IM Rosh Review EOR Practice Exam
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A man presents to the clinic complaining of fever, cough, and
shortness of breath. He states his symptoms began after his
return from a business trip last week. He has also
experienced nausea, vomiting, and diarrhea since returning.
Chest radiograph demonstrates patchy unilobar infiltrates.
Which of the following results do you expect to see on Gram
stain?
AGram-negative encapsulated bacilli
BGram-positive cocci in clusters
CGram-positive diplococci
DNo bacteria present - Correct Answers ✅D No bacteria
present (describing Legionella PNA which is considered an
atypical bacterium and cannot be visualized on gram stain.)
A 22-year-old man with a medical history of tobacco use
presents to the emergency department for evaluation of
acute onset shortness of breath. He states his symptoms
started 2 hours prior to arrival. He has had no previous
episodes and reports no chest pain, cough, fever, known sick
contacts, nausea, or vomiting. He smokes five cigarettes per
day and has for the last 4 years. Vital signs show a
temperature of 98.4°F, heart rate of 120 bpm, blood pressure
of 114/78 mm Hg, respiratory rate of 22 breaths/minute, and
oxygen saturation of 90% on room air. His height is 6'2",
,IM Rosh Review EOR Practice Exam
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weight is 170 lb, and BMI is 21.5 kg/m2. What is the most
likely etiology for his condition?
AAlpha-1 antitrypsin deficiency
BBlunt thoracic trauma
CRupture of subpleural apical bullae
DUnderlying lung malignancy - Correct Answers ✅C
Rupture of subpleural apical bullae (pneumothorax)
A 68-year-old woman presents to an internal medicine clinic
as a new patient. She just moved to the area to live with her
children. She reports increasing joint pain and stiffness over
the past few years, which she attributes to previously working
on a farm and general aging. Her bilateral shoulders and
pelvic girdle are most affected. The symptoms are worse in
the morning and improve with movement. There is no focal
weakness, but she reports malaise and weight loss. She
mentions that her last clinician was treating her for anemia.
Which of the following laboratory markers is most likely to be
abnormal in this patient?
AAntinuclear antibody
BCreatine kinase
CErythrocyte sedimentation rate
,IM Rosh Review EOR Practice Exam
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DRheumatoid factor - Correct Answers ✅C Erythrocyte
sedimentation rate (polymyalgia rheumatica)
A 68-year-old man presents to the emergency department
with fever and productive cough. The initial vital signs show
the patient has a low-grade fever, respiratory rate of 30/min,
and normal heart rate and blood pressure. He is alert and
oriented and otherwise healthy. Laboratory findings are
unremarkable. Chest X-ray shows an infiltrate in the right
lower lobe. What is the best treatment plan based on the
above information?
AAdmission to the floor and start empiric antibiotics
BAdmission to the floor and wait for culture results to guide
antibiotics
CAdmission to the intensive care unit and intravenous
antibiotics
DDischarge with outpatient antibiotics - Correct Answers
✅AAdmission to the floor and start empiric antibiotics (PNA
CURBS65 criteria)
A 62-year-old man presents to the office for a routine office
visit. He recently had a left thyroidectomy and has since been
feeling more fatigued than usual, with more muscle cramping
in his arms and legs and numbness around his mouth and
, IM Rosh Review EOR Practice Exam
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Score Guarantee Pass (Latest 2025)
fingertips. On physical exam, his temperature is 98.6°F, blood
pressure is 112/64 mm Hg, heart rate is 84 bpm, oxygen
saturation is 98% on room air, and respiratory rate is
18/minute. Laboratory results are as follows: a sodium level
of 140 mEq/L, a potassium level of 4.2 mEq/L, an ionized
calcium level of 3.5 mg/dL, an albumin level of 4.0 g/dL, and
a thyroid-stimulating hormone level of 3.0 mU/L. Which of the
following physical exam findings are most likely to be present
in a patient with this condition?
ABand keratopathy
BContraction of facial muscles by tapping the facial nerve
CDecreased muscle strength in the extremities
DDiminished deep tendon reflexes - Correct Answers
✅BContraction of facial muscles by tapping the facial nerve
(hypocalcemia)
A 20-year-old man has been hospitalized for generalized
abdominal pain, vomiting, hypotension, confusion, and
malaise. He also reports 1 month of increased thirst, more
frequent urination, and an unintentional 8 lb weight loss. He
has no significant medical or surgical history. Vital signs at
this time include a temperature of 97.8°F, blood pressure of
100/70 mm Hg, heart rate of 106 bpm, respiratory rate of
32/minute, and oxygen saturation of 97% on room air.
Significant physical examination findings include deep, rapid
Questions and Verified Answers, 100%
Score Guarantee Pass (Latest 2025)
A man presents to the clinic complaining of fever, cough, and
shortness of breath. He states his symptoms began after his
return from a business trip last week. He has also
experienced nausea, vomiting, and diarrhea since returning.
