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June 9, 2020
Welcome to episode 83 of the Audio PANCE and PANRE PA Board Review Podcast Join me as we welcome Joe Gilboy PA-C back again to cover best practices that make answering even the toughest PANCE and PANRE Board review questions (and EOR exam questions) a breeze! Below you will find interactive audio with clips covering the most important points. It’s a perfect companion to the podcast. From today’s episode: * Listen to Joe’s previous podcast episodes: * How to Answer The Hardest PANCE and PANRE Test Questions: Podcast Episode 82 * How to Study for Your PANCE: Podcast Episode 79 * Podcast Episode 65: Hepatitis B Breakdown * Start with high-quality PANCE practice questions in tutor mode * Content Blueprint PANCE/PANRE Review Course and EOR (Rotation) Courses The Audio PANCE and PANRE Board Review Podcast Episode 83: How to Answer PANCE and PANRE Test Questions Part 2 I hope you enjoy this free audio component to the examination portion of this site. The full board review course includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and Smarty PANCE. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz, and download more resources below. If you can’t see the audio player click here to listen to the full episode. Audio clips from today’s episode Here are selected audio tips from today’s episode covering the most important points. How to answer: “What is the most accurate test (what is the gold standard)?” How to answer “What would you like to do next?” or “What is the next step?” How to answer: “What’s the most likely answer/diagnosis – which one fits best?” (the simplest answer always wins) In other words, if something carries 51% weight versus 49% weight, the 51% weight wins. How to answer: “What is the most common eti...
March 31, 2020
Welcome to episode 82 of the Audio PANCE and PANRE PA Board Review Podcast Join me as we welcome Joe Gilboy PA-C back again to cover best practices that make answering even the toughest PANCE and PANRE Board review questions (and EOR exam questions) a breeze! Below you will find interactive audio breaking down each question. It’s a perfect companion to the podcast. Special from today’s episode: * Listen to Joe’s previous podcast episodes: * How to Study for Your PANCE: Podcast Episode 79 * Podcast Episode 65: Hepatitis B Breakdown * Start with high-quality questions in tutor mode (untimed with hints on we have a TON on Smarty PANCE) * Poem “lockdown“ by Brother Richard Hendrick * Content Blueprint Review Course and EOR Courses The Audio PANCE and PANRE Board Review Podcast Episode 82: How to Answer The Hardest PANCE/PANRE Test Questions I hope you enjoy this free audio component to the examination portion of this site. The full board review course includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and Smarty PANCE. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz, and download more resources below. If you can’t see the audio player click here to listen to the full episode. Questions we break down in this episode: The following questions are linked to NCCPA Content Blueprint lessons from the Smarty PANCE and PANRE Board Review Website Question 1: Developing good test-taking habits 1. 10-year-old boy presents to the emergency department complaining of sudden onset lightheadedness and chest discomfort, vital signs, 98.6, heart rate of 205, respiratory rate of 30 and 98% oxygen saturation, his EKG demonstrated sinus tachycardia with no p waves. What is the most likely diagnosis? * A-fib * A-flutter
March 23, 2020
Welcome to episode 81 of the Audio PANCE and PANRE PA Board Review Podcast. Join me as I cover ten internal medicine rotation EOR content blueprint questions from the Smarty PANCE physician assistant board and rotation review website. Special from today’s episode: * Check out the new Smarty PANCE Internal Medicine Rotation (EOR) Review Course * Download your Free Trello Smarty PANCE PAEA Internal Medicine EOR Tracking Template * Take the FREE Internal Medicine Rotation Cardiovascular Practice Exam * View the interactive Smarty PANCE Internal Medicine Rotation (EOR) Topic List Below you will find an interactive exam to complement the podcast. The Audio PANCE/PANRE and EOR PA Board Review Podcast I hope you enjoy this free audio component to the examination portion of this site. The full board review course includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and Smarty PANCE. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download more resources below. Listen Carefully Then Take The Practice Exam If you can’t see the audio player click here to listen to the full episode. Podcast Episode 81: Ten Internal Medicine EOR Cardiology Questions The following questions are linked to PAEA Content Blueprint lessons from the Smarty PANCE and PANRE Board Review Website. If you are a member you will be able to log in and view this interactive video lesson. 1. 55-year-old woman is admitted to the hospital because she has shortness of breath and pain on both sides of her chest with deep breathing which has worsened over the past 5 days. In recent weeks, she has been feeling fatigued and has had low-grade fevers and night sweats, and was found to have a new cardiac murmur on examination. Her temperature is 38.1°C (100.6°F), pulse is 106/min, respirations are 26/min, and blood pressure is 136/88 mm Hg. She appears diaphoretic and is in mild respiratory distress.
March 2, 2020
In this episode 35-year PA veteran and PANCE/PANRE board review expert Joe Gilboy PA-C shares his top tips on how to best prepare for the Physician Assistant National Certification Exam
December 10, 2019
Welcome to episode 77 of the Audio PANCE and PANRE PA Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the Smarty PANCE course content following the NCCPA™ content blueprint (download the FREE cheat sheet). Special from today’s episode: * Download your copy of the Free Trello Smarty PANCE NCCPA™ Blueprint Study Plan* Follow The Daily PANCE Blueprint on Instagram* Follow The Daily PANCE Blueprint on Facebook This week we will be covering ten general board review questions based on the NCCPA PANCE and PANRE Content Blueprints.  Below you will find an interactive exam to complement the podcast. The Audio PANCE and PANRE Physician Assistant Board Review Podcast I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and Smarty PANCE. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio.* You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Practice Exam If you can’t see the audio player click here to listen to the full episode. Podcast Episode 77: Ten Question PANCE and PANRE Podcast Quiz The following questions are linked to NCCPA Content Blueprint lessons from the Smarty PANCE and PANRE Board Review Website. If you are a member you will be able to log in and view this interactive video lesson. 1.  A 10-month-old girl was admitted to the hospital for cardiac catheterization. Her history included cyanosis noted at about 6 weeks of age...
October 3, 2019
Welcome to episode 75 of the Audio PANCE and PANRE PA Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the SMARTYPANCE course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will be covering ten general board review questions based on the NCCPA PANCE and PANRE Content Blueprints.  Below you will find an interactive exam to complement the podcast. The Audio PANCE and PANRE Physician Assistant Board Review Podcast I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and Smarty PANCE. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio.* You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Practice Exam If you can’t see the audio player click here to listen to the full episode. Podcast Episode 75: Ten Question PANCE and PANRE Podcast Quiz The following questions are linked to NCCPA Content Blueprint lessons from the Smarty PANCE and PANRE Board Review Website. If you are a member you will be able to log in and view this interactive video lesson. 1. A 5-year-old girl is brought to the emergency department after drinking a bottle of drain cleaner. It is unknown how much the child drank. She has a past medical history of Down syndrome and obesity. The patient’s vitals are unremarkable. Physical exam is notable for a child in no acute distress. She is tolerating her oral secretions and is interactive. Inspection of the oropharynx is unremarkable. Which of the following is the appropriate management of this patient? * Dilute hydrochloric acid* Endoscopy* Intubation* Observation* Polyethylene glycol 2. A 27-year-old man presents to the emergency department after a motor vehicle collision.
August 14, 2019
The Audio PANCE and PANRE Physician Assistant Board Review Podcast Welcome to episode 73 of the Audio PANCE and PANRE PA Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the SMARTYPANCE course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will be covering ten general board review questions based on the NCCPA PANCE and PANRE Content Blueprints.  Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and Smarty PANCE. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio.* You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Practice Exam If you can’t see the audio player click here to listen to the full episode. Podcast Episode 73: Ten Question PANCE and PANRE Podcast Quiz The following questions are linked to NCCPA Content Blueprint lessons from the Smarty PANCE and PANRE Board Review Website. If you are a member you will be able to log in and view this interactive video lesson. 1. A 45-year obese female (BMI=36.7 ) presents to your clinic with a random serum glucose level of 242.  You diagnose the patient with type II diabetes and place her on metformin 500 mg twice daily and ask that she check her glucose first thing in the morning and again late at night. The patient states that her glucose first thing in the morning is 424 and by the evening it is 96.  Which of the following tests would you like to order to confirm your diagnosis? * ACTH level* HgA1C* 24 collection of VMA* Dexamethasone suppression test* Cortisol levels 2. A 49-year-old male is admitted to the hospital with a diagnosis of pneumonia. He has had a cough and fever up to 101.
