Just like you’ll see on the actual exam
A 28-year-old girl presents with several hours of epigastric abdominal pain. The pain radiates to her back and is relieved by sitting up. Her symptoms are accompanied by nausea and nonbilious vomiting. On physical examination she has hypoactive bowel sounds and tenderness to palpation over the epigastrium. Laboratory findings reveal AST 56 units/L, ALT 70 units/L, serum amylase 330 units/L, serum lipase 600 units/L, and BUN 30 mg/dL. Which of the following is the most likely diagnosis?
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 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 questions with a simple, memorizable answer that serves as reinforcement for the corresponding topic.
Break it down, Keep it simple.
Boiling it down to the most high yield concepts
- Gallstones (most common), alcohol
- Epigastric pain radiating to back
- Grey-Turner sign: ecchymosis of left flank
- Cullen sign: umbilical ecchymosis
- Lipase: best laboratory marker
- Ranson’s criteria
Focus your learning on what matters
Probability of Passing Your Exam
“I used Rosh Review and passed the SPEX on my first attempt after being out of medicine for 6 years. Thank you for this system. My predicted SPEX score was spot on.”Andrew Wyant, M.D.
SPEX focuses on a core of clinical knowledge and relevant underlying basic science principles deemed necessary to form a reasonable foundation for the safe and effective practice of medicine. It is intended to reflect the knowledge and cognitive abilities of all practicing physicians, regardless of specialty practiced.
Crush Your SPEX and Earn CME
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