Clinical Year

Today we added 300 new questions, 300 new comprehensive, high-yield explanations, 300 new custom teaching images, 300 new One Step Further questions and answers, 300 new Rapid Reviews, and 300 new opportunities to get prepared to take your PANCE or PANRE.

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…

At the end of 2016, I had a PA student reach out to me after having failed her PANCE four times. The fifth time she took the PANCE, she crushed it and easily passed. These are the techniques we employed for her that you can use to prepare for your exam. 

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…

Over the course of the last few years, we compiled real world scores from thousands of individuals who took the PANCE and PANRE exams. Using this data to aid learners in self-assessment of their preparedness for the PANCE and PANRE exams, we developed a proprietary algorithm using a regression model and standard correction factor to convert your Rosh Review performance to a projected PANCE and PANRE exam performance.

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?

The new Rotation Exam – Internal Medicine, available to Physician Assistant students and programs, is best suited for PA students looking for a focused, high-yield review for the end of your rotation. It joins our growing list of Rotation Exams including Rotation Exam – Pediatrics, Rotation Exam – Emergency Medicine, Rotation Exam – Psychiatry and Behavioral Health, and Rotation Exam – Women’s Health. This content is novel, and not included in Rosh Review’s PANCE QBANK, Mock exams, or Power Packs. Topics for the Rosh Review Internal Medicine Rotation Exam are based on the national curriculum blueprint. Rosh Review, LLC is not sponsored or endorsed by, or affiliated with, the Physician Assistant Education Association (PAEA) nor the End of Rotation Exam™ (EOR). All trademarks are the property of their respective owners.

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…

I am hosting a free 1-hour live video discussion on study strategies for your PANCE. The event is limited to the first 25 PA students who sign up. The goal is to leave the event with tactical and actionable material to prepare for your PANCE.

Reviewed February 2024 Cutaneous Xanthoma

Today’s teaching image is about alkaptonuria, or black urine disease. For more teaching images, try a free trial of our board review qbanks.

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…

Today’s teaching image is about traumatic iritis. For more teaching images, try a free trial of our board review qbanks.

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…