May 9, 2019
The Audio PANCE and PANRE Physician Assistant Board Review Podcast Welcome to episode 71 of the Audio PANCE and PANRE PA Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the SMARTYPANCE course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will be covering ten general board review questions based on the NCCPA PANCE and PANRE Content Blueprints.  Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and Smarty PANCE. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio.* You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Practice Exam If you can’t see the audio player click here to listen to the full episode. Podcast Episode 69: 10 Question PANCE and PANRE Podcast Quiz The following questions are linked to NCCPA Content Blueprint lessons from the Smarty PANCE and PANRE Board Review Website. If you are a member you will be able to log in and view this interactive video lesson. 1. A 52-year-old male presents complaining of urinary frequency, with hesitancy, and nocturia for the past few months. During his physical examination, you note a nontender, non-enlarged prostate with an isolated right posterior lobe nodule. Which of the following options is most appropriate? * order a serum acid phosphatase level* initiate prazosin and schedule a follow-up appointment in 6 weeks* refer the patient for an ultrasound of the prostate and order a PSA level* reassure the patient and schedule a follow-up appointment in six months* initiate norfloxacin therapy for seven days and schedule follow-up in two weeks 2. Which of the following is a major contraindication to curative surgical resection of a lung tumor? A. Liver metastasesB. Vagus nerve involvementC.
March 28, 2019
The Audio PANCE/PANRE Board Review Exam Questions Welcome to episode 69 of the Audio PANCE and PANRE PA Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the SMARTYPANCE course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will be covering ten general board review questions based on the NCCPA PANCE and PANRE Content Blueprints.  Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and Smarty PANCE. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio.* You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Practice Exam If you can’t see the audio player click here to listen to the full episode. Podcast Episode 69: 10 Question PANCE and PANRE Podcast Quiz The following questions are linked to NCCPA Content Blueprint lessons from the Smarty PANCE and PANRE Board Review Website. If you are a member you will be able to log in and view this interactive video lesson. 1. Which of the following is the most common cause of acute myocardial infarction? A. Occlusion caused by coronary microemboliB. Thrombus development at a site of vascular injuryC. Congenital abnormalitiesD. Severe coronary artery spasm 2. Endotracheal intubation should be performed with caution in patients with which of the following underlying conditions due to the propensity to cause subluxation of C1 on C2? A. Rheumatoid arthritisB. OsteoarthritisC. GoutD. Pseudogout 3. Which of the following interventions is the treatment of choice for an actinic keratosis? A. Mohs surgeryB.
December 21, 2018
Ten Mixed PA Board Review Questions The Audio PANCE/PANRE – Ten PA Board Review Exam Questions Welcome to episode 67 of the Audio PANCE and PANRE PA Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the SMARTYPANCE course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will be covering ten general board review questions based on the NCCPA PANCE and PANRE Content Blueprint.  Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and SMARTYPANCE which are now bundled together into one very low price. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio.* You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Practice Exam If you can’t see the audio player click here to listen to the full episode. Podcast Episode 67: 10 Question PANCE and PANRE Podcast Quiz The following questions are linked to NCCPA Content Blueprint lessons from the SMARTYPANCE & PANRE Board Review Website. If you are a member you will be able to log in and view this interactive video lesson. A 26-year-old female presents with several pruritic lesions on her dorsal forearms. The lesions are erythematous with vesicles, with a few beginning to weep. She works in a photography laboratory but denies any other possible exposures. Which of the following is the most useful diagnostic test? A. VDRL serologyB. KOH prepC.
October 1, 2018
NCCPA™ PANCE Content Blueprint – The ABC’s of Hepatitis +The Hepatitis B Breakdown Welcome to episode 65 of the Audio PANCE and PANRE PA Board Review Podcast. In today’s episode, I welcome my friend, exclusive smartypance lecturer, and PA board review extraordinaire Joe Gilboy PA-C who will be breaking down Hepatitis B as you’ve never seen it before. This is a recorded lecture featured on my smartypance.com board review website covering Hepatitis A, B, and C testing with twelve follow up questions at the end. Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of the site. The full board review covers the entire NCCPA Content Blueprint, all indexed, searchable, and now available with Joe’s Gilboy’s priceless lectures. To top it off you can sign up today for the free 60-day board review email series which includes Joe’s audio explanations. If you enjoyed this podcast episode: * You can download and listen to past FREE episodes here, on iTunes, Google Play Music, or Stitcher Radio. Listen Carefully Then Take The Practice Exam If you can’t see the audio player click here to listen to the full episode. Podcast Episode 65: Hepatitis PANCE/PANRE Podcast Quiz The following questions are linked to NCCPA Content Blueprint lessons from the SMARTYPANCE & PANRE Board Review Website. If you are a member you will be able to log in and view this interactive video lesson. 1. A patient presents wanting to be tested to see if they presently have Hepatitis A which labs would you order? a. Anti-HAV (IgG) b. Anti-HAV (IgA) c. Anti-HAV (IgM) d. Anti-HAV (IgE) 2. Which lab result would a PA and an IV drug abuser both have that are positive? a. Anti-HBs b. Anti-HBe c. Anti-HBc d. HBeAg 3. Which positive lab tells you a person is currently actively infected with hepatitis B? a. HBsAg b. HBsAb c. HBcAg d. HBeAg 4. Which of the following lab result would a chronic hepatitis B patient have that is positive? a. HBsAg b. HBsAb c. HBcAg d. HBeAg 5. Immunoglobulin is given within two weeks for family members and close contacts when they are exposed to hepatitis A. Which immunoglobulin is given? a. IgM b. IgG c. IgA d. IgE 6. Hepatitis D needs what part of hepatitis B to exist? a. HBsAg b. HBsAb c.
August 9, 2018
Ten Mixed NCCPA™ PANCE Content Blueprint Multiple Choice Questions Welcome to episode 63 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the SMARTYPANCE course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will be covering ten general board review questions based on the NCCPA PANCE and PANRE Content Blueprint.  Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and SMARTYPANCE which are now bundled together into one very low price. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Practice Exam If you can’t see the audio player click here to listen to the full episode. Episode 63 – General PANCE/PANRE Podcast Quiz The following 10 questions are linked to NCCPA Content Blueprint lessons from the SMARTYPANCE and PANRE Board review website. If you are a member you will be able to log in and view this interactive video content. 1. A 24-year-old male presents complaining of a 9-month history of increasing shortness of breath, dyspnea on exertion, and a cough productive of white sputum, mostly in the mornings. He denies orthopnea, PND, peripheral edema, fever, chills, night sweats, recent changes in weight, palpitations, chest pain, food intolerances, or other complaints. Patient has a history of recurrent lung infections. He states that his father had chronic pulmonary problems and died at age 42 from unknown lung disease. The patient denies smoking, alcohol or illicit drug use. On physical examination, the respiratory rate is 22 breaths per minute, a pulse of 98 bpm, a temperature of 98.7 degrees. Pulmonary exam reveals end-expiratory wheezes bilaterally and hyperresonance to percussion.
May 14, 2018
Ten Mixed NCCPA™ Content Blueprint Multiple Choice Questions Welcome to episode 61 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the SMARTYPANCE course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will be covering ten general board review questions based on the NCCPA PANCE and PANRE Content Blueprint.  Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and SMARTYPANCE which are now bundled together into one very low price. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Practice Exam If you can’t see the audio player click here to listen to the full episode. Episode 5 – General PANCE/PANRE Podcast Quiz The following 10 questions are linked to NCCPA Content Blueprint lessons from the SMARTYPANCE and PANRE Board review website. If you are a member you will be able to log in and view this interactive video content. 1. An 18-year-old male presents with pain in his wrist after he fell off of a moving motorcycle. Physical examination reveals tenderness in the anatomic snuffbox. No fracture is noted on plain radiography of the wrist. Which of the following is the recommended treatment for this patient? A. An ace wrap of the wrist B. Closed reduction of the fracture site C. Thumb spica cast application D. Open reduction of the fracture site 2. A solitary pulmonary nodule is found on a pre-employment screening chest x-ray in a 34-year-old non-smoking male. There are no old chest x-rays to compare. Which of the following is the most appropriate next step in the evaluation? A. CT scan of the chest B. Needle biopsy of the lesion C. Positron emission tomography of the chest D. Fiberoptic bronchoscopy Solita...
April 9, 2018
The Audio PANCE/PANRE PA Board Review Podcast Welcome to episode 59 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover ten Emergency Medicine End of Rotation Exam (EOR) review questions from the SMARTYPANCE course content following the NCCPA™ and PAEA content blueprint (download the FREE cheat sheet). This week we will be covering ten emergency medicine end of rotation exam questions based on the NCCPA PANCE and PANRE Content Blueprint.  Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and SMARTYPANCE which are now bundled together into one very low price. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. * Members can take Emergency medicine EOR 1 (200 questions) and Emergency Medicine EOR 2 (184 questions) Listen Carefully Then Take The Practice Exam If you can’t see the audio player click here to listen to the full episode. Episode 59 – Emergency Medicine EOR Podcast Quiz The following 10 questions are linked to NCCPA Content Blueprint lessons from the SMARTYPANCE and PANRE Board review website. If you are a member you will be able to log in and view this interactive video content. 1. During a baseball game, a 22-year-old college student is hit in the right eye by a baseball. He complains of blurry vision in that eye. On physical exam, the physician assistant notes proptosis of the right eye and limitation of movement in all directions. On CT scan, which of the following is most likely to be seen? A. Fracture of the medial orbital wall B. Prolapse of orbital soft tissue C. Hematoma of the orbit D. Orbital emphysema 2. A 29-year-old male presents with a complaint of substernal chest pain for 12 hours. The patient states that the pain radiates to his shoulders and is relieved with sitting forward.
