ROUB case studies
ROUB · Put your knowledge to work in context.
ROUB is the exam code this page is being built around, and the source retrieved for it does not describe the credential. The link that should define it, ardms.org/get-certified/credentials/roub/, redirects to a 404 page on inteleos.org reading "This page is off the map," so no official statement of scope, eligibility, format, length, fee, or pass score is available here. The ROUB case studies are 5 cases and about 5,254 words.
1Empty Uterus at 7 Weeks: Confirming Location Before Anyone Reaches for Methotrexate
EMS brings a 29-year-old G3P1 to the emergency department at 20:40 on a Friday with 3 days of cramping and scant dark vaginal bleeding. Her LMP places her at 7 weeks 4 days and her cycles are regular.
1,027 words, about 5 min2Absent End-Diastolic Flow at 33 Weeks in a Patient Who Wants to Wait Two Weeks
A 34-year-old G2P1 is referred to your unit at 33 weeks 2 days because her fundal height has not changed in 3 weeks. She takes labetalol 200 mg twice daily for chronic hypertension; today's blood pressure is 148/92 mmHg with 1+ protein on dipstick.
1,044 words, about 5 min3A 14 mm² Median Nerve, a Flattened Thenar Eminence, and a Request for a Splint
A 47-year-old seamstress is referred for ultrasound of the right wrist. For 6 months she has had nocturnal numbness in the thumb, index and middle fingers that wakes her four or five nights a week, and she has started dropping her shears.
1,017 words, about 5 min4Hypotension, a Pericardial Effusion, and a Dilated Right Ventricle at 03:10
It is 03:10 and you are the overnight physician covering a 90-bed community hospital. A 62-year-old man is brought in by ambulance with 2 hours of breathlessness and one episode of near-syncope.
1,086 words, about 5 min5An Aortic Valve That Cannot Decide Whether It Is Severe
A 76-year-old retired teacher is referred after one episode of syncope while gardening and 6 months of exertional dyspnoea. She feels "fine" now and does not want surgery.
1,080 words, about 5 min