Chest radiograph demonstrates patchy unilobar infiltrates.
Which of the following results do you expect to see on Gram
stain?
AGram-negative encapsulated bacilli
BGram-positive cocci in clusters
CGram-positive diplococci
DNo bacteria present - Correct Answers ✅D No bacteria
present (describing Legionella PNA which is considered an
atypical bacterium and cannot be visualized on gram stain.)
A 22-year-old man with a medical history of tobacco use
presents to the emergency department for evaluation of
acute onset shortness of breath. He states his symptoms
started 2 hours prior to arrival. He has had no previous
episodes and reports no chest pain, cough, fever, known sick
contacts, nausea, or vomiting. He smokes five cigarettes per
day and has for the last 4 years. Vital signs show a
temperature of 98.4°F, heart rate of 120 bpm, blood pressure
of 114/78 mm Hg, respiratory rate of 22 breaths/minute, and
oxygen saturation of 90% on room air. His height is 6'2",
,IM Rosh Review EOR Practice Exam
Questions and Verified Answers, 100%
Score Guarantee Pass (Latest 2025)
weight is 170 lb, and BMI is 21.5 kg/m2. What is the most
likely etiology for his condition?
AAlpha-1 antitrypsin deficiency
BBlunt thoracic trauma
CRupture of subpleural apical bullae
DUnderlying lung malignancy - Correct Answers ✅C
Rupture of subpleural apical bullae (pneumothorax)
A 68-year-old woman presents to an internal medicine clinic
as a new patient. She just moved to the area to live with her
children. She reports increasing joint pain and stiffness over
the past few years, which she attributes to previously working
on a farm and general aging. Her bilateral shoulders and
pelvic girdle are most affected. The symptoms are worse in
the morning and improve with movement. There is no focal
weakness, but she reports malaise and weight loss. She
mentions that her last clinician was treating her for anemia.
Which of the following laboratory markers is most likely to be
abnormal in this patient?
AAntinuclear antibody
BCreatine kinase
CErythrocyte sedimentation rate
,IM Rosh Review EOR Practice Exam
Questions and Verified Answers, 100%
Score Guarantee Pass (Latest 2025)
DRheumatoid factor - Correct Answers ✅C Erythrocyte
sedimentation rate (polymyalgia rheumatica)
A 68-year-old man presents to the emergency department
with fever and productive cough. The initial vital signs show
the patient has a low-grade fever, respiratory rate of 30/min,
and normal heart rate and blood pressure. He is alert and
oriented and otherwise healthy. Laboratory findings are
unremarkable. Chest X-ray shows an infiltrate in the right
lower lobe. What is the best treatment plan based on the
above information?
AAdmission to the floor and start empiric antibiotics
BAdmission to the floor and wait for culture results to guide
antibiotics
CAdmission to the intensive care unit and intravenous
antibiotics
DDischarge with outpatient antibiotics - Correct Answers
✅AAdmission to the floor and start empiric antibiotics (PNA
CURBS65 criteria)
A 62-year-old man presents to the office for a routine office
visit. He recently had a left thyroidectomy and has since been
feeling more fatigued than usual, with more muscle cramping
in his arms and legs and numbness around his mouth and
, IM Rosh Review EOR Practice Exam
Questions and Verified Answers, 100%
Score Guarantee Pass (Latest 2025)
fingertips. On physical exam, his temperature is 98.6°F, blood
pressure is 112/64 mm Hg, heart rate is 84 bpm, oxygen
saturation is 98% on room air, and respiratory rate is
18/minute. Laboratory results are as follows: a sodium level
of 140 mEq/L, a potassium level of 4.2 mEq/L, an ionized
calcium level of 3.5 mg/dL, an albumin level of 4.0 g/dL, and
a thyroid-stimulating hormone level of 3.0 mU/L. Which of the
following physical exam findings are most likely to be present
in a patient with this condition?
ABand keratopathy
BContraction of facial muscles by tapping the facial nerve
CDecreased muscle strength in the extremities
DDiminished deep tendon reflexes - Correct Answers
✅BContraction of facial muscles by tapping the facial nerve
(hypocalcemia)
A 20-year-old man has been hospitalized for generalized
abdominal pain, vomiting, hypotension, confusion, and
malaise. He also reports 1 month of increased thirst, more
frequent urination, and an unintentional 8 lb weight loss. He
has no significant medical or surgical history. Vital signs at
this time include a temperature of 97.8°F, blood pressure of
100/70 mm Hg, heart rate of 106 bpm, respiratory rate of
32/minute, and oxygen saturation of 97% on room air.
Significant physical examination findings include deep, rapid
