{"id":6858,"date":"2019-08-23T08:50:44","date_gmt":"2019-08-23T12:50:44","guid":{"rendered":"https:\/\/www.roshreview.com\/?p=6858"},"modified":"2023-03-27T13:17:00","modified_gmt":"2023-03-27T13:17:00","slug":"announcing-the-new-mock-family-medicine-shelf-clerkship-exam","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/announcing-the-new-mock-family-medicine-shelf-clerkship-exam\/","title":{"rendered":"Announcing the New Mock Family Medicine Shelf\/Clerkship Exam"},"content":{"rendered":"\n<h6 class=\"wp-block-heading\">Introducing the Mock Family Medicine Shelf\/Clerkship Exam, best suited for medical students who want to excel in their family medicine clerkship.<\/h6>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p>The <strong>Mock Family Medicine Shelf\/Clerkship Exam<\/strong> is located in your Boost Box (on the home page of your desktop\/laptop Rosh Review account). It contains 100 questions and comprehensive explanations to help you prepare for the <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/www.nbme.org\/Schools\/Subject-Exams\/Subjects\/clinicalsci_family-modular.html\" target=\"_blank\">NBME Family Medicine Shelf Exam<\/a><\/strong>.&nbsp;<\/p>\n\n\n\n<p>Categories covered include topics such as hypertension, neoplastic disease, and preventive care with a few \u201czebras\u201d to keep you on your toes.<\/p>\n\n\n\n<p><strong>Here is an example of a question and explanation<\/strong>:<\/p>\n\n\n\n<p>A 27-year-old woman presents with a multi-year history of large plaques on her bilateral lower extremities. She denies pruritus and a history of atopy. Examination revealed large erythematous plaques with silvery scales covering her lower extremities and trunk, sparing skinfolds, the face, oral mucosa, and acral surfaces. A potassium hydroxide preparation is negative. Which of the following is your diagnosis based on the history?<br><br>A. Nummular eczema<br>B. Psoriasis<br>C. Seborrheic dermatitis<br>D. Tinea corporis<br><br>Answer B<br><br><strong>Psoriasis <\/strong>is a chronic inflammatory skin condition that is immune mediated. It has a hereditary predisposition with onset between 15 to 30 years of age. Risk factors include direct skin trauma (<strong>Koebner phenomenon<\/strong>), streptococcal throat infection, and smoking. The diagnosis is often made clinically; biopsy is rarely needed for confirmation. Typical lesions are well-defined erythematous, scaly, silvery <strong>plaques<\/strong> that differ in size, are pruritic, and are occasionally painful. These plaque psoriasis lesions occur on the <strong>extensor surfaces<\/strong> of the arms, legs, scalp, buttocks, and trunk. Atypical forms include <strong>guttate<\/strong>,<strong> pustular<\/strong>,<strong> erythrodermic<\/strong>,<strong> and inverse psoriasis<\/strong>. Other manifestations include psoriatic onychodystrophy (abnormal nail plate growth) and <strong>psoriatic arthritis<\/strong>, which is not related to the severity of the skin disease. Mild\/moderate psoriasis affects less than 5% of the body surface area and spares the genitals, hands, feet, and face. It is treated with <strong>corticosteroids<\/strong>,<strong> vitamin D analogs<\/strong>,<strong> tazarotene intermittently<\/strong>,<strong> or calcineurin inhibitors continuously<\/strong>. Severe psoriasis involves more than 5% of the body surface area or involves the hands, feet, face, or genitals and should be referred to a dermatologist for treatment with<strong> vitamin D analogs<\/strong>,<strong> systemic therapy<\/strong>,<strong> and phototherapy<\/strong>. A rheumatologist can treat arthritis symptoms with <strong>tumor necrosis factor inhibitors<\/strong>. Patients suffering from psoriasis are at increased risk of developing depression, immune-mediated inflammatory conditions, malignancy, metabolic syndrome, and myocardial infarction. Psoriasis causes noteworthy social morbidity that negatively affects the life of the patients by causing issues with work, activities of day to day living, and socialization.