Rosh Family Medicine End of Rotation (EOR) Practice Test

These questions are part of the practice quiz. Start practicing

• What viral infection is characterized by Koplik spots appearing on the buccal mucosa?
• What symptom is typically not associated with acute cholangitis?
• A 54-year-old woman has a 2 cm round, mobile, nontender mass on her wrist. What is the most appropriate next step in management?
• What is a common side effect of hormonal intrauterine devices?
• What is the initial treatment approach for ankylosing spondylitis?
• What type of anemia might be indicated in a patient with bloody diarrhea and elevated sedimentation rate?
• A 56-year-old woman with jaundice and abdominal pain is most likely suffering from which condition?
• A 52-year-old woman shows symptoms suggesting Addison's disease. What is the appropriate next diagnostic step?
• What is the most appropriate initial therapy for a patient with hypertension readings consistently over 140/90 mm Hg?
• What condition could result from untreated bacterial sinusitis?
• How long should a physician wait before testing for prostate-specific antigen after treating acute bacterial prostatitis?
• What is the most likely diagnosis for a woman presenting with vulvar vestibular pain?
• What finding would be indicative of bronchiectasis on a chest radiograph?
• Which of the following individuals should not receive the annual influenza vaccine?
• Which symptom is often not present in the early stages of open-angle glaucoma?
• Which medication is most commonly used for immediate relief of bronchospasm in asthmatic patients?
• What diagnostic imaging is indicated for a patient with suspected infective endocarditis presenting with cough and dyspnea?
• What test would be most appropriate to confirm a clinical diagnosis of genital vesicular lesions?
• What type of von Willebrand disease is diagnosed in a patient with recurrent nosebleeds, normal platelet count, and low von Willebrand factor?
• In the management of noninfectious uveitis, what type of medication is typically used to alleviate pain?
• What is the most appropriate long-term therapy for supraventricular tachycardia?
• In a case where an embolic source is suspected, which test is advisable?
• A 36-year-old woman has abdominal pain and ulcers. What is the most probable diagnosis?
• What is the most appropriate oral therapy for a 70-year-old man with thickened and painful toenails?
• Which type of breast cancer is the most common?
• Before inserting an intrauterine device in women of childbearing age, what test is required?
• What is the most likely diagnosis for a patient with cough, weight loss, hypercalcemia, and bilateral hilar adenopathy?
• In the assessment of a patient with pneumonia, which examination finding is most indicative of a lower respiratory tract infection?
• What are some long-term complications associated with infectious tenosynovitis?
• What should be the next step if a patient could not stop taking omeprazole before an esophagogastroduodenoscopy?
• What is a common risk factor for open-angle glaucoma?
• What is the condition often diagnosed if a woman has elevated prolactin levels yet displays no signs of pregnancy?
• What follow-up procedure may be necessary if symptoms of lactational mastitis do not improve with treatment?
• Which condition is characterized by episodic vertigo, hearing loss, and tinnitus with episodes lasting about 20 minutes?
• What key physical exam finding is likely in a patient with Graves' disease?
• What is a significant risk factor for osteonecrosis in patients with Cushing syndrome?
• What is the most effective treatment for a patient with seasonal allergic rhinitis?
• What condition is characterized by the presence of red blood cells in the anterior chamber of the eye?
• What class of medications is contraindicated in patients with native valve endocarditis?
• Which of the following conditions is suggested by unilateral leg swelling and tenderness?
• What symptom is common in patients with vulvar vestibulitis?
• For a pregnant woman experiencing nausea and vomiting, which medication is considered most appropriate for treatment?
• What criteria are utilized to differentiate between transudative and exudative pleural effusions?
• What intervention for achalasia is associated with the risk of developing gastroesophageal reflux disease?
• What is the most common organism responsible for bacterial sinusitis?
• Which class of antibiotic should be prescribed for an adult patient with diagnosed pertussis?
• A woman with milky nipple discharge and elevated serum prolactin levels is likely to also experience which symptom?
