CORRECT ANSWERS!!!! ALREADY GRADED A+
Which of the following best represents an appropriate lipid screening protocol for an adult man with no
other cardiovascular risk factors?
ALipid profile beginning at age 20
BLipid profile beginning at age 30
CLipid profile beginning at age 35
DLipid profile beginning at age 40 - (ANSWER)C lipid profile beginning at age 35
Which of the following physical exam findings is most indicative of angina pectoris?
ALeft-sided chest pain associated with a dermatomal vesicular rash
BReproducible chest pain on chest wall palpation
CSubsternal chest pain associated with a new third heart sound
DSubsternal chest pain associated with decreased heart sounds and jugular venous distention -
(ANSWER)C substernal chest pain associated with a new third heart sound
A 67-year-old man presents to the emergency department with an acute exacerbation of chronic
bronchitis and is hospitalized. His home medications include inhaled albuterol and ipratropium.
Administration of which of the following is contraindicated?
AAlbuterol 2.5 mg per nebulizer
BLevofloxacin 500 mg IV
CMethylprednisolone 125 mg IV
DTheophylline 200 mg per oral route - (ANSWER)D theophylline 200 mg per oral route
A 58-year-old woman, newly diagnosed with Sjӧgren syndrome, returns to the clinic complaining of
worsening dry mouth. At her last visit, you recommended she take frequent drinks of water throughout
the day and try various over-the-counter products as well as artificial saliva, which she did, but her
mouth symptoms persist. What is the most likely medication you would start her on?
ACevimeline
BCyclosporine drops
CLow-dose prednisone
DSulfasalazine - (ANSWER)A cevimeline
,ROSH INTERNAL MEDICINE BOOST EOR EXAM EOR WITH ALL
QUESTIONS AND CORRECT ANSWERS!!!! ALREADY GRADED A+
what are 3 best treatments for CAP without comorbidities or risk factors for MRSA or Paeruginosa -
(ANSWER)amoxicillin OR
doxycycline OR
macrolide
A 24-year-old woman presents with complaints of excessive thirst over the past several weeks. She also
notes waking up in the middle of the night to urinate. She recently underwent transsphenoidal resection
of a pituitary adenoma. Which of the following is the most likely diagnosis?
ACentral diabetes insipidus
BNephrogenic diabetes insipidus
CPrimary polydipsia
DType 2 diabetes mellitus - (ANSWER)A central diabetes insipidus
A 25-year-old man presents to the emergency department with a knife wound in his chest, located to the
left of the sternum. He is minimally responsive and pale. His blood pressure is 80/60 mm Hg and his
heart rate is 150 bpm. He has prominent jugular venous distention and his systolic blood pressure drops
about 10 mm Hg with inspiration. Breath sounds are normal. What is the most likely diagnosis?
ACardiac tamponade
BPericarditis
CPneumothorax
DPulmonary embolism - (ANSWER)A cardiac tamponade
In the treatment of Alzheimer disease, which of the following pharmacologic treatment options is found
to be neuroprotective?
ADonepezil
BMemantine
CSelegiline
DVitamin E - (ANSWER)B memantine
, ROSH INTERNAL MEDICINE BOOST EOR EXAM EOR WITH ALL
QUESTIONS AND CORRECT ANSWERS!!!! ALREADY GRADED A+
A 60-year-old man with a history of hypertension, hyperlipidemia, and heavy tobacco use has been
compliant with his 80 mg dose of atorvastatin for the past twelve months. His current total cholesterol
measurement is 220 mg/dL. You decide to add another lipid lowering agent. Which of the following
drugs has proven beneficial for the prevention of adverse cardiovascular disease events when added to
statin therapy?
ACholestyramine
BEzetimibe
CFenofibrate
DNiacin - (ANSWER)B ezetimibe
Which of the following is the recommended first-line treatment of generalized convulsive status
epilepticus?
ALorazepam
BPhenobarbital
CPropofol
DTopiramate - (ANSWER)A lorazepam
A 70-year-old male is beginning treatment for peripheral vascular disease. He has a 50 pack year
smoking history and is currently smoking one pack per day. His ankle-brachial index is 0.76, and his
dorsalis pedis pulses are diminished bilaterally. His main complaint is a reduction in his ability to
continue morning walks with his brother due to pain in his calves that resolves with rest. Which of the
following is the most appropriate therapy?
AAspirin, cilostazol, rosuvastatin, smoking cessation, and structured exercise
BAspirin, rosuvastatin, smoking cessation, and surgical referral
CClopidogrel, endovascular reperfusion, rosuvastatin, and smoking cessation
DClopidogrel, structured exercise, and smoking cessation - (ANSWER)A aspirin, cilostazol, rosuvastatin,
smoking cessation, and structured exercise
A 30-year-old woman presents to the clinic with weight gain, fatigue, and constipation. She has gained
15 lbs during the past three weeks despite no change in her diet. Her heart rate is 50/minute and her
QUESTIONS AND CORRECT ANSWERS!!!! ALREADY GRADED A+
A 40-year-old man presents to the clinic with burning abdominal pain that extends from his navel to his
chest for the past couple of days. Loss of appetite is his only other complaint. Physical exam is normal.
He smokes one pack of cigarettes per day and drinks two to three beers daily. An ulceration in the gastric
lining is seen on upper endoscopy. What is the most likely diagnosis?
A Barrett esophagus
B Gastric cancer
C Peptic ulcer disease
D Ulcerative colitis - (ANSWER)C peptic ulcer disease
A 45-year-old hypertensive man presents with a persistent, dry cough. He is currently taking clonidine
0.1 mg three times daily, amlodipine 10 mg daily, lisinopril 40 mg daily, and aspirin 81 mg daily. Which of
his medications is most likely contributing to his symptoms?