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"565\" height=\"458\" src=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Image-Psoriasis-clinical-only.png\" alt=\"Psoriasis\" class=\"wp-image-6860\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Image-Psoriasis-clinical-only.png 565w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Image-Psoriasis-clinical-only-300x243.png 300w\" sizes=\"auto, (max-width: 565px) 100vw, 565px\" \/><\/figure>\n<\/div>\n\n\n<p><strong>Nummular eczema (A)<\/strong> is usually seen in atopic patients and can be ruled out based on clinical background. Histology could provide further support to the diagnosis. <strong><a rel=\"noreferrer noopener\" href=\"https:\/\/media.roshreview.com\/4d14da415338fe7d8bd6c17483efd8c4_Image%20-%20seborrheic%20dermatitis%2C%20dandruff.png\" target=\"_blank\">Seborrheic dermatitis (C)<\/a><\/strong> affects the sebaceous glands and hair follicles on the scalp and face. Lesions of <strong><a rel=\"noreferrer noopener\" href=\"https:\/\/media.roshreview.com\/71e718533b770f3681082da664b0efcc_Image%20-%20Tinea%20corporis,%20Ring%20worm.png\" target=\"_blank\">tinea corporis (D)<\/a><\/strong> are typically scaling, annular lesions with erythematous borders and central clearing. The lesions are typically pruritic. Potassium hydroxide preparation shows branching hyphae.<br><br><strong>One Step Further question<\/strong>:<br>Which type of psoriasis occurs in skin folds such as flexor surfaces and perineal, inframammary, axillary, inguinal, and intergluteal areas?<br><br><strong>Answer<\/strong>:<br>Inverse psoriasis.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p>We also have mock shelf exams available for <a href=\"https:\/\/www.roshreview.com\/blog\/introducing-the-new-mock-emergency-medicine-shelf-clerkship-exam\/\">emergency medicine<\/a>, <a href=\"https:\/\/www.roshreview.com\/blog\/product-release-update\/announcing-the-new-mock-internal-medicine-shelf-clerkship-exam\/\">internal medicine<\/a>, <a href=\"https:\/\/www.roshreview.com\/blog\/product-release-update\/announcing-the-new-mock-ob-gyn-shelf-clerkship-exam\/\">OB\/GYN<\/a>, <a href=\"https:\/\/www.roshreview.com\/blog\/product-release-update\/announcing-the-new-mock-pediatrics-shelf-clerkship-exam\/\">pediatrics<\/a>, and <a href=\"https:\/\/www.roshreview.com\/blog\/product-release-update\/announcing-the-new-mock-psychiatry-shelf-clerkship-exam\/\">psychiatry<\/a>. And be sure to check out our <a href=\"https:\/\/www.roshreview.com\/specialties\/family-medicine\/\">family medicine board review question bank<\/a> for thousands of comprehensive questions.<\/p>\n\n\n\n<p>If you\u2019re interested in <a href=\"https:\/\/www.roshreview.com\/blog\/study-strategies\/how-to-crush-your-family-medicine-shelf-exam-and-other-insider-tips-for-your-family-medicine-medical-student-rotation\/\">How to Crush Your Family Medicine Shelf Exam<\/a>, <a href=\"https:\/\/www.roshreview.com\/blog\/increase-abfm-certification-exam-100-points\/\">How to Increase Your Family Medicine Certification Exam Score by 100 Points<\/a>, and other tips about all things family medicine, head over to the <a href=\"https:\/\/www.roshreview.com\/category\/blog\/specialties\/family-medicine\/\">Rosh Blog<\/a>.<\/p>\n\n\n\n<p>Study on,<br>The Rosh Review Team<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introducing the Mock Family Medicine Shelf\/Clerkship Exam, best suited for medical students who want to excel in their family medicine clerkship. The Mock Family Medicine Shelf\/Clerkship Exam is located in your Boost Box (on the home page of your desktop\/laptop Rosh Review account). It contains 100 questions and comprehensive explanations to help you prepare for <a href=\"https:\/\/www.roshreview.com\/blog\/announcing-the-new-mock-family-medicine-shelf-clerkship-exam\/\">read more&#8230;<\/a><\/p>\n","protected":false},"author":46,"featured_media":6928,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[1996,2027,2004],"tags":[2391,2639,2642,3048,3049,3117,3529],"coauthors":[3823],"class_list":["post-6858","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogtype","category-family-medicine","category-whats-new","tag-clerkship","tag-family-medicine","tag-family-medicine-exam","tag-mock-exam","tag-mock-family-medicine-shelf","tag-new-release","tag-shelf-exam"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.7 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Announcing the New Mock Family Medicine Shelf\/Clerkship Exam - RoshReview.com<\/title>\n<meta name=\"description\" content=\"Our Mock Family Medicine Shelf\/Clerkship Exam is perfect for students who want to excel in their family medicine clerkship. 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