• A patient presents with right eye pain and redness. The slit lamp examination shows leukocytes in the anterior chamber. What is the most likely diagnosis?
• What characterizes pain in trigeminal neuralgia?
• What is a classic feature of suppurative flexor tenosynovitis?
• Which physical examination finding is indicative of wet macular degeneration?
• What is the normal range for two-point discrimination in the hand?
• In a patient with chronic cough, purulent sputum, and dilated airways seen on chest radiograph, what is the most likely diagnosis?
• What physical exam finding is characterized by a hard nodule at the PIP joint, commonly seen in osteoarthritis?
• What does amaurosis fugax refer to?
• What can often accompany the severe pain episodes in patients with trigeminal neuralgia?
• A 67-year-old man shows signs of redness and a firm cord along the cephalic vein. What is the most likely diagnosis?
• What clinical sign might suggest the diagnosis of thrombophlebitis in a patient?
• What is the most likely diagnosis for a patient with a triangular growth on the conjunctiva?
• What condition is characterized by painful, swollen, and red breasts within three months of breastfeeding?
• A 61-year-old woman shows joint stiffness and pain along with a positive anti-cyclic citrullinated peptide. What is a known genetic marker linked to her condition?
• In a case of suspected testicular torsion, which additional physical exam finding is expected?
• What is the likely diagnosis for a patient with epigastric pain radiating to the back after gallstone removal?
• At what age should a man with a 40-pack year history of tobacco abuse be screened for abdominal aortic aneurysm?
• Which molecule is responsible for the adherence and gliding motion of Mycoplasma pneumoniae?
• Which extra-articular manifestation is most commonly associated with ankylosing spondylitis?
• What is the primary treatment for infectious uveitis?
• Which condition is most likely for a patient experiencing acute vision loss in one eye, with fundoscopic exam showing whitening of the retina?
• Which drug class includes monoclonal antibodies used in the prevention of migraine headaches?
• Which laboratory tests are recommended in cases of suspected reactive arthritis?
• In a patient with essential tremor, which symptom is indicative of the condition?
• A 51-year-old woman presents with severe stabbing pain along her left cheek. What is the most likely diagnosis?
• What is the most appropriate therapy for a 60-year-old man with burning epigastric pain after meals?
• What is the most likely diagnosis for a patient presenting with clonic activity in the left hand that spreads to the entire body without impairment of consciousness?
• For a woman with widespread pain and fatigue, what finding is notable in her physical examination?
• What is the most likely diagnosis for a thin 45-year-old man with dyspnea and a low FEV1/FVC ratio?
• In lactational mastitis, what might indicate a need for breast milk culture?
• A woman presents with burning urination and pain. What historical information is crucial to gather next?
• What is the first-line treatment for a 4-week-old infant with persistent conjunctivitis and excessive tearing?
• Which physical exam finding is most consistent with a patient presenting symptoms of dysuria, fever, and rectal pain?
• What is the first-line treatment for erythema multiforme to prevent further outbreaks?
• What complication is associated with deep vein thrombosis, particularly in older adults?
• What is the recommended management for a patient with extreme agitation and signs of infection?
• What skeletal abnormalities are patients with Cushing syndrome prone to?
• What is a common characteristic of the papules associated with molluscum contagiosum?
• In a patient with a history of cirrhosis and recent hemolytic anemia, what laboratory finding is most indicative of the condition?
• After radiation therapy for squamous cell carcinoma, what is the recommended follow-up to prevent osteoradionecrosis?
• What is the most sensitive diagnostic test for a patient exhibiting symptoms consistent with trichomoniasis?
• What is the appropriate intervention for a patient presenting with left-sided facial drooping without other neurological symptoms?
• In a child with purpura and a low platelet count following a viral infection, what is the most likely diagnosis?
• During a physical exam in a suspected case of hyperprolactinemia, which neurological finding might accompany visual field loss?
• What should be tested for if there is no identified underlying condition in anterior uveitis?
• While examining a diabetic patient with bilateral leg pain, what aspect of their medical history should be considered most crucial?
