Rapid Review

Reviewed January 2024 Epiglottitis Sample question: A 5-year-old boy presents to the emergency department because of difficulty breathing that began a few hours prior to consult. The caretaker reports that he was apparently well until he developed a fever and sore throat yesterday. He has no cough. On examination he is noted to be flushed, read more…

Reviewed February 2024 Ottawa Foot and Ankle Rules Sample question: A 25-year-old man presents to the ED for evaluation of right ankle pain. He fell and twisted his right ankle while playing basketball 8 hours ago. Immediately after his injury, he experienced difficulty bearing weight on the ankle. He has since experienced increasing pain over read more…

Reviewed January 2024 Boxer Fracture Sample question: A 17-year-old boy presents to the clinic with right-hand pain after punching a wall. Physical examination reveals swelling over the dorsum of the right hand with bony tenderness noted with palpation of the fifth metacarpal. What is the most likely diagnosis?

Reviewed February 2024 (Neonatal) Respiratory Distress Syndrome Sample question: A newborn boy born at 32 weeks gestation is admitted to the NICU because of respiratory distress. He was born by cesarean section for breech presentation, premature labor, and rupture of membranes for approximately 2 hours. He weighed 1,845 g and appeared vigorous, with spontaneous respirations. read more…

Reviewed January 2024 Transient Tachypnea of the Newborn Sample question: A 3,500 g male infant is born via scheduled cesarean delivery at 41 weeks of gestation to a G2P2 mother with a past medical history of asthma. He develops mild respiratory distress shortly after birth. Vital signs include T 37.2°C, P 140 bpm, R 75/minute, and SpO2 read more…

Reviewed February 2024 Septic Arthritis Sample Question: A 23-year-old man with a history of intravenous heroin use presents to the emergency department with a painful left hip that is preventing him from walking. He denies injury. Physical exam reveals a swollen and erythematous left hip that is tender to palpation. His temperature is 102.2°F. What read more…

Reviewed February 2024 Rotator Cuff Impingement and Tear Sample question: Which muscle is most commonly involved with rotator cuff injuries?

Reviewed February 2024 Macrocytic Anemia Sample question: An 84-year-old woman presents to the clinic with fatigue and weight loss for several months. She reports eating very little in her daily meals. A CBC shows a hemoglobin of 9.2 g/dL and mean corpuscular volume of 124 fL. Which one of the following findings would be expected read more…

Coarctation of the Aorta Sample question: A 5-year-old girl with Turner syndrome is found to have systolic hypertension. Further examination reveals diminished femoral pulses. Which of the following is the best initial test for establishing the most likely diagnosis?

Reviewed January 2024 Central Cord Syndrome Sample question: A 71-year-old man presents to the emergency department after falling on ice outside his home. He reports neck pain. He has an abrasion on his chin and decreased strength in his bilateral upper extremities. Strength is intact in his lower extremities. Which mechanism of trauma is most read more…

Reviewed February 2024 Cutaneous Xanthoma

Reviewed February 2024 Supracondylar Fracture Sample question: A 5-year-old girl presents to the ED with right elbow pain after falling on her outstretched hand. Physical examination reveals limited range of motion, swelling, and pain of her right elbow. No neurologic deficits are noted, and pulses of her right upper extremity are normal. X-ray reveals a read more…

Reviewed February 2024 Scabies Sample question: An 8-year old girl presents to the clinic because of intense pruritus of the interdigital folds and abdominal area. She feels the pruritus more at night and her younger siblings have the same symptoms. On physical examination, threadlike burrows and papular eruptions with excoriations are noted on the interdigital read more…

Reviewed January 2024

Reviewed January 2024

Reviewed February 2024 Sample Question: A 61-year-old man with hypertension is brought to the emergency department 20 minutes after having a generalized tonic–clonic seizure. He has had recurrent headaches over the past 6 months. He frequently travels throughout South America, where he swims in fresh water and eats street food, including meat and fish. He read more…

Reviewed January 2024 Ectopic Pregnancy Sample question: A 24-year-old woman presents to the emergency department with abdominal pain. She states that the pain started acutely this morning and has been progressively worsening, causing her to vomit. The patient has a medical history of several sexually transmitted infections. She is currently sexually active with both men read more…

Reviewed February 2024 Polycythemia Vera Sample Question: A 57-year-old woman presents to the physician with progressive headaches and dizziness for the past 2 months. During this time, she has also noticed generalized itching when taking a bath. Additionally, she reports recent abdominal pain and a reddish discoloration of her urine. Her temperature is 37.6°C, heart read more…

Reviewed February 2024 Retinal Detachment Sample question: A 67-year-old man presents to the emergency department with vision changes for the last few hours. He describes a painless decrease in the vision in his left eye. This was preceded by an increase in floaters in his vision. Fundoscopic exam reveals a floating, gray “cloud.” What is read more…

Reviewed February 2024 Pterygium Sample question: A 62-year-old man presents with symptoms of left eye irritation for the past 3 days. He is a landscaper and is often outside. Physical examination reveals a fleshy, triangular growth from the medial canthus toward the cornea.. He says that the growth has been there for months, but it read more…