Clinical Year

Today we released a new Rotation Exam – Women’s Health Module, available to Physician Assistant students and programs, is best suited for PA students looking for a focused, high-yield review for the end of your rotation. It joins our growing list of Rotation Exams including Rotation Exam – Family Medicine, Rotation Exam – Internal Medicine, and Rotation Exam – Emergency Medicine. This content is novel, and not included in Rosh Review’s PANCE QBANK, Mock exams, or Power Packs. Topics for the Rosh Review Women’s Health Rotation Exam are based on the national curriculum blueprint. Rosh Review, LLC is not sponsored or endorsed by, or affiliated with, the Physician Assistant Education Association (PAEA) nor the End of Rotation Exam™ (EOR). All trademarks are the property of their respective owners.

Today we added 300 new questions, 300 new comprehensive, high-yield explanations, 300 new custom teaching images, 300 new One Step Further questions and answers, 300 new Rapid Reviews, and 300 new opportunities to get prepared to take your PANCE or PANRE.

Ottawa Foot and Ankle Rules X-rays required if Patient cannot bear weight for 4 steps Distal 6 cm tibia/fibula tenderness Medial/lateral malleolus tenderness 5th metatarsal tenderness Navicular tenderness Sample question: A 16-year-old boy presents complaining of right ankle pain after injuring himself while playing basketball. He states that he “twisted his ankle” when he landed on read more…

Sample question: A 17-year-old boy presents to the clinic with right-hand pain after punching a wall. Physical examination reveals swelling over the dorsum of the right hand with bony tenderness noted with palpation of the fifth metacarpal. What is the most likely diagnosis?

Sample question: You are called to the nursery to examine a newborn boy. He was born at 36 weeks via C section to a 32-year-old G3, P3 mother. APGAR scores were 7 and 9. After six hours, the neonate developed respiratory distress. On examination, respiratory rate is 70, with nasal flaring, expiratory grunting, intercostal retractions, decreased breath sounds, and diminished read more…

At the end of 2016, I had a PA student reach out to me after having failed her PANCE four times. The fifth time she took the PANCE, she crushed it and easily passed. These are the techniques we employed for her that you can use to prepare for your exam. 

Transient Tachypnea of the Newborn Patient will be a child shortly after birth Sudden onset of difficulty breathing PE will show tachypnea, nasal flaring, retractions, and hypoxia CXR will show parenchymal infiltrates and fluid in the pulmonary fissures Most commonly caused by residual pulmonary fluid Treatment is supportive, self-resolving within 72 hours Comments: Most common cause of neonatal respiratory distress Sample question: A full-term male infant read more…

Over the course of the last few years, we compiled real world scores from thousands of individuals who took the PANCE and PANRE exams. Using this data to aid learners in self-assessment of their preparedness for the PANCE and PANRE exams, we developed a proprietary algorithm using a regression model and standard correction factor to convert your Rosh Review performance to a projected PANCE and PANRE exam performance.

Septic Arthritis Patient will be complaining of fever, monoarticular pain with decreased ROM Labs will show WBC > 50,000 with > 75% PMNs Diagnosis is made by arthrocentesis Most commonly caused by: Age < 35: N. gonorrhea, S. aureus overall Treatment is IV ABX, surgical washout Sample question: A 23-year-old man with a history of intravenous heroin use presents to the emergency department with a read more…

Sample question: Which muscle is most commonly involved with rotator cuff injuries?

Megaloblastic Anemia Patient will be a vegan or alcoholic Complaining of fatigue, weakness PE will show pallor, glossitis Labs will show MCV > 100 and hypersegmented neutrophils Most commonly caused by vitamin B12 (Cobalamin) or folate deficiency Comments: only vitamin B12 deficiency results in neurological symptoms Sample question: A middle-aged patient in the ED has a hemoglobin of 8.1 g/dL with an MCV of 112 fL. Which of read more…

Coarctation of the Aorta PE will show higher blood pressure in the arms than in the legs EKG will show LVH CXR will show notching of ribs Diagnosis is made by echo Treatment is balloon angioplasty with stent placement or surgical correction Comments: associated with Turner syndrome Sample question: A 5-year-old girl with Turner syndrome is found to have systolic hypertension. Further examination read more…

The new Rotation Exam – Internal Medicine, available to Physician Assistant students and programs, is best suited for PA students looking for a focused, high-yield review for the end of your rotation. It joins our growing list of Rotation Exams including Rotation Exam – Pediatrics, Rotation Exam – Emergency Medicine, Rotation Exam – Psychiatry and Behavioral Health, and Rotation Exam – Women’s Health. This content is novel, and not included in Rosh Review’s PANCE QBANK, Mock exams, or Power Packs. Topics for the Rosh Review Internal Medicine Rotation Exam are based on the national curriculum blueprint. Rosh Review, LLC is not sponsored or endorsed by, or affiliated with, the Physician Assistant Education Association (PAEA) nor the End of Rotation Exam™ (EOR). All trademarks are the property of their respective owners.

Sample question: A 71-year-old man presents to the emergency department after falling on ice outside his home. He complains of neck pain. He has an abrasion to his chin and decreased strength in his bilateral upper extremities. Strength is intact in his lower extremities. Which mechanism of trauma is most consistent with the suspected diagnosis?

I am hosting a free 1-hour live video discussion on study strategies for your PANCE. The event is limited to the first 25 PA students who sign up. The goal is to leave the event with tactical and actionable material to prepare for your PANCE.

Today’s teaching image is about alkaptonuria, or black urine disease. For more teaching images, try a free trial of our board review qbanks.

Sample question: In children under 8 years of age, which of the following is the most common fracture involving the elbow?

Today’s teaching image is about traumatic iritis. For more teaching images, try a free trial of our board review qbanks.

Scabies Patient will be complaining of severe pruritus that is worse at night PE will show small papules, vesicles and burrows in the webbed spaces of the fingers and toes Diagnosis is made by microscopic visualization Most commonly caused by Sarcoptes scabiei hominis Treatment is permethrin 5% Sample question: A 15-year-old boy presents with an itchy rash on his hands and wrists. read more…