Med Peds Question Banks

Med Peds Certification Qbanks

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Questions

Questions are aligned with the American Board of Internal Medicine & American Board of Pediatrics formats. 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.

Must address important content
Must be well structured

Question

A 74-year-old woman with a history of polymyalgia rheumatica and hyperlipidemia presents to the emergency department with crushing substernal chest pain. Her ECG demonstrates ST elevations in leads I, aVL, V2–V3, and V5–V6, with reciprocal ST depression in II, III, and aVF. She is taken emergently to cardiac catheterization, where a drug-eluting stent is placed in her left anterior descending artery. She is started on aspirin 81 mg, clopidogrel 75 mg, and metoprolol succinate 25 mg daily. Her home medication, simvastatin 10 mg, has been changed to atorvastatin 40 mg daily. She is also on prednisone 5 mg daily for her history of polymyalgia rheumatica. Echocardiogram on hospital day 2 demonstrates a left ventricular ejection fraction of 55% and no wall motion abnormalities. Her vital signs are currently stable. Which of the following medications is advised at this time?

A Digoxin 0.125 mg daily

B Pantoprazole 40 mg daily

C Rivaroxaban 2.5 mg twice daily

D Sacubitril-valsartan 24 mg/26 mg daily

Correct Answer Distractors

Starting the patient on pantoprazole 40 mg daily is the best management at this time. This patient with an ST segment elevation myocardial infarction (STEMI) status post percutaneous coronary intervention (PCI) will need to be on dual antiplatelet therapy with aspirin and clopidogrel to reduce the risk of stent thrombosis.

Gastrointestinal bleeding is the most common serious bleeding complication from using dual antiplatelet therapy. Prophylactic therapy with proton pump inhibitors is recommended for all patients with high risk for GI bleeding after PCI. This includes patients with a history of peptic ulcer disease or GI bleeding or at least two of the following risk factors: age > 65, concurrent use of another NSAID, treatment with glucocorticoids or anticoagulants, or history of Helicobacter pylori infection. Given this patient’s age > 65 and concurrent use of glucocorticoids, the best next medication to prescribe is a proton pump inhibitor. Furthermore, the use of pantoprazole is preferred over omeprazole with clopidogrel usage due to decreased inhibition of cytochrome P450 2C19.

Explanations

Written with a purpose

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.

Created for optimal learning and recall
Help reinforce your knowledge
Focus on the essential information

Illustrations

Created to enhance learning

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.

Powerful Analytics

Smarter Exam Predictions

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.

One Step Further

Taking your learning to the next level

After each explanation is a straightforward question with a simple, memorizable answer that reinforces the corresponding topic.

Strengthens your knowledge
Stands alone from the main explanation so you’re not rereading content

Question

Do patients with hepatic impairment require dose adjustments of clopidogrel?

Reveal Answer

Proton Pump Inhibitors

Block gastric acid secretion by parietal cells
Clinical uses include PUD, GERD, NSAID-induced ulcers, Zollinger-Ellison syndrome, Barrett esophagus
Adverse effects include increased risk of C. difficile infection and fractures, reduced absorption of certain nutrients/medications (e.g., magnesium), kidney disease (e.g., acute interstitial nephritis)
Administration
- Take on empty stomach before a meal
- Take the lowest dose possible

Rapid Review

Keeping things simple

These bulleted reviews focus on condensed, high-yield concepts about the main topic, from patient presentation to preferred management.

Cover the fundamentals in one list
Allow you to quickly scan the must-know information

FAQs

Get a little more clarification

How do I earn CME with Rosh Review?

If you sign up for an account that is linked to CME, here’s what you need to do:

Complete either all the questions or 1,000 questions in your Qbank (depending on your package)

Once that’s complete, here’s how to claim and download your certificate:

Go to the Account Settings tab (only on desktop/laptop)
Select Claim next to the subscription package name (see an example)
Attest to having completed the CME module and reviewing the CME information found here.
Complete the survey
Download your certificate

You’ll earn up to 100 AMA PRA Cat 1 CME credits.

What forms of payment do you accept?: Visa, Mastercard, American Express, and gold bars (just kidding–please don’t try this. It sounds heavy.)

What is the pass guarantee?: We believe in you, and if you use Rosh Review, we're confident you will pass your board exam.

If you complete 100% of the questions in your package and don't pass, you will be refunded the full amount of your subscription costs. Guaranteed. Your score report with your name and numerical score must be emailed Rosh Review at refund@roshreview.com within 60 days of the score report being published.

If you haven't completed all the questions or if you want to prepare to retake your exam, your subscription can be extended through the next exam date free of charge.

Who writes the questions and explanations?: The finest people around! Questions writers and content editors are board-certified clinicians who have all performed well on their examinations. Answer explanations are derived from the specialty's authoritative resources with some personal input to simply the material and synthesize it for greatest comprehension and recall.
If you’re interested in becoming a question writer, tell us a bit about yourself and we'll be in touch.

Can I use my subscription from multiple devices and locations?: Phone...laptop...tablet...yep! You can access your subscription from as many locations and as many devices as you want and have. However, we recommend starting and completing exams on a single device.

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“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

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