New Family Medicine Rotation Exam, Perfect for PA Students

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The new Rotation Exam – Family 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 – PediatricsRotation Exam – Internal MedicineRotation Exam – Emergency MedicineRotation 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 Family Medicine Rotation Exam are based on the national curriculum blueprint.

Categories include:

  • Cardiovascular (15%)
  • Pulmonology (12%)
  • Gastrointestinal/Nutritional (11%)
  • ENOT/Ophthalmology (8%)
  • Obstetrics/Gynecology (8%)
  • Orthopedics/Rheumatology (8%)
  • Neurology (6%)
  • Dermatology (5%)
  • Endocrinology (5%)
  • Psychiatry/Behavioral medicine (5%)
  • Urology/Renal (5%)
  • Hematology (4%)
  • Infectious diseases (4%)
  • Urgent care (4%)

Content is organized by task:

  • History and Physical (15%)
  • Diagnostic studies (10%)
  • Diagnosis (25%)
  • Health maintenance (10%)
  • Clinical intervention (10%)
  • Clinical therapeutics (20%)
  • Scientific concepts (10%)

Here’s an example:

A 30-year-old man, who has a 10-year history of alcohol abuse, presents with a symmetrical erythematous facial rash in areas that are exposed to the sun. He admits he has been a little confused and forgetful lately. A urine test shows a deficiency in N-methylnicotinamide. What additional symptom might be seen in this patient due to this deficiency?

A. Diarrhea
B. Flushing
C. Gingivitis
D. Paresthesias

Answer A

Niacin (vitamin B3) deficiency, or pellagra, is characterized by dermatitis, dementia, and diarrhea, and can sometimes lead to death. The photosensitive, hyperpigmented, symmetrical rash that resembles a sunburn is the most recognizable characteristic. Diarrhea and confusion with memory loss may also be symptoms. While it is rare in developed countries, it can present in cases of alcoholism, bariatric surgery, malabsorption, or anorexia nervosa. It can also be seen in carcinoid syndrome or with prolonged use of isoniazid. Niacin status can be determined by measuring urinary N-methylnicotinamide or the erythrocyte NAD/NADP(ratio).

Pellagra

Flushing (B) would be seen in the case of niacin toxicity. Gingivitis (C) occurs in vitamin C deficiency. Other symptoms would include easy bruising and poor wound healing. Paresthesias (D), described as burning feet, can be caused by vitamin B12 deficiency.

One Step Further question:
What are the four D’s of pellagra?

Answer:
Dermatitis, diarrhea, dementia, and death.


Since these categories and tasks are integrated into our improved performance and feedback page, you have access to robust data to help you fine-tune your studying.

Study on…
The Rosh Review Team

A bolus of confidence. A lifetime of knowledge.


Comments (4)
  1. Elie
    June 25, 2018

    Hi there,
    my friends got to take an advantage of 1 free month accessing to 3000 questions. I wanted to see which package is good for me to purchase since I am a second year PA student and close to graduate(June 2019), so I can purchase what’s the best for me. Is there any chance you make those options available again? I really appreciate your help. I am comparing different websites such as smarty pance, HIPPO..etc.would you please advise? thank you

    Reply
    • Adam Rosh
      June 25, 2018

      Dear Elie – thank you for your email. Please send an email to sales@roshreview.com so we can work closely with you and provide you info to help make a decision.
      Best,
      Adam

      Reply
  2. Masseray
    February 12, 2019

    I have a subscription via my school but I’d like to gain access/purchase the Qbank for the family medicine EOR.

    Reply