February 20, 2018
The Audio PANCE/PANRE PA Board Review Podcast Welcome to episode 57 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the SMARTYPANCE course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will be covering ten endocrinology board review questions based on the NCCPA PANCE and PANRE Content Blueprint.  Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and SMARTYPANCE which are now bundled together into one very low price. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Practice Exam If you can’t see the audio player click here to listen to the full episode. Episode 57 – Endocrinology PANCE/PANRE Podcast Quiz The following 10 questions are linked to NCCPA Content Blueprint lessons from the SMARTYPANCE and PANRE Board review website. If you are a member you will be able to log in and view this interactive video content. 1. A 53-year-old Hispanic woman comes to your clinic for her annual physical exam. She is obese, does not exercise, and regularly eats fried foods. A random blood glucose is 249 mg/dL. Her hemoglobin A1C is 9.5. Which of the following treatments would be weight neutral or cause weight loss in this patient? A. Glargine B. Glyburide C. Actos D. Metformin E. Glipizide Diabetes Mellitus Type 2 is covered as part of the NCCPA Endocrinology Content Blueprint which accounts for 6% of your exam. 2. A solitary thyroid nodule is noted on physical examination. The TSH level is normal. The next step in the evaluation is: A. measurement of T4 and free T3 levels. B. a radionuclide thyroid scan. C.
November 30, 2017
Welcome to episode 55 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the SMARTYPANCE course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will be covering ten general board review questions based on the NCCPA PANCE and PANRE Content Blueprint.  Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and SMARTYPANCE which are now bundled together into one very low price. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Episode 55 PANCE and PANRE Podcast Quiz The following 10 questions are linked to NCCPA Content Blueprint lessons from the SMARTYPANCE and PANRE Board review website. If you are a member you will be able to log in and view this interactive video content. 1. Which of the following physical examination findings would be consistent with a pleural effusion? A. Hyperresonance to percussion B. Increased tactile fremitus C. Unilateral lag on chest expansion D. Egophony Pleural effusions are covered as part of the NCCPA Content Blueprint Pulmonology section which accounts for 10% of the exam View this ReelDx patient video case of a 68-year-old female complaining of bilateral chest pain and difficulty breathing. Included in this lesson is the Picmonic explaning Light’s Criteria. 2.
October 5, 2017
Welcome to episode 53 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the Academy course content following the NCCPA™ content blueprint (download the FREE cheat sheet) and the PAEA End of Rotation™ Exams Blueprints & Topic Lists. This week we will be covering ten General Surgery End of Rotation Exam Questions that are now part of the SMARTYPANCE website.  Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and SMARTYPANCE which are now bundled together into one very low price. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Episode 51: General Surgery Endo of Rotation Exam Podcast Quiz The following 10 questions are linked to NCCPA™ Content Blueprint lessons from the SMARTYPANCE and PANRE Board review website. If you are a member you will be able to log in and view this interactive video content. 1. An 18-year-old patient has a tibia/fibula fracture following a motorcycle crash. Twelve hours later the patient presents with increased pain despite adequate doses of analgesics and immobilization. Which of the following is the most likely diagnosis? A. avascular necrosis B. myositis ossificans C. compartment syndrome D. reflex sympathetic dystrophy 2. A 25-year-old male presents to the ED with left calf pain and cramping, as well as nausea and vomiting.
July 11, 2017
Welcome to episode 51 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the Academy course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will be covering ten general board review questions based on the NCCPA PANCE and PANRE Content Blueprint.  Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and SmartyPANCE which are now bundled together into one very low price. * You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Episode 51 PANCE and PANRE Podcast Quiz The following 10 questions are linked to NCCPA Content Blueprint lessons from the SMARTYPANCE and PANRE Board review website. If you are a member you will be able to log in and view this interactive video content. 1. A 42-year-old male with a history of constipation presents with complaints of severe pain with defecation described as feeling like he is “tearing apart.” He has also noted occasional small amounts of blood on toilet paper. External examination of the rectum is unremarkable and an internal rectal exam cannot be performed due to severe pain when attempted. Which of the following is the most likely diagnosis? A. Proctitis B. Anal fissure C. Rectal prolapse D. Internal hemorrhoids Anal fissures are covered as part of the NCCPA Content Blueprint GI and Nutrition which accounts for 10% of the exam
May 16, 2017
Welcome to episode 49 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover ten PANCE and PANRE board review questions from the Academy course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will be covering 10 general board review questions based on the NCCPA PANCE and PANRE Content Blueprint.  Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and SmartyPANCE. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Episode 49 PANCE and PANRE Podcast Quiz The following 10 questions are linked to NCCPA Content Blueprint lessons from the SmartyPANCE PANCE and PANRE board review website. If you are a member and login you will be able to view this content. 1. Which of the following clinical findings would be seen in a patient with food poisoning caused by Staphylococcus aureus? A. Ingestion of mayonnaise-based salads 48 hours earlier B. Bloody diarrhea with mucus for one week C. Abdominal cramps and vomiting for 48 hours D. High fever for 1 week Staphylococcus aureus food poisoning is part of the NCCPA Content Blueprint GI and Nutrition which accounts for 10% of the exam 2. Which of the following diagnostic tests should be ordered initially to evaluate for suspected deep venous thrombosis A. Venogram B. Arteriogram C. Duplex ultrasound D. Impedance plethysmography Venous thrombosis is part of the NCCPA Cardiology Content Blueprint and represents 16% of the exam 3. A patient presents with signs and symptoms of Cushing’s syndrome. Extensive diagnostic evaluation reveals an ACTH-secreting pituitary adenoma. First-line therapy should consist of A. pituitary radiation B. medical adrenalectomy C. transsphenoidal resection of the tumor D. amiloride (Midamor)
March 1, 2017
Welcome to episode 47 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover 10 PANCE and PANRE board review questions from the Academy course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will be covering 10 general board review questions based on the NCCPA PANCE and PANRE Content Blueprint.  Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full genitourinary board review includes over 72 GU specific questions and is available to all members of the PANCE and PANRE Academy and SmartyPANCE * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Episode 47 PANCE and PANRE Podcast Quiz The following 10 questions are linked to NCCPA Content Blueprint lessons from the SmartyPANCE PANCE and PANRE board review website. If you are a member and login you will be able to view this content. 1. To relieve dependent edema in a pregnant patient, which of the following should be instituted as treatment? * Limit fluid intake * Elevate the legs * Prescribe thiazide diuretics * Strict avoidance of sodium Uncomplicated pregnancy is part of the NCCPA Content Blueprint Reproductive System which is 8% of the exam 2. To further assess ascites in a patient, the physician assistant instructs the patient to turn onto one side while performing percussion. Which of the following is the reason for this maneuver? * Testing for shifting of dullness on percussion * Shifting of internal organs making percussion easier * Trying to elicit any pain while moving * Trying to produce a caput medusae Ascites is a common complication of liver disease. Disorders of the liver is part of the NCCPA GI and Nutrition Content Blueprint and represents 10% of the exam 3.  A 7-year-old child with a history of type 1 diabetes mellitus for 3 years presents for routine follow-up. The mother states that the child has been having nightmares and night sweats. Additionally, his average morning glucose readings have risen from an average of 100 mg/dL to 145 mg/dL over the past week. This child is most likely experiencing
January 5, 2017
Welcome to episode 45 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Today we are going to take a brief detour away from 10 daily questions and instead cover the murmurs you need to know for your PANCE and PANRE exam. I have still included an 11 question exam at the end of this post so make sure you scroll down after you listen to the podcast. There are a total of 17 cardiac conditions that may present on exam day in the form of a descriptive sound/murmur. You will often be given supporting evidence such as the location of auscultation or radiation which you can use to narrow down your options. There are total of 51 cardiac topics in the  NCCPA™ Cardiology PANCE and PANRE Content Blueprint which represents 16% of the PANCE and PANRE exam. (click here to download the FREE NCCPA Content Blueprint cheat sheet) These cardiac conditions and their associated murmurs cover a whopping 33% of the cardiology section of the PANCE and PANRE exam! Take a listen to this week’s podcast episode If you can’t see the audio player click here to listen to the full episode. Let’s break this all down: Each of the links below opens the corresponding lesson on SmartyPANCE and is available to members (you must be logged in or join now) There are 9 valvular disorders associated with murmurs: Valvular Disorders (PEARLS and Flashcards) Aortic stenosis (ReelDx) Aortic regurgitation (Diastolic Murmur) Mitral stenosis (Diastolic) Mitral regurgitation Mitral valve prolapse Tricuspid stenosis Tricuspid regurgitation Pulmonary stenosis Pulmonary regurgitation Five congenital heart diseases that have corresponding murmurs Congenital Heart Diseases (PEARLS)
October 27, 2016
