ROSH REVIEW Emergency
Medicine 2026 Exam Questions
with 100% Correct Answers |
Latest Update
A 14-year-old boy presents complaining of intense pruritus in his groin,
axillae, and between his fingers after returning home from summer camp 1
week ago. He reports several other campers had similar symptoms. On
exam, you note excoriations in the inguinal region and axillae surrounding
,scattered, erythematous papules. Which of the following is the most
appropriate treatment?
Ketoconazole
Lindane
Permethrin
Prednisone - 🧠 ANSWER ✔✔Correct Answer ( C )
Explanation:
This patient has scabies; a pruritic dermatitis caused by cutaneous
infection with the mite Sarcoptes scabei, var hominis. Scabies is spread by
skin-to-skin contact and should be considered in patients with generalized
pruritus, especially when exposure to others with similar symptoms is
reported. The rash of scabies involves papules, which are often excoriated.
Burrows are pathognomonic but not uniformly present. Unless previously
infected, pruritus generally takes 3-6 weeks to develop because symptoms
are due to delayed (Type IV) sensitivity reaction. The pruritus is classically
worse at night and affects the web spaces of the fingers, flexor aspect of
the wrists, axillae, groin, nipples, and the periumbilical region. Except in
,cases involving an immunocompromised host, the scalp and face are
generally spared. Diagnosis is clinical but can be confirmed by placing
scrapings collected with a #15 blade scalpel in mineral oil for microscopic
examination. The treatment of choice for primary scabies infection is the
application of topical scabicidal agents, with repeat application in 7 days.
The treatment of choice is permethrin 5% lotion. Individuals affected by
scabies should avoid skin-to-skin contact with others. Patients with typical
scabies may return to school or work 24 hours after the first treatment.
Should family members of an infected individual also be treated for
scabies? - 🧠 ANSWER ✔✔Yes, family members and sexual contacts.
Scabies - 🧠 ANSWER ✔✔Sarcoptes scabiei
Pruritic rash worse at night
Linear burrows
Interdigital spaces of hands/feet, penis, breasts
Permethrin (first line)
Ivermectin
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, **head and back are sparred
(head involved in children)
An 18-month-old boy presents to the emergency department with
worsening shortness of breath. The parents report he has had a cough,
runny nose, and fussiness for the past five days. On exam, the patient
demonstrates subcostal retractions, tachypnea, and diffuse wheezing. The
patient is given an albuterol nebulizer treatment without any improvement
of his wheezing. Chest X-ray does not show any abnormality. Which of the
following organisms is the most likely cause of his symptoms?
Bordetella pertussis
Haemophilus influenzae
Parainfluenza virus
Respiratory syncytial virus - 🧠 ANSWER ✔✔Correct Answer ( D )
Explanation:
The patient has bronchiolitis, which is the most common lower respiratory
tract infection in patients less than two years of age. It remains the leading
cause for hospitalization in infants under one year of age. Bronchiolitis is
Medicine 2026 Exam Questions
with 100% Correct Answers |
Latest Update
A 14-year-old boy presents complaining of intense pruritus in his groin,
axillae, and between his fingers after returning home from summer camp 1
week ago. He reports several other campers had similar symptoms. On
exam, you note excoriations in the inguinal region and axillae surrounding
,scattered, erythematous papules. Which of the following is the most
appropriate treatment?
Ketoconazole
Lindane
Permethrin
Prednisone - 🧠 ANSWER ✔✔Correct Answer ( C )
Explanation:
This patient has scabies; a pruritic dermatitis caused by cutaneous
infection with the mite Sarcoptes scabei, var hominis. Scabies is spread by
skin-to-skin contact and should be considered in patients with generalized
pruritus, especially when exposure to others with similar symptoms is
reported. The rash of scabies involves papules, which are often excoriated.
Burrows are pathognomonic but not uniformly present. Unless previously
infected, pruritus generally takes 3-6 weeks to develop because symptoms
are due to delayed (Type IV) sensitivity reaction. The pruritus is classically
worse at night and affects the web spaces of the fingers, flexor aspect of
the wrists, axillae, groin, nipples, and the periumbilical region. Except in
,cases involving an immunocompromised host, the scalp and face are
generally spared. Diagnosis is clinical but can be confirmed by placing
scrapings collected with a #15 blade scalpel in mineral oil for microscopic
examination. The treatment of choice for primary scabies infection is the
application of topical scabicidal agents, with repeat application in 7 days.
The treatment of choice is permethrin 5% lotion. Individuals affected by
scabies should avoid skin-to-skin contact with others. Patients with typical
scabies may return to school or work 24 hours after the first treatment.
Should family members of an infected individual also be treated for
scabies? - 🧠 ANSWER ✔✔Yes, family members and sexual contacts.
Scabies - 🧠 ANSWER ✔✔Sarcoptes scabiei
Pruritic rash worse at night
Linear burrows
Interdigital spaces of hands/feet, penis, breasts
Permethrin (first line)
Ivermectin
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, **head and back are sparred
(head involved in children)
An 18-month-old boy presents to the emergency department with
worsening shortness of breath. The parents report he has had a cough,
runny nose, and fussiness for the past five days. On exam, the patient
demonstrates subcostal retractions, tachypnea, and diffuse wheezing. The
patient is given an albuterol nebulizer treatment without any improvement
of his wheezing. Chest X-ray does not show any abnormality. Which of the
following organisms is the most likely cause of his symptoms?
Bordetella pertussis
Haemophilus influenzae
Parainfluenza virus
Respiratory syncytial virus - 🧠 ANSWER ✔✔Correct Answer ( D )
Explanation:
The patient has bronchiolitis, which is the most common lower respiratory
tract infection in patients less than two years of age. It remains the leading
cause for hospitalization in infants under one year of age. Bronchiolitis is