• What is a notable clinical presentation in a patient suspected of Stevens-Johnson syndrome after starting allopurinol?
• How many stages are there in the Hurley clinical staging system for hidradenitis suppurativa?
• What is the typical first-line outpatient antibiotic treatment for community-acquired pneumonia?
• What are Koplik spots indicative of?
• What is the primary cause of pseudogout?
• What is a common precipitating factor for thrombophlebitis in hospitalized patients?
• What does tonometry measure in the context of glaucoma?
• What initial pathogenesis occurs in external otitis media associated with swimming?
• What is the most likely diagnosis for a 21-year-old man with severe pain, swelling, and decreased sensation in his lower leg after dropping a weight on it?
• Which diagnostic test is most appropriate for a previously healthy woman with elevated blood pressure and random glucose suggestive of diabetes risk?
• At what ages should the quadrivalent meningococcal conjugate vaccine be initially administered according to health guidelines?
• Which medication for glaucoma should be avoided in patients with heart block?
• What important consideration is essential when managing a patient newly diagnosed with HIV?
• In a case of chest pain following a cough, what is the recommended next diagnostic step?
• A 78-year-old man presents with dyspnea on exertion and fatigue, showing an irregularly irregular heart rhythm on ECG. What is the likely diagnosis?
• What symptoms are typically associated with anterior uveitis?
• What is the most appropriate intervention for a woman at risk of osteoporosis with a T-score of -2.0?
• When managing a patient with a fasting plasma glucose level of 210 mg/dL, which medication is considered most appropriate?
• What is a common side effect of carbamazepine?
• In a case of foot pain worsened by shoes, which diagnosis is indicated by tenderness between the third and fourth metatarsal heads?
• In the case of COPD management, if a patient was previously well-controlled, what would necessitate changing their treatment?
• Which of the following is an example of end-organ damage in hypertensive emergency?
• For a child with episodic wheezing and a history of atopic dermatitis, what is the most appropriate next step in management after a bronchodilator trial shows improvement?
• Under which condition is a Bouchard node commonly observed?
• What common symptom is associated with hemophilia A in infants?
• Which criterion is essential to diagnose asthma via pulmonary function testing?
• A patient with sudden onset palpitations and an ECG shows a rapid heart rate. What is the best initial treatment for this patient?
• Which demographic does trigeminal neuralgia most commonly begin affecting?
• Which treatment option is considered first-line for trigeminal neuralgia?
• For a patient with hepatitis C, which physical exam finding is consistent with the disease?
• What is a typical symptom of dactylitis in reactive arthritis?
• What is a common finding in the blood smear of a patient with G6PD deficiency?
• What does the term "word clanging" refer to?
• What is the most appropriate empiric antibiotic class for acute exacerbations of bronchiectasis?
• What is the most common cause of Stevens-Johnson syndrome?
• What characteristic finding is seen on a peripheral blood smear in glucose-6-phosphate dehydrogenase deficiency?
• Which diagnostic test is most appropriate for a young woman presenting with malodorous yellow-green vaginal discharge and lower abdominal pain?
• What is the primary surgical intervention for achalasia that offers the longest symptom relief?
• What is the most likely diagnosis for a thin woman presenting with a sharp click between heart sounds and a sternal depression?
• In a patient with hereditary hemochromatosis and skin hyperpigmentation, what should they avoid?
• In a case of unilateral leg redness and edema, which sign may indicate deep vein thrombosis?
• A recently imprisoned man presents with a pruritic rash. What is the most appropriate treatment?
• What is indicated if a malignancy is suspected following a breast exam finding?
• What is a common musculoskeletal manifestation of reactive arthritis?
• Which of the following is the typical initial treatment for pterygium?
• For a patient with HIV presenting with a CD4 count of 150 cells/mcL, which vaccination is contraindicated?
• What should be the initial management for non-severe lactational mastitis?
• Where do meningiomas most commonly occur in the nervous system?
• In a case of emaciated male patient with a smoking history, what respiratory function test result supports emphysema?
