EM JumpStart

You are a non-EM certified NP starting your journey in emergency care

  • Your first exposure to emergency medicine without pursuing the ENP route
  • 100 questions on the following topics:
    • Acuity, presentations, and pathologies one would see in the emergency care setting
    • Core principles and common presentations

Special Populations

You are a recertifying ENP or a non-EM certified NP working in emergency care

  • Actionable medical knowledge to increase your confidence working with all patients
  • 100 questions on the following topics:
    • Psychiatry EM (includes intellectual disabilities and military veterans)
    • Geriatric EM
    • Pediatric EM
    • LGBTQ+ community
    • Human trafficking
    • Sexual assault
    • Low-income populations (includes people without housing)
    • End-of-life care
    • Organ donation
    • Palliative care
    • Social/cultural research

Pharmacology Module

You are a certified ENP or a non-EM certified NP working in emergency care

  • Questions to refresh your pharmacology knowledge for an emergency setting
  • 120 questions on the following topics:
    • Clinical pharmacology
    • Most common medications and their side effects
  • 25 Pharmacotherapeutics Category 1 CE credits

Emergency Care Skills & Procedures Module

You are a non-EM certified NP working in emergency care

  • Fundamental skills and procedures to level up your emergency care knowledge
  • Earn 30 AMA PRA Cat I Procedure credits™
  • 300 questions based on the AANPCB Emergency Skills and Procedures Blueprint

ENP Core Content Qbank

You are an NP student working towards your ENP certification

  • Questions to prepare for the ENP Certification Exam (includes 100 CE credits)
  • 2,000 questions based on the AANPCB/AAENP Content Blueprint

Anatomy Modules

You are a certified ENP or a non-EM certified NP working in emergency care

  • Question modules to refresh your anatomy knowledge for an emergency setting
  • 375 questions on the following topics:
    • Basic and advanced anatomy
    • All body systems included

Certification Exam

  • 500 board-style questions with explanations written with love
  • Covers material for the BCEN exam
  • Be ready and confident, and earn your certification
  • 50 AMA PRA Cat 1 CE credit(s)™ available

Sarah Michelle NP Reviews Live Study Group

The Best of SMNP Reviews!

  • 6 weeks access to the 3 Course Bundle
  • Question Bank access
  • 2 live review sessions
  • Eligibility to earn 33 contact hours
  • Passing Guarantee


Just like the actual exam

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


A 34-year-old man presents with a laceration on his right lower lip crossing the vermilion border. In order to decrease swelling during the procedure, you decide to perform a regional nerve block. Which of the following is the correct location for the injection in order to anesthetize this area?

A Junction of the gum and mucosa in between teeth 1 and 2
B Junction of the gum and mucosa in between teeth 25 and 26
C Junction of the gum and mucosa in between teeth 28 and 29
D Junction of the gum and mucosa in between teeth 7 and 8

mental nerve block is performed at the site where the nerve exits the bony foramen. The location of the exit is adjacent to the second molar. The mental nerve is a continuation of the inferior alveolar nerve innervating the skin and mucosa of the lower lip. Therefore, it is an ideal nerve block for lacerations involving the lower lips. The nerve may be blocked either intra- or extraorally. The foramen can usually be palpated approximately 1 cm inferior and anterior to the second premolar (junction of the gum and mucosa in between teeth 28 and 29). An approximate indicator is just medial to the eye if a parallel line is drawn up. The area around the foramen should be infiltrated with approximately 1 to 2 mL of local anesthetic. It is critically important to avoid injecting directly into the foramen because this can cause neurovascular damage.

Junction of the gum and mucosa in between teeth 1 and 2 (A)junction of the gum and mucosa in between teeth 25 and 26 (B)junction of the gum and mucosa in between teeth 7 and 8 (D) are incorrect.


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


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.

mental nerve distribution nerve block emergency nurse practitioner

Powerful Analytics

Track progress, performance, & predictions

Your personal analytics allow you to see your progress at all times, so you can create an efficient and effective learning strategy and stay on pace with your plan.

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 (chart)

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

Q: Which nerve block would relieve severe dental pain of the right lower premolar?

Reveal Answer

A: Inferior alveolar.

I loved Rosh Review! It is laid out well, aesthetically pleasing to use, has a phone app so it’s convenient to use in little bits of downtime, and you can get CMEs. I went through all 1500ish of the questions and thought they were relevant to clinical practice in the ED. I really liked the pictures and graphs explaining questions and the “one step further” was a great pearl.

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