ROSH EXAM PACKAGE DEAL WITH COMPLETE SOLUTIONS.

A 28-year-old woman with no past medical history presents to the emergency department with acute dyspnea. Physical exam reveals tachycardia, warm extremities, wide-pulse pressure, bounding pulses, a systolic flow murmur, exophthalmos and a neck mass. Which of the following is the most likely diag...

A 21-year-old woman presents to the office with complaints of two weeks of increased thirst and increased urination that has started to affect her daily activities. A water deprivation study is ordered and shows a significant decrease in urine osmolality. Which of the following is the most likely ...

A 10-year-old boy presents to the clinic with his mother with cold-like symptoms for 4 days. He has a wet-cough that has been persistent over the last 4 days and interferes with outside play. His mother would like to get something for his cough. Which of the following is the most appropriate initi...

A 35-year-old woman comes to the clinic complaining of difficulty seeing, blurred vision, eye pain, and cough. She describes the cough as being dry and nonproductive. She has no past medical history and takes no medications. Ophthalmologic examination shows uveitis. Chest X-ray reveals bilateral h...

A patient states, "Every time the cop parks his police car there, it is because he is spying on me." This is an example of what type of disordered thinking? - Idea of reference. According to the cognitive behavioral theory, what is the underlying pathology in panic disorder? - An acquired, mala...

A 49-year-old woman presents with a neck mass. On examination, a firm nontender, 3-cm thyroid nodule is felt. TSH, T3, and T4 levels are all normal. - Fine Needle Aspiration! Thyroid Nodule A 55-year-old man presents with intermittent vertigo, tinnitus, and progressive hearing loss over the last ...

_ in childhood increases the risk of development of panic disorder as an adult - smoking _ should be performed for a suspected new-onset depressive disorder, especially if a clear precipitating factor is not present. - blood analysis (eg, CBC, CMP, TSH, UA, urine toxicology) 1 x 2 cm white patch ...

Abdominal Aortic Aneurysm (AAA) - -Advanced age, male, smoking hx, HTN -Acute abdominal pain + hypotension + pulsatile abdominal mass -US: 100% sensitive -CT: 100% sensitive, detects rupture/leak -AAA > 5 cm: ↑ risk of rupture -Renal colic in elderly: r/o AAA Absence Seizures - -5-10 yo ...

A 75-year-old woman with a history of hypertension presents to the ED with right upper quadrant pain that has been gradually worsening over the past day. Her vital signs are: T 103°F, BP 100/60, HR 100, RR 22, and oxygen saturation 97% on room air. Physical exam reveals scleral icterus and right ...

A 17-year-old woman presents to your clinic with a chief complaint of sadness, loss of appetite, and the inability to sleep. She is having a hard time focusing at work and she is tired all of the time. She tells you that for the past month she has been hearing voices telling her to harm herself. S...