• What is the most likely diagnosis for a 21-year-old woman who experiences hyperactivity and depression within a month?
• What is the recommended prophylactic antibiotic regimen following a cat bite, in a patient whose cat is vaccinated?
• Which patient demographic is most affected by amaurosis fugax?
• A 50-year-old woman is likely suffering from which condition if she reports dysphagia and regurgitation?
• Which demographic is most commonly affected by trigeminal neuralgia?
• What is the best treatment plan for a 68-year-old man presenting with fever and productive cough, alongside a chest X-ray showing an infiltrate in the right lower lobe?
• A 26-year-old man presents with jaundice and dark urine after taking primaquine for malaria prophylaxis. What is the most likely diagnosis based on his presentation?
• What symptom is most commonly reported by patients diagnosed with sarcoidosis?
• What percentage increase in forced expiratory volume indicates a positive response to a bronchodilator?
• What medication is appropriate for a patient with essential tremor presenting with a high-frequency intention tremor?
• What is the common name for a fracture that occurs with minimal trauma, indicative of low bone density?
• What condition may be indicated by a left-sided deep vein thrombosis?
• How does reactive arthritis typically occur?
• Which demographic is most likely to develop medication-induced esophagitis?
• Which temporal point in Crohn disease is a patient more likely to experience extraintestinal manifestations?
• What symptoms may accompany reactive arthritis?
• Which type of pneumonia occurs more than 48 hours after hospital admission?
• What is the most common type of anemia?
• A 30-year-old woman with a recent cold is most likely diagnosed with?
• What is the recommended first-line treatment for patients who do not tolerate carbamazepine?
• What infection is most likely indicated by flesh-colored papules under the axilla of a child?
• In a patient with pneumonia, which physical exam finding correlates with the presence of lung consolidation?
• Which symptom is unlikely to be associated with hyperthyroidism caused by Graves' disease?
• What sign is considered pathognomonic for pneumomediastinum?
• Which systemic symptoms may accompany infective lactational mastitis?
• A 20-year-old woman presenting with chest pain and tachycardia is most likely diagnosed with?
• What cardiac biomarker is useful in evaluating early reinfarction in a patient with ST elevation myocardial infarction?
• A pregnant woman presents with erythema migrans after a hike. What is the best medical therapy for her condition?
• What size defines a pulmonary mass?
• A 41-year-old woman with a positive hepatitis B surface antibody and negative surface antigen is most likely?
• What commonly triggers pain in trigeminal neuralgia patients?
• What is the most important risk factor for spontaneous abortion in healthy women?
• What is the most likely diagnosis for a patient presenting with significant weight loss and an elevated lymphocyte count?
• What characterizes osteoporosis until a fragility fracture occurs?
• What symptom might indicate a worsening condition for a patient with a cystocele?
• A patient with sudden shortness of breath and leg swelling is most likely to require which initial diagnostic test?
• What lifestyle factor can negatively impact the management of osteoporosis?
• Which two high-risk human papillomavirus genotypes are responsible for the majority of all cervical carcinomas worldwide?
• Which organisms are commonly associated with chronic otitis media?
• Which physical exam finding is likely in an obese woman with fatigue and easy bruisability?
• Which antituberculous drug requires vitamin B6 supplementation if dietary intake is insufficient?
• What are potential complications arising from bite wounds to the hands?
• Which imaging method is recommended to rule out underlying lesions in trigeminal neuralgia?
• What diagnostic test is most suggestive of reactive arthritis?
• What is the best therapy for a patient with chest pain following influenza A infection without acute findings on chest radiograph?
• What is considered an intrinsic renal vascular cause of chronic kidney disease?
• What finding on fluorescein staining is suggestive of a corneal abrasion?
• Which regions of the esophagus are commonly affected by medication-induced esophagitis?
• What role does the meibomian gland play in eye health?
• What herbal supplement is used for benign prostatic hypertrophy and has shown no significant benefit in studies?
• Which condition is indicated by prolonged partial thromboplastin time and reduced Factor VIII?