Welcome to episode 43 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover 10 PANCE and PANRE board review questions from the Academy course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will continue to take a break from topic specific board review and covering 10 general board review questions. Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full genitourinary board review includes over 72 GU specific questions and is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Episode 43 PANCE and PANRE Podcast Quiz 1. A mother brings in her five-year-old boy for his school physical. She voices some concerns about his readiness for school, saying he seems to be socially immature. She has noticed he does not interact with other children well, and that when he plays with them, he has a tendency to “place them” and then run around them as if they were statues. He rarely cries when he is hurt, and he shrugs off any attempt to hug him. He has good attention to details, and will sit and draw the same geometric shapes over and over again, but does not seem interested in learning the alphabet. He avoids eye contact with anyone. Which of the following is the most likely diagnosis? * Normal 5 year-old * Social phobia * Autism * Avoidant personality 2. A 3-week-old male infant presents with recurrent regurgitation after feeding that has progressed to projectile vomiting in the last few days. The mother states that the child appears hungry all of the time. She denies any diarrhea in the child. Which of the following clinical findings is most likely? * Bile-stained vomitus * Hemoccult positive stools * Olive-sized mass in the right upper abdomen * Sausage-shaped mass in the upper-mid abdomen 3. A 65 year-old with COPD receiving their first pneumococcal polysaccharide PPSV23 vaccination should be revaccinated in * 1 year * 3 years * 5 years * Never 4. Which of the following therapies is recommended for a 13 month-old child with sickle cell disease? * Folic acid and penicillin V * Ferrous sulfate and penicillin V * Folic acid and ferrous sulfate * Folic acid, ferrous sulfate and penicillin V 5. A patient with severe COPD presents to the Emergency Department with a 3 day history of increasing shortness of breath with exertion and cough productive of purulent sputum. An arterial blood gas reveals a pH of 7.25, PaCO2 of 70 mmHg and PaO2 of 50 mmHg. He is started on albuterol nebulizer, nasal oxygen at 2 liters per minute,
August 29, 2016
Welcome to episode 41 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover 10 PANCE and PANRE board review questions from the Academy course content following the NCCPA™ content blueprint. This week we will be taking a break from topic specific board review and covering 10 general board review questions. Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full genitourinary board review includes over 72 GU specific questions and is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Episode 41 PANCE and PANRE Podcast Quiz 1. A mother brings her 6-year-old boy for evaluation of school behavior problems. She says the teacher told her that the boy does not pay attention in class, that he gets up and runs around the room when the rest of the children are listening to a story, and that he seems to be easily distracted by events outside or in the hall. He refuses to remain in his seat during class, and occasionally sits under his desk or crawls around under a table. The teacher told the mother this behavior is interfering with the child’s ability to function in the classroom and to learn. The mother states that she has noticed some of these behaviors at home, including his inability to watch his favorite cartoon program all the way through. Which of the following is the most likely diagnosis? * Antisocial disorder * Dysthymic mood disorder * Obsessive-compulsive disorder * Attention deficit hyperactivity disorder 2. Which of the following is the treatment of choice for a torus (buckle) fracture involving the distal radius? A. Open reduction and internal fixation B. Ace wrap or anterior splinting C. Closed reduction and casting D. Corticosteroid injection followed by splinting 3. Which of the following can be used to treat chronic bacterial prostatitis? A. Penicillin B. Cephalexin (Keflex) C. Nitrofurantoin (Macrobid) D. Levofloxacin (Levaquin) 4. A 25 year-old male with history of syncope presents for evaluation. The patient admits to intermittent episodes of rapid heart beating that resolve spontaneously. 12 Lead EKG shows delta waves and a short PR interval. Which of the following is the treatment of choice in this patient? A. Radiofrequency catheter ablation B. Verapamil (Calan) C. Percutaneous coronary intervention D. Digoxin (Lanoxin) 5. Which of the following pathophysiological processes is associated with chronic bronchitis? A. Destruction of the lung parenchyma B. Mucous gland enlargement and goblet cell hyperplasia C. Smooth muscle hypertrophy in the large airways D. Increased mucus adhesion secondary to reduction in the salt and water content of the mucus
June 20, 2016
Welcome to episode 39 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I continue to cover topic specific PANCE and PANRE review from the Academy course content following the NCCPA™ content blueprint. Click here to download my interactive content blueprint checklist This week we will be covering 10 topic specific OBGYN/reproductive board review questions. The reproductive system accounts for 8% of your PANCE/PANRE board exam.   Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full reproductive review includes over 107 reproductive system content blueprint specific questions and is available to all members of the PANCE and PANRE Academy or my new site SMARTY PANCE!! * You can download and listen to past FREE episodes here, on iTunes, Google Play and Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Reproductive System PANCE and PANRE Podcast Quiz You can take the interactive quiz by clicking here Looking for all the podcast episodes? This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy. I will be releasing new episodes every few weeks. The Academy is discounted, so sign up now. Resources and Show Notes: * Reproductive system PANCE and PANRE content blueprint course on Smarty PANCE * Reproductive System Contentent Blueprint 107 question exam on Smarty PANCE (members only) * Download my free interactive content blueprint checklist * My list of recommended PANCE and PANRE review books * USE CODE “PALIFE” TO GET 10% OFF THE RUTGERS PANCE AND PANRE REVIEW COURSE This Podcast is also available on iTunes and Stitcher Radio for Android * iTunes: The Audio PANCE A...
April 25, 2016
Welcome to episode 37 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I continue to cover topic specific PANCE and PANRE review from the Academy course content following the NCCPA™ content blueprint. Click here to download my interactive content blueprint checklist This week we will be covering 10 topic specific Musculoskeletal board review questions. The Musculoskeletal System accounts for 10% of your PANCE/PANRE board exam.   Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full genitourinary board review includes over 72 GU specific questions and is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Musculoskeletal PANCE and PANRE Podcast Quiz You can take the interactive exam by clicking here. Looking for all the podcast episodes? This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy. I will be releasing new episodes every few weeks. The Academy is discounted, so sign up now. Resources and Show Notes: * My list of recommended PANCE and PANRE review books * My secret upcoming website which will cover the entire NCCPA Content Blueprint (coming soon) * USE CODE “PALIFE” TO GET 10% OFF THE RUTGERS PANCE AND PANRE REVIEW COURSE This Podcast is also available on iTunes and Stitcher Radio for Android * iTunes: The Audio PANCE AND PANRE Podcast iTunes * Stitcher Radio: The Audio PANCE and PANRE Podcast Stitcher
March 14, 2016
Welcome to episode 35 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I continue to cover topic specific PANCE and PANRE review from the Academy course content following the NCCPA™ content blueprint. This week we will be covering 10 topic specific Genitourinary board review questions. GU accounts for 6% of your PANCE/PANRE board exam.   Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full genitourniary board review includes over 72 GU specific questions and is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Genitourinary PANCE and PANRE Podcast Quiz You can take the interactive exam by clicking here. Looking for all the podcast episodes? This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy. I will be releasing new episodes every few weeks. The Academy is discounted, so sign up now. Resources and Show Notes: * My list of recommended PANCE and PANRE review books * My secret upcoming website which will cover the entire NCCPA Content Blueprint (coming soon) * USE CODE “PALIFE” TO GET 10% OFF THE RUTGERS PANCE AND PANRE REVIEW COURSE This Podcast is also available on iTunes and Stitcher Radio for Android * iTunes: The Audio PANCE AND PANRE Podcast iTunes * Stitcher Radio: The Audio PANCE and PANRE Podcast Stitcher
February 5, 2016
Welcome to episode 33 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I continue to cover topic specific PANCE and PANRE review from the Academy course content following the NCCPA™ content blueprint. This week we will be covering 10 topic specific HEENT board review questions. Eyes, Ears Nose and Throat accounts for 9% of your PANCE/PANRE board exam.   Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full Gastroenterology/Nutrition review includes over 111 EENT specific questions and is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. EENT PANCE and PANRE Podcast Quiz You can take the interactive exam by clicking here. Looking for all the podcast episodes? This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy. I will be releasing new episodes every few weeks. The Academy is discounted, so sign up now. Resources and Show Notes: * My list of recommended PANCE and PANRE review books * Physician Assistant Exam Review Podcast covering Diseases of the Gallbladder and Liver This Podcast is also available on iTunes and Stitcher Radio for Android * iTunes: The Audio PANCE AND PANRE Podcast iTunes * Stitcher Radio: The Audio PANCE and PANRE Podcast Stitcher
December 21, 2015
Welcome to episode 31 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I continue to cover topic specific PANCE and PANRE review from the Academy course content following the NCCPA™ content blueprint. This week we will be covering 10 topic specific Gastroenterology board review questions. Gastroenterology and Nutrition accounts for 10% of your PANCE/PANRE board exam.   Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full Gastroenterology/Nutrition review includes over 149 GI/Nutrition specific questions and is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Pulmonology PANCE and PANRE Podcast Quiz You can take the interactive exam by clicking here. Looking for all the podcast episodes? This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy. I will be releasing new episodes every few weeks. The Academy is currently discounted, so sign up now. Resources and Show Notes: * My list of recommended PANCE and PANRE review books * Physician Assistant Exam Review Podcast covering Diseases of the Gallbladder and Liver This Podcast is also available on iTunes and Stitcher Radio for Android * iTunes: The Audio PANCE AND PANRE Podcast iTunes * Stitcher Radio: The Audio PANCE and PANRE Podcast Stitcher
