Aligned with the NCCPA format and CAQ blueprints. Authored & peer-reviewed by PA-Cs.
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.
A 20-year-old man is seen in the emergency department for sudden-onset left-sided severe headache with associated syncope, nausea, and vomiting. He has a history of migraines but states this feels different from his usual headaches. A noncontrast CT scan of his head today is negative for hemorrhage. What is the most appropriate next step in management?
Subarachnoid hemorrhage (SAH) classically presents with a sudden severe thunderclap headache, which patients may describe as “the worst headache of my life.” The headache can be lateralized and may be associated with a syncopal episode, nausea, and vomiting. Vitreous (preretinal) hemorrhage, called Terson syndrome, or seizure may also be present and are poor prognostic indicators. Almost half of patients report a sudden and severe headache one to three weeks before the SAH… Read More
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.
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After each explanation is a straightforward question with a simple, memorizable answer that reinforces the corresponding topic.
What finding on cerebrospinal fluid analysis is concerning for hemorrhage?
These bulleted reviews focus on condensed, high-yield concepts about the main topic, from patient presentation to preferred management.
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