• Which of the following are classified as irregular narrow complex tachydysrhythmias?
• Which clinical finding is more indicative of infectious mononucleosis compared to streptococcal pharyngitis?
• In patients with multiple ovoid-shaped demyelinating lesions on MRI, what additional finding might be present during a physical exam?
• In patients with chronic lymphocytic leukemia, what laboratory finding is typical?
• What is the most appropriate therapy for a 5-year-old boy with a left earache and a penicillin allergy?
• What is the initial treatment for reactive arthritis?
• What symptom is typically seen in patients suffering from mitral valve prolapse?
• Which medication should be added to a patient's treatment plan for better management of dyspnea in someone with chronic obstructive pulmonary disease (COPD)?
• What pharmacologic agent should be added for a 12-year-old asthmatic girl with worsening symptoms and frequent nocturnal awakenings?
• What is the recommended action for joint aspiration in reactive arthritis?
• Which diagnosis is suggested by mild fusiform swelling and tenderness in the volar aspect of a finger?
• What are drusen?
• What is a common risk factor for developing a direct inguinal hernia?
• Which allele increases the risk of Stevens-Johnson syndrome when taking carbamazepine?
• What is the most likely diagnosis for a patient with right groin pain and a silky tap felt upon coughing during a physical exam?
• What is the most common type of von Willebrand disease?
• Which diagnostic test would be least appropriate for assessing a suspected viral infection causing genital lesions?
• In a pregnant woman presenting with tremors and palpitations, which treatment is contraindicated?
• Given rectal pain and bright red blood on toilet paper, what is the most likely diagnosis?
• What physical exam finding is consistent with a diagnosis of peripheral artery disease in a patient with leg pain upon walking?
• Which lifestyle intervention is most effective for reducing the risk of further gout attacks?
• What laboratory result indicates hyperthyroidism in a patient presenting with symptoms consistent with Graves’ disease?
• What is the most likely diagnosis for a mobile and well-defined breast mass in a young woman?
• What distinguishes schizoaffective disorder from bipolar I disorder?
• What condition is characterized by chronic raised erythematous and violaceous plaques or nodules on various facial areas?
• For a woman with endometriosis and frequent migraines, what preventive medication is most appropriate?
• What is a common complication of untreated hereditary hemochromatosis?
• What characterizes the presentation of splenic rupture in the context of infectious mononucleosis?
• What is the primary cause of the heart murmur detected in the infant during the well-child examination?
• Which intervention is NOT recommended for the management of osteoporosis?
• What initial advice is usually recommended for patients experiencing mild conjunctivitis due to dacryostenosis?
• What is the main goal of therapy in glaucoma management?
• Which of the following anatomic structures may be damaged if a person experiences finger pain after jamming it?
• What is the recommended immediate intervention for acute supraventricular tachycardia in younger patients?
• For a 27-year-old woman newly diagnosed with human papillomavirus genotype 16, what is the recommended next step in management?
• What is the diagnostic staging system used for hidradenitis suppurativa?
• What is the most likely diagnosis for a woman with a firm, mobile breast nodule and a mammogram indicating a well-circumscribed mass?
• Which pathogen is responsible for both scarlet fever and rheumatic fever?
• For a pulmonary nodule, what is the best imaging study to use for repeat imaging?
• What would be the most appropriate antibiotic for a breastfeeding woman with likely lactational mastitis?
• Which medication is recommended for a 36-year-old man with combat-related irritability, nightmares, and flashbacks?
• A 78-year-old woman presents with difficulty initiating urination and a bulge at the anterior vaginal wall. What is the most likely diagnosis?
• What visual field loss pattern is typically associated with glaucoma?
• Which medication is known to cause a reduction in prostate size?
• In diagnosing nummular dermatitis, which characteristic skin presentation would be most supportive of this condition?
• A 21-year-old with an injury is showing signs of tightness and tenderness in the leg. What is a critical treatment consideration?
• How long must hepatitis B surface antigen persist to consider the infection chronic?