November 9, 2015
Welcome to episode 29 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Over the next few episodes I will be covering topic specific PANCE and PANRE review from the Academy course content following the NCCPA content blueprint. This week we will be covering 10 topic specific Pulmonology board review questions. Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full pulmonology review includes over 142 pulmonology specific questions and is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Pulmonology PANCE and PANRE Podcast Quiz You can take the interactive exam by clicking here. Looking for all the podcast episodes? This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy. I will be releasing new episodes every few weeks. The Academy is currently discounted, so sign up now. Resources and Show Notes: * My list of recommended PANCE and PANRE review books This Podcast is also available on iTunes and Stitcher Radio for Android * iTunes: The Audio PANCE AND PANRE Podcast iTunes * Stitcher Radio: The Audio PANCE and PANRE Podcast Stitcher
September 30, 2015
Welcome to episode 27 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Over the next few episodes I will be covering topic specific PANCE and PANRE review from the Academy course content following the NCCPA content blueprint. This week we will be covering 10 topic specific Cardiology board review questions. Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full cardiology review includes over 147 cardiology specific questions and is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Cardiology Questions 1-10 You can take the interactive exam by clicking here. Looking for all the podcast episodes? This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy. I will be be releasing new episodes every two weeks. The Academy is currently discounted, so sign up now. Resources and Show Notes: * My list of recommended PANCE and PANRE review books This Podcast is also available on iTunes and Stitcher Radio for Android * iTunes: The Audio PANCE AND PANRE Podcast iTunes * Stitcher Radio: The Audio PANCE and PANRE Podcast Stitcher
August 31, 2015
Welcome to episode 25 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, download the transcript and take an interactive quiz of the questions below. Download the FREE PDF transcript for FREE here or on Scribd. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Questions 1-10 The Audio PANCE and PANRE Episode 25 1. Which of the following conditions will produce a transudative pleural effusion? A. Kaposi’s sarcoma B. Pneumonia C. Cirrhosis D. Mesothelioma 2. Which of the following pathophysiological processes is believed to initiate acute appendicitis? A. Obstruction B. Perforation C. Hemorrhage D. Vascular compromise 3. A 23 year-old female with a history of palpitations presents for evaluation. She admits to acute onset of rapid heart beating lasting seconds to minutes with associated shortness of breath and chest pain. The patient states she can relieve her symptoms with Valsalva. Which of the following is the most appropriate diagnostic study to establish a definitive diagnosis in this patient? A. Cardiac catheterization B. Cardiac MRI C. Chest CT scan D. Electrophysiology study 4. A known alcoholic presents to the emergency department with altered level of consciousness and a blood glucose level of 35 mg/dL. Which of the following best explains this glucose result? A. Excess pancreatic insulin release B. Rapid carbohydrate discharge into the small bowel C. Agonist insulin receptor antibody formation D. Hepatic glycogen depletion and impaired gluconeogenesis 5. Which of the following is the chief adverse effect of thiazide diuretics? A. Hypokalemia B. Hypernatremia C. Hypocalcemia D. Hypermagnesemia 6. The most distinctive sign of pertussis is A. stridor without cough. B. productive cough with basilar rales. C. loose cough with coarse rhonchi. D. paroxysmal cough with crowing inspiration. 7. The finding of egophony is most consistent with A. emphysema. B. atelectasis. C. pneumothorax. D.
August 4, 2015
Welcome to episode 23 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, download the transcript and take an interactive quiz of the questions below. Download the FREE PDF transcript for FREE here or on  Scribd. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Questions 1-10 The Audio PANCE and PANRE Episode 23 1. A 72 year-old female presents with vulvular pruritus for the last nine months, which has progressively worsened over the last two months. She states that she went through menopause at age 54 and has been on estrogen and progesterone therapy since that time. Physical examination reveals red lesions with white plaques on the vulva. What should the next course of management include? A. Refer to a gynecologist for biopsy. B. Refer to a dermatologist for antifungal therapy. C. Treat with a topical steroid. D. Treat with estrogen cream. 2. A 30 year-old female presents to the emergency department with a syncopal episode. She has a history of irregular menstrual cycles and infertility. She has scanty, persistent vaginal bleeding and sharp pelvic pain. A left adnexal mass is palpated. The most likely diagnosis is A. placenta abruptio. B. ectopic pregnancy. C. pelvic inflammatory disease. D. ruptured ovarian cyst. 3. A patient presents complaining of periumbilical pain. Which of the following anatomical sites is this finding associated with? A. Bladder B. Stomach C. Pancreas D. Small bowel 4. A 53 year-old patient presents with severe pain at the base of the thumb and no other finger involvement. The pain is worse with activity and lasts a short period of time following rest. There is no specific history of trauma to the thumb but the patient admits working with her hands as a typist. Which of the following is the most likely diagnosis? A. Rheumatoid arthritis B. Osteoarthritis C. Hemochromatosis D. Pseudogout 5. A 38 year-old female with history of coarctation of the aorta repair at the age of two presents with fevers for four weeks. The patient states that she has felt fatigued and achy during this time. Maximum temperature has been 102.
June 7, 2015
Welcome to episode 21 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, download the transcript and take an interactive quiz of the questions below. Download the FREE PDF transcript for FREE here or on  Scribd. Listen Carefully Then Take The Quiz If you can’t see the audio player click here to listen to the full episode. Questions 1-10 The Audio PANCE and PANRE Episode 21 1. A 28-year-old female, who has experienced occasional painful migratory arthralgias, complains now of a tender, swollen, and hot left ankle. The joint was aspirated and the synovial fluid showed 55,000 WBCs, 75% polymorphonuclear lymphocytes, low glucose level, and no crystals. Which of the following would be the most likely diagnosis? A. Rheumatoid arthritis B. Septic arthritis C. Gouty arthritis D. Osteoarthritis 2. When the diagnosis of gonococcal urethritis is confirmed, which of the following is the treatment of choice? A. Ceftriaxone (Rocephin) B. Azithromycin 1g orally in a single dose C. Ceftriaxone 250 mg IM in a single dose PLUS Azithromycin 1g orally in a single dose D. Doxycycline (Vibramycin) 3. Erythema nodosum is characterized by A. subcutaneous red tender nodules. B. brown pigmentation on the lower extremities. C. tender lymph nodes in the groin. D. scaling red macules. 4. Use of systemic corticosteroids can cause which of the following adverse effects in the eye? A. Cortical blindness B. Optic atrophy C. Glaucoma D. Papilledema 5. It is determined that a woman has a nonexistent rubella titer level during her first trimester of pregnancy. When should she receive the rubella vaccine? A. During the first trimester of pregnancy B. During the second trimester of pregnancy C. During the third trimester of pregnancy D. After delivery of the infant 6. A patient with which of the following is at highest risk for coronary artery disease? A. Congenital heart disease B. Polycystic ovary syndrome C. Acute renal failure D. Diabetes mellitus 7. A 44-year-old female presents with ongoing arthralgias and myalgias with intermittent flares of arthritis. She is found to have a malar rash that worsens with sun exposure. She is known to have progressive renal damage and has recurrent infections that are slow to respond to therapy.
May 2, 2015
Welcome to episode 19 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, download the transcript and take an interactive quiz of the questions below. Use one of the social links below to unlock and download the FREE PDF Transcript of this podcast: [sociallocker id=”10126″]Download the PDF for FREE here or on  Scribd [/sociallocker] Listen Carefully Then Take The Quiz Questions 1-10 The Audio PANCE and PANRE Episode 17 1. A 12 month-old child with tetralogy of Fallot is most likely to have which of the following clinical features? A. Chest pain B. Cyanosis C. Convulsions D. Palpitations 2. Intraarticular injection of hyaluronic acid has been approved for treatment of patients with which of the following conditions? A. Rheumatoid arthritis of the knee B. Osteoarthritis of the knee C. Olecranon bursitis D. Gouty arthritis 3. A 28 year-old female, who has experienced occasional painful migratory arthralgias, complains now of a tender, swollen, and hot left ankle. The joint was aspirated and the synovial fluid showed 55,000 WBCs, 75% polymorphonuclear lymphocytes, low glucose level, and no crystals. Which of the following would be the most likely diagnosis? A. Rheumatoid arthritis B. Septic arthritis C. Gouty arthritis D. Osteoarthritis 4. A 25 year-old presents with pain in the proximal ulna after falling directly on the forearm. X-ray shows fracture of the proximal 1/3rd of the ulna. There is an associated anterior radial head dislocation. What is the proper name for this condition? A. Galeazzi fracture B. Monteggia fracture C. Colles’ fracture D. Smith fracture 5. A 20 year-old male presents with a mass in the groin. On examination with the patient standing, a mass is noted that extends into the scrotum. The patient denies any trauma. The most likely diagnosis is A. an indirect inguinal hernia. B. a direct inguinal hernia. C. an obturator hernia. D. a femoral hernia. 6. A patient with type 2 diabetes mellitus presents for a yearly eye exam. Ophthalmoscopic exam reveals neovascularization. Which of the following is the most likely complication related to this finding? A. Glaucoma B. Cataracts C. Vitreous hemorrhage D. Optic neuritis 7. Which of the following oral hypoglycemic agents when used as monotherapy is most likely to cause hypoglycemia? A. Glipizide (Glucotrol) B. Metformin (Glucophage) C. Pioglitazone (Actos) D. Acarbose (Precose) 8.
