Just like you’ll see on the actual exam. Based on the American Board of Emergency Medicine format.
No “negatively phrased” questions, no “all of the following except”, no “A and B”…you know what we mean. In order for a test question to be a high quality, it must satisfy two basic criteria:
- Must address important content
- Must be well structured
A 60-year-old woman with a history of diabetes presents to the Emergency Department with altered mental status and a blood glucose of 35 mg/dL. She receives 50 g of dextrose and her mental status improves. One hour later, she is confused and diaphoretic, and her blood glucose is 40 mg/dL. Which of the following agents is most likely responsible for her condition?
Understanding why an answer choice is incorrect is just as important as knowing why it is correct
Synthesized for optimized learning and recall & created with a purpose
Every question contains a detailed explanation for the correct and incorrect answer choices and integrated media for those that learn best by visual stimuli. Understanding a topic cannot be learned in isolation. You require context. We take deliberate steps to deliver a comprehensive explanation linking the the most important components to master a topic.
Explanations contain integrated audio and visual content to further clarify meaning of the core concept. By representing information using audio cues and spatially with images, you are able to focus on meaning, reorganize and group similar ideas easily and make better use of your audio and visual memory.
Taking Your Learning One Step Further
After each question explanation is a straightforward factoid-based question with a simple, memorizable answer that serves as reinforcement for the corresponding topic.
Cutting edge, staying up to date
Gain a deeper understanding by linking standard board material with cutting edge clinical knowledge
Antibiotics for nasal packing have no proven benefit: No randomized controlled trials evaluating the effect of antibiotics on outcomes following epistaxis are known (at least to us). The evidence that does exist, however, suggests that antibiotics are unnecessary and potentially harmful. The incidence of toxic shock syndrome (TSS) with nasal packing following nasal surgery is extremely low and there have been no cases of toxic shock syndrome reported in the literature following nasal packing for spontaneous epistaxis.
Break it down, Keep it simple.
Boiling it down to the most high yield concepts
- 90% are anterior
- Kiesselbach’s plexus: Most common source of anterior bleeds
- Sphenopalatine artery: Most common source of posterior bleeds
- Have patient blow nose or suction blood
- Anterior bleeding: direct pressure, packing, cautery
- Posterior bleeding: packing (Foley, gauze pack, intranasal balloon device)
- Antibiotics after packing – no clear benefit
- Posterior nasal packing → vagal stimulation → bradycardia/bronchoconstriction
- Admit patients with posterior packing to a monitored bed
Focus your learning on what matters
Identify your strengths and weaknesses based on the ABEMs Emergency Medicine Model.
Compare your answer choices to the answers provided by other medical students, emergency medicine residents, and emergency physicians around the country.
Probability of Passing Your Exam
Using data generated by our previous users, we can predict your probability of passing the ABEM initial certification and ConCert® exams.
“We have had awesome results with the ROSH review. Using since 2013. Residents love it and have seen a nice increase in In-service exam scores.”Robert Strony, DO Program Director, Geisinger Emergency Medicine
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