Posts with Category
Emergency Nurse Practitioner
The Rosh Review blog provides study and exam prep tips, interviews, and deep dives for physicians, NPs, PAs, residents, and students. Below you’ll find a list of the blog posts that highlight our Emergency Nurse Practitioner content. Take a look and learn something new—we’re here every step of your career.
The Rosh Review blog provides study and exam prep tips, podcasts, and more for physicians, NPs, PAs, residents, and students. Below you’ll find a list of the blog posts that highlight Emergency Nurse Practitioner. Take a look and learn something new.
Rapid Review: Hypothyroidism
Hypothyroidism Patient will be complaining of generalized weakness, fatigue, facial swelling, constipation, cold intolerance, and weight gain PE will show periorbital edema, dry skin, and coarse brittle hair Labs will show high TSH and low free T4, antithyroid peroxidase, and antithyroglobulin autoantibodies Most commonly caused by Hashimoto’s thyroiditis Treatment is levothyroxine Comments: Takes about 6 weeks to see treatment effects. Monitor TSH Hashimoto’s: Risk factor for non-Hodgkin lymphoma Sample Question: A 55-year-old woman presents to your office with complaints of fatigue, read more…
Rapid Review: Hyphema
Hyphema Patient with a history of blunt or penetrating trauma Complaining of blurry vision PE will show unequal pupils, injected conjunctiva/sclera and blood in anterior chamber Treatment is eye protection and rest with the head of the bed at 30-45 degrees all the times A 13-year-old boy is brought to the urgent care clinic by his mother. He read more…
Rapid Review: Meniere Disease
Meniere Disease Patient will be complaining of episodic low-frequency hearing loss, tinnitus with aural (ear) fullness, and vertigo lasting one to eight hours Diagnosis is made clinically Most commonly caused by too much inner ear endolymph and increased pressure within the inner ear Treatment is low salt diet, diuretics (HCTZ + triamterene) Example: A patient complains of read more…
Rapid Review: Osgood-Schlatter Disease
Osgood-Schlatter Disease Patient will be an athlete 10–15 years old Complaining of knee pain while running PE will show tenderness over the tibial tubercle Treatment is ice, NSAIDs, quadriceps stretching Example: A 12-year-old boy presents to his pediatrician’s office for right knee pain that started three months ago after starting basketball practices. On physical exam, the read more…
Rapid Review: Myasthenia Gravis
Patient will be complaining of proximal muscle weakness, ptosis, and diplopia that is worse at the end of the day PE will show ice test improves sx Diagnosis is made by edrophonium (tensilon) test, EMG Most commonly caused by autoimmune destruction of acetylcholine receptors Treatment is acetylcholinesterase inhibitors, such as pyridostigmine Comments: associated with thymoma Example: A 28-year-old read more…
Rapid Review: Multiple Myeloma
Multiple Myeloma Patient will be elderly Complaining of back pain PE will show CRAB: hyperCalcemia, Renal insufficiency, Anemia, lytic Bone lesions/Back pain Labs will show monoclonal antibody spike X-ray will show lytic lesions Peripheral blood smear: Rouleaux formations Serum protein electrophoresis: M spike Protein electrophoresis urine analysis: Bence-Jones proteins Most commonly caused by single clone plasma cell read more…
Rapid Review: Molluscum Contagiosum
Molluscum Contagiosum Patient will be a school-age child Presenting with “warts” PE will show multiple waxy, dome-shaped papules with umbilicated appearance Most commonly caused by poxvirus Treatment is self-limiting
Rapid Review: Complex Regional Pain Syndrome
Complex Regional Pain Syndrome Patient will have a history of previous extremity injury or fracture Complaining of light touch causing extreme pain and allodynia (pain felt from a nonpainful stimulus, such as clothes or bed sheets on the skin) Treatment is NSAIDs, gabapentin, sympathectomy
Rapid Review: Bacterial Tracheitis
Bacterial Tracheitis Patient will be 3–5 years old High fever, barky cough, stridor Treat as airway emergency! Comments: Patient will look like croup but toxic appearing Sample Question: A 3-year-old boy presents in severe respiratory distress. His mother informs you that he has been ill for the last five days, initially with a low-grade fever and “barky cough.” read more…
Rapid Review: Absence Seizures
Absence Seizures Patient will be a 5–10 years old Sudden mental status alteration without motor activity or a blank stare EEG during an event would show symmetric 3 Hz spike and wave activity Treatment is ethosuximide Comments: There will be no aura or postictal state
Unlocking the Data Behind Rosh Review to Improve Educational Outcomes: Pt. 1
Many of our savvy customers realize intuitively that there is a treasure trove of performance data accumulating in the background with each new question answered by each of our users (40,933,037 total questions answered, as of today).
Rapid Review: Small Bowel Obstruction
Causes: adhesions (pelvic surgery) > tumor > hernia (inguinal) Proximal: bilious vomiting Distal: feculent vomiting High pitched bowel sounds X-ray: dilated bowel, air-fluid levels, “stack of coins” or “string of pearls” sign Modality of choice: CT NGT, surgery
Rapid Review: Appendicitis
Appendicitis Patient will be complaining of fever, pain that began periumbilical then moved to RLQ, nausea and anorexia PE will show Psoas sign (RLQ pain on extension of right hip), Obturator sign (RLQ pain on internal rotation of flexed right hip), Rovsing sign (right lower quadrant pain when the left lower quadrant is palpated) Diagnosis is made by ultrasound, CT Most commonly caused read more…
Everything You Need to Know to Become a Certified Emergency Nurse Practitioner (ENP-C)
In January 2017, the American Academy of Nurse Practitioners Certification Board, also known as the AANPCB, in conjunction with the American Academy of Emergency Nurse Practitioners, also known as the AAENP, launched the first of its kind emergency nurse practitioner (ENP) certification exam. Successful completion of the emergency nurse practitioner exam will earn you the emergency nurse practitioner certification or ENP-C.
RoshQuiz Answer 1.2
According to Godwin et al., during procedural sedation and analgesia, a nurse or other qualified individual should be present for continuous monitoring of the patient, in addition to the provider performing the procedure.
RoshQuiz Question 1.2
Question: In patients undergoing procedural sedation and analgesia in the emergency department, what is the minimum number of personnel necessary to manage complications?
RoshQuiz Answer 1.1
According to Godwin et al., do not delay procedural sedation in adults or pediatric patients in the ED based on fasting time. No reduction in risk of emesis or aspiration has been shown with any fasting duration. This is a Level B recommendation.
RoshQuiz Question 1.1
You are planning to perform procedural sedation to reduce a fracture. The patient’s last meal was 4 hours ago. How much additional time should you wait to perform the procedure?