Monthly Archives:
August 2017

Rapid Review: Ulcerative Colitis

Published: August 31, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , , ,   |   Read more

Ulcerative Colitis Patient will be 15 – 30 years old Complaining of bloody diarrhea, crampy abdominal pain, and tenesmus Colonoscopy will show continuous mucosal inflammation always involving the rectum Treatment is sulfasalazine, surgery is curative Complications: Toxic megacolon, ↑ colon cancer risk Sample question: A 32-year-old man presents to clinic with worsening colicky stomach pains, and bloody, mucous streaked diarrhea. He reports he has no fever, nausea or […]

Podcast Ep 30: Status Epilepticus, Isoniazid Toxicity, Hyponatrem

Published: August 30, 2017   |   Author: Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.   |   Category: Blog, Podcasts   |   Tagged: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,   |   Read more

Only I can change my life. No one can do it for me. -Carol Burnett Welcome back to Episode 30! First, we must congratulate Sean for winning the trauma ring tone challenge by being the first to respond after the episode release. An honorable mention goes out to Nich and Dhinakar. Stay tuned for future […]

Family Nurse Practitioner (FNP) – Board Certification Overview

Published: August 28, 2017   |   Author: Adam Rosh   |   Category: Blog   |   Tagged: , ,   |   Read more

There are two certification options: American Academy of Nurse Practitioners (AANP) is a board examination. Upon passing, the credentials awarded are FNP-C (C-denotes certified) 2,3 Questions: 150 questions (135 are scored; 15 are pretest and not scored) 2 Exam Breakdown Assessment (~36%) Diagnosis (~24%) Plan (~23%) Evaluation (~17%) Exam Breakdown by Patient Age: Prenatal (~3%) […]

Rapid Review: Rock Mountain Spotted Fever

Published: August 28, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

Rocky Mountain spotted fever (RMSF) Patient with a history of recently in the woods hiking or camping Complaining of abrupt onset of severe headache, photophobia, vomiting, diarrhea, and myalgia PE will show maculopapular eruption on the palms and soles Diagnosis is made by skin biopsy Most commonly caused by Rickettsia rickettsia Treatment is ALWAYS doxycycline, even in children Sample question: A 19-year-old woman […]

Rapid Review: Anticholinergic Toxidrome

Published: August 24, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , , , ,   |   Read more

Anticholinergic Toxidrome PE will show hyperthermia, tachycardia, mydriasis, and dry skin Treatment is supportive care alone or in combination with antidotal therapy with physostigmine Comments: Classes of medications with anticholinergic properties include antihistamines, tricyclic antidepressants, and sleep aids Mnemonic: “Mad as a hatter” (AMS), “blind as a bat” (mydraisis), “red as a beet” (flushed skin), “hot as a hare”(anhydrosis), and “dry as […]

Rapid Review: de Quervain Tenosynovitis

Published: August 17, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

de Quervain Tenosynovitis Patient will be complaining of radial wrist pain PE will show pain on ulnar wrist deviation with thumb in fist (Finkelstein’s test) Treatment is thumb spica splint, NSAIDs Sample question: A 20-year-old man who is employed in construction presents with pain to his thumb and wrist for 4 months. He states that the pain worsens while he is […]

The Value of Rosh Review QBank Analytics to EM Residency Program Directors

Published: August 16, 2017   |   Author: Adam Rosh   |   Category: Blog   |   Tagged: , ,   |   Read more

Prior work in cognitive and educational psychology have demonstrated the effectiveness of practice testing as a study technique for physician board examination. Rosh Review is an online educational platform centered around a question bank of board-style multiple choice questions that is used by many resident physicians, physician assistants, and nurse practitioners as part of their preparation for board certification.

How To Earn and Obtain Your Rosh Review CME or CE Certificate?

Published: August 15, 2017   |   Author: Adam Rosh   |   Category: Blog   |   Tagged: , , ,   |   Read more

Rosh Review offers 100 credits of continuing medical education education (CME) and continuing education (CE). If you are a subscriber who signed up for an account linked to CME or CE and you want to know how to obtain your credit and certificate or both…this is how you do it:

Rapid Review: Kawasaki Disease

Published: August 14, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

Kawasaki Disease Patient will be a child < 4 years old With a history of high fever for 5 days Complaining of conjunctivitis, rash, adenopathy, strawberry tongue, hand/feet edema, fever Treatment is IVIG + aspirin Comments: #1 cause of pediatric acquired heart disease, risk for coronary artery aneurysm Mnemonic: CRASH and burn: Conjunctivitis, Rash, Adenopathy, Strawberry tongue, Hand/feet edema, Fever Sample question: A four-year-old girl is brought to the clinic […]

Rapid Review: Wernicke Encephalopathy

Published: August 10, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

Wernicke Encephalopathy Patient will be a chronic alcoholic Complaining of ataxia and confusion PE will show nystagmus Most commonly caused by thiamine (B1) deficiency Treatment is aggressive thiamine repletion Comments: replace thiamine BEFORE glucose Sample question: A 53-year-old woman with chronic alcohol abuse presents with confusion and blurred vision. Her vital signs are normal. Physical examination reveals a wide based gait, inability to abduct […]