Our Questions
Just like you’ll see on the actual exam Based on National Board of Medical Examiner’s 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
Question » Stem » Lead in
A 3-year-old boy, former 28-week preemie, presents with a large firm non-tender abdominal mass. Findings on physical examination reveal pallor, hemihypertrophy and a protruding tongue. A smooth round abdominal mass approximately 6 cm in diameter is palpated on the right upper quadrant of his abdomen. The remainder of the physical examination findings are normal. Initial laboratory values show a white blood cell count of 10,500 with 10% polymorphonuclear leukocytes, 8% lymphocytes, 4% monocytes, and 1% eosinophils. Hemoglobin is 8, mean corpuscular volume 72 and platelets 600. Aspartate aminotransferase is 140 U/L, alanine aminotransferase is 125 U/L, total bilirubin is 6 mg/dL and alpha-fetoprotein is 150,000 mcg/mL. What is the most likely diagnosis?
Our Answer Choices
Building difficulty into the question. Meet the Challenge.
A question’s difficulty is defined by the choice of distractors. Good distractors determine the difficulty level of a question. Therefore, good distractors are one of the most important features of a high quality question.
Understanding why an answer choice is incorrect is just as important as knowing why it is correct
Our Explanations
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.
Hepatoblastoma typically presents as an asymptomatic abdominal mass in children less than 3 years of age with a male predominance. It is the most common form of pediatric liver cancer. It may be associated with very low birth weight, prematurity, hemihypertrophy, and several cancer genetic syndromes such as Beckwith-Wiedemann, familial adenomatous polyposis, Li- Fraumeni, and trisomy 18. Lab values often show anemia, thrombocytosis, and elevated AST, ALT and bilirubin levels. The main tumor marker is α-fetoprotein (AFP), which is elevated in more than 90% of cases. Ultrasonography with doppler should be used in initial evaluation of a suspected liver tumor to assess increased echogenicity and tumor vascularity. Either CT or MRI can be used to identify tumor margins and evaluate the potential for surgical resection as well as metastatic disease. Metastatic spread of hepatoblastoma most commonly involves regional lymph nodes and the lungs. The most important prognostic factor is complete tumor resection. In many cases, when the tumor cannot be entirely resected, chemotherapy is given. Reduction in AFP levels can be a good indicator of response to chemotherapy.
Enhanced Learning
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.
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IMAGES
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TABLES
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VIDEOS
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AUDIO
Taking Your Learning One Step Further
After each question explanation is a straightforward factoid-based questions with a simple, memorizable answer that serves as reinforcement for the corresponding topic.
(Q) Familial adenomatous polyposis is most commonly associated with what neoplasm?
Cutting edge, staying up to date
Gain a deeper understanding by linking standard board material with cutting edge clinical knowledge
Coronal Orientation of Coins in Esophagus
Recent studies have demonstrated that the classic association between coins oriented coronally and located in the esophagus is not consistently accurate. Schlesinger AE, Crowe JE. Sagittal orientation of ingested coins in the esophagus in children. AJR Am J Roentgenol. 2011;196:670–2.
Break it down, Keep it simple.
Boiling it down to the most high yield concepts
Legg-Calvé-Perthes disease:
- Male > female
- Ages 4 – 10 years old
- Unilateral avascular necrosis of the femoral head
- Limp after activity
Focus your learning on what matters
Identify your strengths and weaknesses based on the ABPs Content Outline.
Peer comparison
Compare your answer choices to the answers provided by other medical students, pediatric residents, and pediatricians around the country.
Probability of Passing Your Exam
Using data generated by our previous users, we can predict your probability of passing the ABP Certifying Exam.
“As someone who used Rosh Review primarily to study for the In-Service, I did substantially better than last year. I wanted to thank my program director for purchasing it for us. Made a huge difference for me.”
Aaron Kornhauser, MD| Growth and Development | 5% |
| Preventive Pediatrics | 5% |
| Infectious Diseases | 4.5% |
| Nutrition and Nutritional Disorders | 4% |
| Respiratory Disorders | 4% |
| Adolescent Medicine and Gynecology | 4% |
| Behavioral and Mental Health Issues | 4% |
| Fetus and Newborn Infant | 3.5% |
| Allergic and Immunologic Disorders | 3.5% |
| Endocrine Disorders | 3.5% |
| Gastrointestinal Disorders | 3.5% |
| Skin Disorders | 3.5% |
| Ear, Nose and Throat Disorders | 3.5% |
| Neurologic Disorders | 3% |
| Musculoskeletal Disorders | 3% |
| Cardiovascular Disorders | 3% |
| Emergency Care | 3% |
| Disorders of Cognition, Language, and Learning | 3% |
| Fluid and Electrolyte Metabolism | 2.5% |
| Genetics and Dysmorphology | 2.5% |
| Blood and Neoplastic Disorders | 2.5% |
| Renal and Urologic Disorders | 2.5% |
| Sports Medicine and Physical Fitness | 2.5% |
| Critical Care | 2% |
| Child Abuse and Neglect | 2% |
| Psychosocial Issues | 2% |
| Poisoning and Exposure | 2% |
| Metabolic Disorders | 2% |
| Genital System Disorders | 1.5% |
| Collagen Vascular Disorders | 1.5% |
| Substance Abuse | 1.5% |
| Research and Statistics | 1.5% |
| Patient Safety and Quality Improvement | 1.5% |
| Ethics for Primary Pediatricians | 1.5% |
| Disorders of the Eye | 1% |
| Total | 100% |
Crush Your Boards & Earn CME
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1 yearEarn 100 AMA PRA Cat 1 CME credit(s)™
1,200 NBME-formatted questions
1,200 Comprehensive explanations
1,200 One Step Further questions and answers
Crush Your Boards
$399
1 year1,200 NBME-formatted questions
1,200 Comprehensive explanations
1,200 One Step Further questions and answers
Rock Your In-training
$199
1 year1,200 NBME-formatted questions
1,200 Comprehensive explanations
1,200 One Step Further questions and answers
Ace Your Shelf Exam
$99
90 days500 NBME-formatted questions
500 Comprehensive explanations
500 One Step Further questions and answers
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As someone who used Rosh Review primarily to study for the In-Service, I did substantially better than last year. I wanted to thank my program director for purchasing it for us. Made a huge difference for...
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