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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...
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