AAmlodipine
BAspirin
CClonidine
DLisinopril - (ANSWER)D lisinopril
A 44-year-old woman with a history of chronic pancreatitis secondary to alcohol use presents to the
clinic for routine care. She reports her symptoms are well-controlled. She was last seen a year ago.
Which of the following tests is indicated for this patient?
AAbdominal ultrasound
BFasting glucose level
CMagnetic resonance cholangiopancreatography
DSerum amylase and lipase - (ANSWER)B fasting glucose level
what is the triad for WPW - (ANSWER)short PR
wide QRS
delta wave
,ROSH INTERNAL MEDICINE BOOST EOR EXAM EOR WITH ALL
QUESTIONS AND CORRECT ANSWERS!!!! ALREADY GRADED A+
Which of the following best represents an appropriate lipid screening protocol for an adult man with no
other cardiovascular risk factors?
ALipid profile beginning at age 20
BLipid profile beginning at age 30
CLipid profile beginning at age 35
DLipid profile beginning at age 40 - (ANSWER)C lipid profile beginning at age 35
Which of the following physical exam findings is most indicative of angina pectoris?
ALeft-sided chest pain associated with a dermatomal vesicular rash
BReproducible chest pain on chest wall palpation
CSubsternal chest pain associated with a new third heart sound
DSubsternal chest pain associated with decreased heart sounds and jugular venous distention -
(ANSWER)C substernal chest pain associated with a new third heart sound
A 67-year-old man presents to the emergency department with an acute exacerbation of chronic
bronchitis and is hospitalized. His home medications include inhaled albuterol and ipratropium.
Administration of which of the following is contraindicated?
AAlbuterol 2.5 mg per nebulizer
BLevofloxacin 500 mg IV
CMethylprednisolone 125 mg IV
DTheophylline 200 mg per oral route - (ANSWER)D theophylline 200 mg per oral route
A 58-year-old woman, newly diagnosed with Sjӧgren syndrome, returns to the clinic complaining of
worsening dry mouth. At her last visit, you recommended she take frequent drinks of water throughout
the day and try various over-the-counter products as well as artificial saliva, which she did, but her
mouth symptoms persist. What is the most likely medication you would start her on?
ACevimeline
BCyclosporine drops
CLow-dose prednisone
DSulfasalazine - (ANSWER)A cevimeline
,ROSH INTERNAL MEDICINE BOOST EOR EXAM EOR WITH ALL
QUESTIONS AND CORRECT ANSWERS!!!! ALREADY GRADED A+
what are 3 best treatments for CAP without comorbidities or risk factors for MRSA or Paeruginosa -
(ANSWER)amoxicillin OR
doxycycline OR
macrolide
A 24-year-old woman presents with complaints of excessive thirst over the past several weeks. She also
notes waking up in the middle of the night to urinate. She recently underwent transsphenoidal resection
of a pituitary adenoma. Which of the following is the most likely diagnosis?
ACentral diabetes insipidus
BNephrogenic diabetes insipidus
CPrimary polydipsia
DType 2 diabetes mellitus - (ANSWER)A central diabetes insipidus
A 25-year-old man presents to the emergency department with a knife wound in his chest, located to the
left of the sternum. He is minimally responsive and pale. His blood pressure is 80/60 mm Hg and his
heart rate is 150 bpm. He has prominent jugular venous distention and his systolic blood pressure drops
about 10 mm Hg with inspiration. Breath sounds are normal. What is the most likely diagnosis?
ACardiac tamponade
BPericarditis
CPneumothorax
DPulmonary embolism - (ANSWER)A cardiac tamponade
In the treatment of Alzheimer disease, which of the following pharmacologic treatment options is found
to be neuroprotective?
ADonepezil
BMemantine
CSelegiline
DVitamin E - (ANSWER)B memantine
, ROSH INTERNAL MEDICINE BOOST EOR EXAM EOR WITH ALL
QUESTIONS AND CORRECT ANSWERS!!!! ALREADY GRADED A+
A 60-year-old man with a history of hypertension, hyperlipidemia, and heavy tobacco use has been
compliant with his 80 mg dose of atorvastatin for the past twelve months. His current total cholesterol
measurement is 220 mg/dL. You decide to add another lipid lowering agent. Which of the following
drugs has proven beneficial for the prevention of adverse cardiovascular disease events when added to
statin therapy?
ACholestyramine
BEzetimibe
CFenofibrate
DNiacin - (ANSWER)B ezetimibe
Which of the following is the recommended first-line treatment of generalized convulsive status
epilepticus?
ALorazepam
BPhenobarbital
CPropofol
DTopiramate - (ANSWER)A lorazepam
A 70-year-old male is beginning treatment for peripheral vascular disease. He has a 50 pack year
smoking history and is currently smoking one pack per day. His ankle-brachial index is 0.76, and his
dorsalis pedis pulses are diminished bilaterally. His main complaint is a reduction in his ability to
continue morning walks with his brother due to pain in his calves that resolves with rest. Which of the
following is the most appropriate therapy?
AAspirin, cilostazol, rosuvastatin, smoking cessation, and structured exercise
BAspirin, rosuvastatin, smoking cessation, and surgical referral
CClopidogrel, endovascular reperfusion, rosuvastatin, and smoking cessation
DClopidogrel, structured exercise, and smoking cessation - (ANSWER)A aspirin, cilostazol, rosuvastatin,
smoking cessation, and structured exercise
A 30-year-old woman presents to the clinic with weight gain, fatigue, and constipation. She has gained
15 lbs during the past three weeks despite no change in her diet. Her heart rate is 50/minute and her