March 25, 2015
Welcome to episode 17 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, download the transcript and take an interactive quiz of the questions below. Listen Carefully Then Take The Quiz Questions 1-10 The Audio PANCE and PANRE Episode 17 1. A 64 year-old male presents complaining of new onset of fatigue, weight gain, constipation, erectile dysfunction, and loss of body hair. Laboratory investigation demonstrates: TSH less than 0.5 microunits/mL (normal range 0.5-5.0 microU/mL); Thyroxine (T4) 2 mcg/dL (normal range 5-12 mcg/dL); Prolactin 10 nanograms/ml (normal 2 – 18 ng/mL.) What is the most likely diagnosis? A. Primary hypothyroidism B. Excessive dosing of levothyroxine (Synthroid) C. Hypopituitarism D. Subacute thyroiditis 2. A 15 year-old male was seen last week with complaints of sore throat, headache, and mild cough. A diagnosis of URI was made and supportive treatment was initiated. He returns today with complaints of worsening cough and increasing fatigue. At this time, chest x-ray reveals bilateral hilar infiltrates. A WBC count is normal and a cold hemagglutinin titer is elevated. The most likely diagnosis is A. tuberculosis. B. mycoplasma pneumonia. C. pneumococcal pneumonia. D. staphylococcal pneumonia. 3. Which of the following clinical manifestations is common in candidal vulvovaginitis? A. Extreme vulvar irritation B. Firm, painless ulcer C. Tender lymphadenopathy D. Purulent discharge 4. A 63 year-old female presents with a complaint of chest pressure for one hour, noticed upon awakening. She admits to associated nausea, vomiting, and shortness of breath. 12 lead EKG reveals ST segment elevation in leads II, III, and AVF. Which of the following is the most likely diagnosis? A. Aortic dissection B. Inferior wall myocardial infarction C. Acute pericarditis D. Pulmonary embolus 5. An 18 year-old woman presents to the clinic complaining of fatigue. She reports a past history of lifelong frequent nosebleeds and bleeding gums. She also has menorrhagia. Her mother and maternal grandfather have a similar bleeding history. Initial lab results are as follows: WBC 9,500/mm3, Hgb 10.9 g/dL, HCT 33%, MCV 69 fL, MCHC 26 pg and platelets 284,000/mm3. Which of the following tests should be ordered to evaluate this patient’s diagnosis? A. Hemoglobin electrophoresis B. Bleeding time and platelet aggregometry C. Bone marrow aspiration D. PT and aPTT 6. A 35 year-old patient has recurrent seasonal rhinitis and a history of mild asthma. Which of the following should be included for first-line management? A. Immunotherapy B. Decongestants C. Corticosteroid inhalers D. Cromolyn sodium (Intal) 7. A 35-year-old female presents with multiple ulcerative lesions on her labia and perineum. A Tzanck preparation of one of the lesions reveal...
February 14, 2015
Welcome to episode 15 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, download the transcript and take an interactive quiz of the questions below. Listen Carefully Then Take The Quiz Questions 1-10 The Audio PANCE and PANRE Episode 15 1. A patient with prostate cancer has a nonpalpable, focal lesion, and the patient is reluctant to have surgery at this time. Which of the following would best monitor disease progression? A. Periodic rectal exams B. Transrectal ultrasonography C. Measurements of serum acid phosphatase D. Measurements of prostate-specific antigen 2. If a woman has a normal 28-day menstrual cycle what tissue and hormonal phase occurs during the last 14 days A. Proliferative follicular phase under the influence of estrogen. B. Secretory luteal phase under the influence of estrogen and progesterone. C. Proliferative follicular phase under the influence of estrogen and progesterone. D. Secretory luteal phase under the influence of estrogen 3. A 24 year-old male presents for routine physical examination. On physical examination, you find that the patient’s upper extremity blood pressure is higher than the blood pressure in the lower extremity. Heart exam reveals a late systolic murmur heard best posteriorly. What is the most likely diagnosis in this patient? A. Hypertrophic obstructive cardiomyopathy B. Patent foramen ovale C. Coarctation of the aorta D. Patent ductus arteriosus 4. A mother brings a 3 month-old infant to the office because she is concerned about a red, vascular, nodular growth on the child’s back. It appears to be enlarging slightly and the vessels are slightly dilated. It seems to cause the child no discomfort. The most likely diagnosis is A. a hemangioma. B. a pigmented nevus. C. a salmon patch (stork bite). D. a malignant melanoma. 5. A 45 year-old male with Type 1 diabetes presents with the following lipid panel: Total cholesterol 321 mg/dL; Triglycerides 225 mg/dL; HDL 30 mg/dL; LDL 155 mg/dL. The treatment of choice for this patient is A. Nicotinic acid (Niacin). B. Cholestyramine (Questran). C. Gemfibrozil (Lopid). D. Simvastatin (Zocor). 6. A 45 year-old male presents with abdominal pain and one episode of mild hematemesis, which happened days ago. On physical examination, vital signs are stable and he is in no acute distress. Hemoglobin and hematocrit are unremarkable; endoscopy reveals non-bleeding small superficial ulceration of the duodenal bulb. Rapid urease test is positive. Which of the following is the most appropriate treatment at this time? A. Schedule for a selective vagotomy and antrectomy B. Start an antacid along with omeprazole (Prilosec) C. Schedule elective ulcer excision and start sucralfate (Carafate) D.
January 16, 2015
The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. * You can listen to the latest episode, download the transcript and take an interactive quiz of the questions below. Listen Carefully Then Take The Quiz Questions 1-10 The Audio PANCE and PANRE Episode 13 1. During a baseball game, a 22 year-old college student is hit in the right eye by a baseball. He complains of blurry vision in that eye. On physical exam, the physician assistant notes proptosis of the right eye, and limitation of movement in all directions. On CT scan, which of the following is most likely to be seen? A. Fracture of the medial orbital wall B. Prolapse of orbital soft tissue C. Hematoma of the orbit D. Orbital emphysema 2. Which of the following physical findings is suggestive of atrial septal defect? A. Fixed split S2 B. Increased pulse pressure C. Continuous mechanical murmur D. Difference in blood pressure between the left and right arm 3. Which of the following is essential to make a diagnosis of cystic fibrosis? A. Positive family history B. Elevated sweat chloride C. Recurrent respiratory infections D. Elevated trypsinogen levels 4. In infants, the eyes should move in parallel without deviation by the age of A. 2 weeks. B. 3 months. C. 6 months. D. 1 year. 5. Which of the following physical exam findings is consistent with moderate emphysema? A. Increased tactile fremitus B. Dullness to percussion C. Distant heart sounds D. Deviated trachea 6. Which of the following is the most common indication for operative intervention in patients with chronic pancreatitis? A. Weight loss B. Intractable pain C. Exocrine deficiency D. To decrease risk of cancer 7. A 22 year old male presents to the ED with pain that radiates to his shoulders and is relieved with sitting forward. The patient admits to recent upper respiratory symptoms. On examination vital signs are BP 126/68, HR 86, RR 20, temp 100.3 degrees F. There is no JVD noted. Heart exam reveals regular rate and rhythm with no S3 or S4. There is a friction rub noted. Lungs are clear to auscultation. EKG shows diffuse ST segment elevation. What is the treatment of choice in this patient? A. Pericardiocentesis B. Nitroglycerin C. Percutaneous coronary intervention D. Indomethacin (Indocin) 8. As a general rule, sutures in the face should be removed in A. 3 days. B. 5 days. C. 7 days. D. 10 days. 9. Patient education for a 23 year-old using oral contraceptives should include which of the following? A. Rifampin may decrease the effectiveness of the oral contraceptives. B. Acetaminophen may decrease the effectiveness of the oral contraceptives. C. Oral contraceptives may provide some protection from coronary artery disease. D. Changing to the “minipill” (progestin only) will inhibit ovulation more consistently than combination oral co...
