ROSH (FM Boost Exam) UPDATED ACTUAL Questions and CORRECT
Answers
1. B. Oxygen thera- Which of the following treatments for chronic obstructive pulmonary disease-re-
py lated chronic bronchitis is associated with decreased mortality?
A. Inhaled glucocorticoids
B. Oxygen therapy
C. Pneumococcal vaccine
D. Short-acting bronchodilators
2. B. Decreased A 58-year-old man with a 20 pack-year smoking history complains of a chronic,
heart sounds productive cough. Diffuse wheezing is noted on physical exam. Which of the
following additional physical exam findings would be expected?
A. Decreased anteroposterior chest diameter
B. Decreased heart sounds
C. Prolonged inspiratory phase of breathing
D. Splitting of the first heart sound
3. A. Costochondri- A 47-year-old woman presents complaining of new chest pain of sudden onset.
tis An electrocardiogram is normal. On exam, she is tender to palpation between her
sternum and ribs. She works as a landscaper. She does not have a history of obesity,
hypertension, hyperlipidemia, or diabetes. What is the most likely diagnosis?
A. Costochondritis
B. Gastroesophageal reflux disease
C. Myocardial infarction
D. Pleurisy
4. B. Administer ep- A 22-year-old man presents to the urgent care clinic with shortness of breath, facial
inephrine 0.3 mg swelling and rash. His mother states he was stung by a wasp 20 minutes ago and
IM almost immediately began to have diflculties speaking and breathing. He has a
heart rate of 110 beats per minute, respiratory rate 36 breaths per minute, oxygen
saturation 92% on room air and blood pressure 92/46 mm Hg. An intravenous line
has been placed. What is the most appropriate first step in your management?
A. Administer diphenhydramine 50 mg IV
,B. Administer epinephrine 0.3
mg IM
, C. Administer methylprednisolone 125 mg IV push
D. Administer normal saline infusion at 1,000 cc/hr
5. C. Gram stain A 24-year-old man presents with complaints of increasing drainage from both eyes
associated with mild discomfort for the past day. He denies severe eye pain or
blurring of his vision. He also complains of dysuria and urethral discharge. He is
sexually active and does not regularly use protection. On examination, his visual
acuity is 20/20 in both eyes. There is profuse purulent discharge as well as marked
chemosis, lid swelling, and tender preauricular adenopathy. Which of the following
is the most appropriate diagnostic evaluation?
A. Direct fluorescent antibody testing Your Answer
B. Fluorescent treponemal antibody absorption test
C. Gram stain
D. Tzanck smear
6. A. Chest tube What is the most common complication of thoracostomy tube placement?
malposition A. Chest tube malposition
B. Hemorrhage
C. InfectionYour Answer
D. Reexpansion pulmonary edema
7. B. Contrast arteri- A 64-year-old man with a history of diabetes mellitus presents with pain in his
ography right calf while walking. The pain is relieved with rest. He has smoked one pack
of cigarettes per day for the past 35 years. Exam reveals a cool extremity with
diminished pulses. What is the gold-standard diagnostic study for your suspected
diagnosis?
A. Bedside ankle-brachial index
B. Contrast arteriography
C. Duplex ultrasound
D. Plain radiograph
8. C. Bupropion Which of the following drugs is indicated for use in smoking cessation?
A. Alprazolam
Answers
1. B. Oxygen thera- Which of the following treatments for chronic obstructive pulmonary disease-re-
py lated chronic bronchitis is associated with decreased mortality?
A. Inhaled glucocorticoids
B. Oxygen therapy
C. Pneumococcal vaccine
D. Short-acting bronchodilators
2. B. Decreased A 58-year-old man with a 20 pack-year smoking history complains of a chronic,
heart sounds productive cough. Diffuse wheezing is noted on physical exam. Which of the
following additional physical exam findings would be expected?
A. Decreased anteroposterior chest diameter
B. Decreased heart sounds
C. Prolonged inspiratory phase of breathing
D. Splitting of the first heart sound
3. A. Costochondri- A 47-year-old woman presents complaining of new chest pain of sudden onset.
tis An electrocardiogram is normal. On exam, she is tender to palpation between her
sternum and ribs. She works as a landscaper. She does not have a history of obesity,
hypertension, hyperlipidemia, or diabetes. What is the most likely diagnosis?
A. Costochondritis
B. Gastroesophageal reflux disease
C. Myocardial infarction
D. Pleurisy
4. B. Administer ep- A 22-year-old man presents to the urgent care clinic with shortness of breath, facial
inephrine 0.3 mg swelling and rash. His mother states he was stung by a wasp 20 minutes ago and
IM almost immediately began to have diflculties speaking and breathing. He has a
heart rate of 110 beats per minute, respiratory rate 36 breaths per minute, oxygen
saturation 92% on room air and blood pressure 92/46 mm Hg. An intravenous line
has been placed. What is the most appropriate first step in your management?
A. Administer diphenhydramine 50 mg IV
,B. Administer epinephrine 0.3
mg IM
, C. Administer methylprednisolone 125 mg IV push
D. Administer normal saline infusion at 1,000 cc/hr
5. C. Gram stain A 24-year-old man presents with complaints of increasing drainage from both eyes
associated with mild discomfort for the past day. He denies severe eye pain or
blurring of his vision. He also complains of dysuria and urethral discharge. He is
sexually active and does not regularly use protection. On examination, his visual
acuity is 20/20 in both eyes. There is profuse purulent discharge as well as marked
chemosis, lid swelling, and tender preauricular adenopathy. Which of the following
is the most appropriate diagnostic evaluation?
A. Direct fluorescent antibody testing Your Answer
B. Fluorescent treponemal antibody absorption test
C. Gram stain
D. Tzanck smear
6. A. Chest tube What is the most common complication of thoracostomy tube placement?
malposition A. Chest tube malposition
B. Hemorrhage
C. InfectionYour Answer
D. Reexpansion pulmonary edema
7. B. Contrast arteri- A 64-year-old man with a history of diabetes mellitus presents with pain in his
ography right calf while walking. The pain is relieved with rest. He has smoked one pack
of cigarettes per day for the past 35 years. Exam reveals a cool extremity with
diminished pulses. What is the gold-standard diagnostic study for your suspected
diagnosis?
A. Bedside ankle-brachial index
B. Contrast arteriography
C. Duplex ultrasound
D. Plain radiograph
8. C. Bupropion Which of the following drugs is indicated for use in smoking cessation?
A. Alprazolam
