Internal Medicine

Talk of burnout among medical professionals is everywhere these days: in medical blogs, in peer-reviewed journal articles, in CME courses, in online courses, and in the news. We can’t avoid hearing about the high rates of burnout, depression, and suicide. I have experienced burnout twice in my career in medicine. The first time was in read more…

Introducing the Mock Internal Medicine Shelf/Clerkship Exam, best suited for medical students who want to excel in their internal medicine clerkship. The Mock Internal Medicine Shelf/Clerkship Exam is located in your Boost Box (on the home page of your desktop/laptop Rosh Review account). It contains 100 questions and comprehensive explanations to help you prepare for read more…

At my medical school, everyone recommended taking the Clinical Electrocardiography elective in the fourth year. A kind man who had been interpreting ECGs for over 25 years taught the elective. We all had to read Rapid Interpretation of EKGs by Dale Dubin, and each day we spent hours going through real ECGs and trying to read more…

Life transitions always take some adjustment…even when they’re exciting changes. Moving, expanding your family, getting a new job—you’ll go through many revisions throughout your lifetime. Sometimes they’re planned and expected, and sometimes they’re not, but each transition requires you to get out of your comfort zone. One of my big life changes was a decision read more…

Like many of you, my background is in health care: I have my Certified Nursing Assistant and EMT certifications as well as a Doctor of Chiropractic degree. Those of us who work in medicine have a passion for science and people, which almost always means leaving home to go to work each day. When you read more…

You’ve done it—you’ve made the big decision to go into medicine. Maybe you’re applying to medical school, maybe PA school, or maybe you’ve graduated and now you’re applying to jobs, but it’s time to get started on your applications. As you’re filling out your information and deciding who to use as your references, you hit read more…

A career in medicine requires tremendous dedication. From the number of hours we spend training at the hospital to the neverending board exams, it’s a path that is by no means easy. We hold ourselves to such high standards in our careers that it’s often a challenge to equally apply those standards to our personal read more…

If you’ve emailed Rosh Review for anything, from requesting CME to asking for an extension or seeking clarification about which subscription to purchase, it’s likely that you and I have spoken. I’ve handled the majority of Rosh Review’s customer support for the past three years. We operate with the mindset of equanimity, which means staying read more…

I was inspired and energized at last night’s launch of TIME’S UP Healthcare at the New York Academy of Medicine. I was there as an emergency physician who witnessed gender discrimination and sexual harassment in the workplace, as a father who wants my daughter and son to grow up in a world that treats them read more…

The Internal Medicine Shelf Exam Qbank is now available for medical students preparing for their Internal Medicine Advanced Clinical (Shelf) Exam. Topics are compatible with the actual NBME® Internal Medicine Advanced Clinical Exam. System General principles 5–10% Immunologic disorders 1–5% Diseases of the blood 5–10% Mental disorders 1–5% Diseases of the nervous system 5–10% Cardiovascular disorders read more…

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…

Just as pediatricians need to bring up uncomfortable conversations about sex to keep their patients safe and healthy, isn’t it equally the responsibility of physicians to bring up diet and nutrition?

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…

“Keep your minds open,” the dean announced at M3 orientation, “maybe you’ve always dreamed of becoming an orthopedic surgeon but will fall in love with psychiatry.” As freshly minted third year medical students with wrinkle free and yet to be coffee/pen/bodily fluid stained short white coats we entered clinical rotations much like undifferentiated cells, eager to be shaped and influenced as we transformed into the future physicians we were to become. However, for many students, choosing a specialty is not as easy as dreaming and falling in love. There is a fine line three quarters into M3 year when the reaction to uncertainty about choosing a specialty changes from a response of “you’ve got time” to a reaction that may make you feel like somehow over a few short months you became defective. In the midst of the uncertainty and doubt you then receive an email that it’s time to schedule your fourth year electives and are advised to “choose them wisely” as you are reminded that residency applications will be due just three months into the year. If that story sounds all too familiar of you anticipate that this could happen to you, don’t panic, you’re not alone, let’s get through this together.

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?