January 1, 2015
The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here, on iTunes or Stitcher. (sometimes it takes a few hours to show up on iTunes after publication) * You can listen to the latest episode, download the transcript and take an interactive quiz of the questions below. Listen Carefully Then Take The Quiz Questions 1-10 The Audio PANCE and PANRE Episode 11 1. What is the initial treatment of choice for hyperthyroidism in a 10-week pregnant patient? A. No treatment is necessary. B. Propylthiouracil (PTU) C. Radioiodine treatment D. Subtotal thyroidectomy 2. A patient presents with eye pain and blurred vision. Snellen testing reveals vision of 20/200 in the affected eye and 20/20 in the unaffected eye. Fluorescein staining reveals the presence of a dendritic ulcer. Which of the following is the most likely diagnosis? A. Viral keratitis B. Fungal corneal ulcer C. Acanthamoeba keratitis D. Bacterial corneal ulcer And in case you were wondering: B. Fungal corneal ulcers have an indolent course with intraocular infection being common but fluorescein staining is negative for a dendritic pattern. C. Acanthamoeba keratitis has a waxing and waning course over several months and has no fluorescein staining in a dendritic pattern. D. Bacterial corneal ulcers can progress aggressively resulting in corneal perforation. Fluorescein staining does not occur in a dendritic pattern. 3. A 63 year-old female with history of diabetes mellitus presents for blood pressure follow-up. At her last two visits her blood pressure was 150/92 and 152/96. Today in the office her blood pressure is 146/92. Recent blood work shows a Sodium 140 mEq/L, Potassium 4.2 mEq/L, BUN of 23 mg/dL, and Creatinine of 1.1 mg/dL. Which of the following is the most appropriate initial medication in this patient? A. Terazosin (Hytrin) B. Atenolol (Tenormin) C. Lisinopril (Zestril) D. Hydrochlorothiazide (HCTZ) 4. What is the EKG manifestation of cardiac end-organ damage due to hypertension? A. Right bundle branch block B. Left ventricular hypertrophy C. Right ventricular hypertrophy D. ST segment elevation in lateral precordial leads 5. Annual blood pressure determinations should be obtained beginning at the age of A. 3 years. B. 5 years. C. 12 years. D. 18 years. 6. In adults and intravenous drug abusers, which of the following bones is most commonly affected with acute osteomyelitis? A. Femur B. Humerus C. Vertebral spine D. Tibia 7. Treatment of the patient with Pediculosis pubis consists of which of the following? A. Permethrin (Nix) cream B. Clotrimazole (Gyne-Lotrimin) C. Podofilox (Condylox) solution D. Selenium sulfide (Selsun) suspension 8. A 43 year-old asymptomatic diabetic female is found to have an elevated total calcium level of 12.4 mg/dL. Which of the following tests must be assessed in order to evaluate this laboratory abnormality? A. Intact parathyroid hormone B.
December 18, 2014
The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I created this audio series to help you fill some downtime when you are unable to read (like in the car) with some useful board review. I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy. * You can download and listen to past FREE episodes here or on iTunes. * You can listen to the latest episode and take an interactive quiz of the questions below. Listen Carefully Then Take The Quiz Questions 1-10 The Audio PANCE and PANRE Episode 9 1. A 3 year-old girl is diagnosed with atopic dermatitis. Which of the following disorders is this child at risk for in the future? A. Asthma B. Tinea pedis C. Squamous carcinoma D. Systemic lupus erythematosus (SLE) 2. A 3 year-old boy is seen in the office with a 5-day history of fever, erythema, edema of the hands and feet, a generalized rash over the body, bilateral conjunctival injections, fissuring and erythema of the lips, and cervical adenopathy. Antistreptolysin A (ASO) titer and throat culture are negative. The most serious systemic complication associated with this disorder is A. renal. B. cardiac. C. pulmonary. D. hepatic. 3. Which of the following medication classes is the treatment of choice in a patient with variant or Prinzmetal’s angina? A. Calcium channel blockers B. ACE inhibitors C. Beta blockers D. Angiotensin II receptor blockers 4. Pharmacologic treatment of a patient with gestational diabetes should consist of which of the following? A. Oral hypoglycemic agents B. Regular insulin C. Oral corticosteroids D. Glucagon 5. Which of the following is an indication for vaccination against hepatitis A? A. Illicit drug users B. Health care workers C. Renal dialysis patients D. Routine vaccination starting at birth 6. A 2 month-old infant presents for a routine health maintenance visit. The mother has been concerned about the infant’s hearing since birth. Physical examination reveals no apparent response to a sudden loud sound. Which of the following is the most appropriate diagnostic evaluation? A. audiometry B. tympanometry C. acoustic reflectometry D. auditory-evoked potentials 7. A 53 year-old female status post abdominal hysterectomy 3 days ago suddenly develops pleuritic chest pain and dyspnea. On exam, she is tachycardic and tachypneic with rales in the left lower lobe. A chest x-ray is unremarkable and an EKG reveals sinus tachycardia. Which of the following is the most likely diagnosis? A. Atelectasis B. Pneumothorax C. Pulmonary embolism D. Myocardial infarction 8. Which of the following is an independent risk factor for development of a mesothelioma? A. Cigarette smoking B. Asbestos exposure C. Radon gas exposure D. Chronic obstructive lung disease 9. A 34 year-old female with a history of asthma presents with complaints of increasing asthma attacks. The patient states she has been well-controlled on albuterol inhaler until one month ago. Since that time she notices that she has had to use her inhaler 3-4 times a week and also has had increasing nighttime use averaging about three episodes in the past month.
November 8, 2014
The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I created this audio series to help you fill some downtime when you are unable to read (like in the car) with some useful board review. I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy. Questions 1-10 1. Which of the following is a staphylococcal infection characterized by a localized red swollen and acutely tender abscess of the upper or lower eyelid? A. Hordeolum B. Uveitis C. Chalazion D. Dacryocystitis 2. Progesterone influence on the breast tissue prior to menstruation causes A. proliferation of the mammary ducts. B. growth of the lobules and alveoli. C. proliferation of Cooper’s ligaments. D. increase in the number of glands of Montgomery. 3. A 3 year-old girl is diagnosed with atopic dermatitis. Which of the following disorders is this child at risk for in the future? A. Asthma B. Tinea pedis C. Squamous carcinoma D. Systemic lupus erythematosus (SLE) 4. A patient presents with chronic back pain. On physical examination testing, the patient is found to have abnormalities of proprioception and vibration discrimination. Which of the following portions of the spinal column are most likely affected? A. Lateral spinothalamic tract B. Ventral spinothalamic tract C. Posterior column D. Transection of the cord 5. A 44 year-old female presents for follow-up results of her lipid profile. She is asymptomatic and has a past medicalhistory of hypothyroidism treated with levothyroxine and hypertension controlled with atenolol (Tenormin). She drinks an average of 6 alcoholic beverages a day and smokes 1 pack per day for the last 32 years. Her family history is unremarkable for premature coronary artery disease. Her fasting blood glucose is 98 mg/dL, total cholesterol is 198 mg/dL, LDL cholesterol is 132 mg/dL, HDL cholesterol is 56 mg/dL and triglycerides of 90 mg/dL. Excluding LDL cholesterol levels, how many major risk factors for coronary artery disease does this female possess? A. 2 B. 3 C. 4 D. 5 6. A 65 year-old patient with steroid-dependent chronic obstructive lung disease presents with a headache that has been increasing in severity over the past week, accompanied by nausea and vomiting. He denies fever, but has had photophobia and a stiff neck. Which of the following is the most likely diagnosis? A. Transient ischemic attack B. Bacterial meningitis C. Migraine headache D. Cryptococcosis 7. A 40 year-old female presents with a 1.5 cm well-circumscribed mass noted on mammography in the right upper, outer quadrant. Which of the following procedures is most appropriate and should be done next? A. Fine needle aspiration B. BRCA 1 and BRCA 2 genetic testing C. Serum CA-125 D. Radiation therapy 8. On examination of a pregnant patient the physician assistant notes the fundal height is at the level of the umbilicus. This corresponds to what gestational age? A. 16 weeks B. 20 weeks C. 24 weeks D. 28 weeks 9. Which of the following is a common symptom associated with laryngotracheobronchitis (viral croup)? A. Drooling B. High fever C. “Hot potato” voice D. Barking cough 10. A 23 year-old female with history of asthma for the past 5 years presents with complaints of increasing shortness ofbreath for 2 days. Her asthma has been well-controlled until 2 days ago. Since yesterday, she has been using heralbuterol inhaler every 4 to 6 hours. She is normally very active, however yesterday she did not complete her 30minu...
