Based on the American Board of Internal Medicine Maintenance of Certification Blueprint categories. Authored & peer-reviewed by faculty, clinicians, and program directors.
Each question is written to resemble the format and topics on the exam, meaning you won’t see any negatively phrased questions, no “all of the following except,” no “A and B”…you know what we mean. Most importantly, all questions include selective distractors (incorrect answer choices), which will help you think critically.
An 82-year-old man with hypertension, diabetes, dysphagia, and benign prostatic hyperplasia is hospitalized for a right hip fracture after a mechanical fall. He undergoes successful surgical reduction and fixation on admission. His inpatient medications are amlodipine, insulin, tamsulosin, prophylactic enoxaparin, maintenance intravenous fluids, and oxycodone as needed for pain. He is receiving a mechanical soft diet with thickened liquids. On hospital day 3, he develops shortness of breath and hypoxia. Vital signs are a T of 101.6°F (38.7°C), HR of 122 bpm, BP of 102/79 mm Hg, RR of 24/min, and SpO2 of 93% on 6 L nasal cannula. Chest radiograph shows a right middle lobe infiltrate. Which of the following factors most likely contributed to the development of this patient’s current condition?
Understanding why an answer choice is incorrect is just as important as knowing why one is correct. That’s why every Rosh Review question includes detailed explanations for the correct and incorrect answer choices. These comprehensive summaries link the most important components of a topic—from risk factors to diagnostics and treatment—giving you the context to build relationships between them.
Custom illustrations and tables help further clarify the core concepts. When information is presented visually, you can focus on meaning, easily reorganize and group similar ideas, and make better use of your memory.
Your Qbank’s performance metrics, like projected score or probability of passing, are now more accurate and personalized to the exam you’re studying for. The more questions you complete, the better your insights become.
Focus your learning
Deep insights to determine your strengths and weaknesses so you can spend your time on the subjects that matter.
Compare with your peers
Discover how your answer choices align with those selected by learners across the country.
Find out your probability of passing
Using data generated by previous users, your Qbank gives a prediction of how likely you are to pass your exam.
After each explanation is a straightforward question with a simple, memorizable answer that reinforces the corresponding topic.
What is the recommended treatment for chemical pneumonitis from gastric aspiration?
Aspiration Pneumonia in Adults
These bulleted reviews focus on condensed, high-yield concepts about the main topic, from patient presentation to preferred management.
“I just received comfortably above passing score on the Initial Certification Exam! When I started using Rosh Review last year for the In-Service, my scores started rising considerably. Thanks again!”
Matthew DeAugustinis, MD
Attending Physician