September 4, 2014
The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I created this audio series to help you fill some downtime when you are unable to read (like in the car) with some useful board review. I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy. Questions 6 y/o male presents w/ hemarthrosis of the L knee. Coag studies: PT 12.5s (normal12-14 sec), INR 1.0, aPTT 58s (normal 18-28 sec), platelet 430,000/microliter (normal 150,000-450,000/microliter), & bleeding time 4m (normal 2-12m). Which is the best tx option for this pt? A. Desmopressin acetate B. Corticosteroids C. Vitamin K D. Cryoprecipitate HIV+ pt presents w/ worsening dementia, fever, HA, & R hemiparesis. Brain MRI reveals 6 lesions throughout the brain that show ring enhancement & surrounding edema. Which is the tx of choice? A. Sulfadiazine and pyrimethamine B. Trimethoprim-sulfamethoxazole C. Radiation therapy D. Ventricular shunt placement On examination of a pregnant patient the physician assistant notes a bluish or purplish discoloration of the vagina and cervix. This is called A. Hegar’s sign. B. McDonald’s sign. C. Cullen’s sign D. Chadwick’s sign A 52 year-old female comes to the office because of black stools for the past 3 days. She is afebrile and she has no pertinent physical examination abnormalities. Which of the following is the most appropriate initial diagnostic study? A. Stool for occult blood B. Stool cultures C. Sigmoidoscopy D. Abdominal CT scan Which of the following is considered a risk factor for the development of malignant melanoma? A. male gender B. inability to tan C. Japanese ethnicity D. brown-haired individuals A 43 year-old data entry clerk presents with a one-month history of pain and tingling in the right thumb, index finger, and middle finger. Tinel’s sign and Phalen’s maneuver are positive. The most appropriate intervention at this time is A. methylprednisolone (Medrol) dose pack. B. splint in neutral position. C. observation. D. surgery. Which of the following is a cause of prerenal azotemia? A. Infection B. Renal toxins C. Poor renal perfusion D. Urinary tract obstruction Which of the following is the most common cause of secondary hypertension? A. Renal parenchymal disease B. Primary aldosteronism C. Oral contraceptive use D. Cushing’s syndrome A newborn weighs 8 pounds at birth. On average, what should the infant weigh at 1 year of age? A. 16 pounds B. 20 pounds C. 24 pounds D. 28 pounds The most reliable sign of acute otitis media (AOM) is A. bulging of the tympanic membrane. B. loss of tympanic membrane mobility. C. reddening of the tympanic membrane. D. air bubbles behind the tympanic membrane. Looking for all the episodes? This FREE series is limited to every 3rd episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy. I will be be releasing new episodes every two weeks. The Academy is currently discounted at $35 for the entire year, so sign up now. This Podcast is also available on iTunes and Stitcher Radio for Android * iTunes: The Audio PANCE AND PANRE Podcast iTunes * Stitcher Radio: 
July 21, 2014
This FREE series is limited to every 3rd episode,  you can download and enjoy the complete audio series by joining the PANCE and PANRE Exam Academy. Questions and Answers A 62 year-old homeless patient presents complaining of fever, weight loss, anorexia, night sweats and a chronic cough that recently became productive of purulent sputum that is blood streaked. On physical examination, the patient appears chronically ill and malnourished. Which of the following chest x-ray findings supports your suspected diagnosis? A. Hyperinflation and flat diaphragms B. Interstitial fibrosis and pleural thickening C. Cavitary lesions involving the upper lobes D. “Eggshell” calcification of hilar lymph nodes C. This patient most likely has tuberculosis. A chest x-ray finding of cavitary lesions involving the upper lobes would support this suspected diagnosis. Abduction of the shoulder against resistance helps localize pain in which of the following muscles of the shoulder girdle? A. Supraspinatus B. Infraspinatus C. Teres minor D. Subscapularis A. Abduction against resistance tests the supraspinatus. What is the recommended method for screening pregnant women for gestational diabetes? A. Fasting blood sugar and 2 hour post prandial B. 50 gram glucose load followed by a blood sugar in 1 hour C. 75 gram glucose load followed by a blood sugar in 2 hours D. 100 gram glucose load followed by a blood sugar at 1 hour, 2 hours, and 3 hours B. One hour Glucola is the screening test for gestational diabetes. It is a 50 gram glucose load, with a serum glucose obtained 1 hour after the dose. Normal value is less than 140 mg/dL. A 45 year-old smoker presents with a sore mouth and increasing difficulty eating for two weeks. Physical examination reveals a 1 cm white lesion on the buccal mucosa that cannot be rubbed off. Which of the following is the most likely diagnosis? A. Oral cancer B. Oral candidiasis C. Aphthous ulcer D. Necrotizing ulcerative gingivitis A. The presence of leukoplakia in a smoker over the age of 40 should be biopsied to rule out the presence of oral cancer. A 25 year-old female presents to the emergency department after an episode of substernal chest pain with radiation to the middle of her back that came on suddenly and lasted for about four minutes this morning while in bed. She denies previous episodes. Examination is unremarkable, but she appears jittery. Toxicology screen is positive for cocaine. Which of the following medications is contraindicated in this patient? A. Lorazepam (Ativan) B. Diltiazem (Cardizem) C. Nitroglycerin (Nitrostat) D. Propanolol (Inderal) D. Pure Beta blockers, such as propranol, can cause a paradoxical hypertension because of unopposed alpha-adrenergic effects. Which immunoglobulin is the first to respond during the primary immune response for a gram positive bacterial infection? A. IgM B. IgG C. IgA D. IgE A. IgM is the first immunoglobin to respond during the acute exposure. This immunoglobulin promotes opsonization and phagocytosis. IgG is the immunoglobulin that responds during the secondary exposure. IgE is the immunoglobulin that responds during an allergic response as well as during a parasitic infection. IgA is an antibody found in colostrums and GI secretions. A patient with obsessive compulsive disorder would most likely have which of the following findings? A. Raw, red hands B. Priapism C. Memory impairment D. Abdominal pain A. Common manifestations of obsessive compulsive disorder include phobias of germ and contaminan...
July 11, 2014
This FREE series is limited to every 3rd episode,  you can download and enjoy the complete audio series by joining the PANCE and PANRE Exam Academy. Which of the following factors in patients with chronic venous insufficiency predisposes them to development of skin ulcers? A. Increased intravascular oncotic pressure B. Leakage of fibrinogen and growth factors into the interstitial space C. Decreased capillary leakage D. Inherited deficiency of protein C B. Leakage of fibrinogen and growth factors into the interstitial space, leukocyte aggregation and activation, and obliteration of the cutaneous lymphatic network can predispose a patient to skin ulcers A 26 year-old monogamous female presents with cyclic pelvic pain that has been increasing over the last 6 months. She complains of significant dysmenorrhea and dyspareunia. She uses condoms for birth control. On physical examination her uterus is retroverted and non-mobile, and she has a palpable adnexal mass on the left side. Her serum pregnancy test is negative. Which of the following is the most likely diagnosis? A. Ovarian cancer B. Endometriosis C. Functional ovarian cyst D. Pelvic inflammatory disease B. With endometriosis, the uterus is often fixed and retroflexed in the pelvis. The palpable mass is an endometrioma or “chocolate cyst”. The patient with endometriosis also often has dysmenorrhea, dyspareunia, and dyschezia. At what age does the first tooth usually erupt in an infant? A. 2-4 months B. 6-8 months C. 10-12 months D. 14-16 months B. The first tooth in an infant to erupt is the central incisor at the average age of 6-8 months. A 7 year-old boy wets the bed on most nights. Which of the following is the preferred pharmacological agent to decrease the incidence of bed wetting episodes? A. Imipramine (Tofranil) B. Phenytoin (Dilantin) C. Pramipexole (Mirapex) D. Hyoscyamine (Urised) A. Imipramine is an anti-cholinergic and when given before bedtime has been shown to decrease the incidence of bed wetting. A newborn is being evaluated for perioral cyanosis while feeding associated with sweating. Vital signs are rectal temperature, 37.8 degrees C (100 degrees F), blood pressure 80/45 mmHg, pulse 180/min, and respirations 40/min. A grade 3/6 harsh systolic ejection murmur with a single loud S2 is heard at the left upper sternal border. Electrocardiogram (ECG) shows right ventricular hypertrophy with right axis deviation. Chest x-ray shows a boot-shaped heart and decreased pulmonary vascular markings. Which of the following is the most likely diagnosis? A. Atrial septal defect B. Total anomalous pulmonary venous return C. Coarctation of the aorta D. Tetralogy of Fallot D. This is a common presentation for tetralogy of fallot. Which of the following is considered to be the modality of choice for the identification of a pituitary macroadenoma that is suspected on the basis of a visual field deficit? A. Skull x-ray B. PET scan C. CT of the brain D. MRI of the brain D. MRI of the brain provides the best visualization of pituitary tumors. A 2 year-old male presents with a four day history of fever and general malaise. On examination the vitals reveal an oral temperature of 102 degrees F. The child appears to have rubor on the trunk which started one day prior to this visit. Physical examination reveals a maculopapular rash with defervescence. Which of the following is the most appropriate management at this time? A. Ibuprofen (Motrin) B. Aspirin C. Amoxicillin D. Valacyclovir (Valtrex) A. Motrin is indicated for management of the fever in Roseola inf...
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