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You are here: Home / Podcast / The Audio PANCE and PANRE Board Review Podcast Episode 3

The Audio PANCE and PANRE Board Review Podcast Episode 3

July 21, 2014 By Stephen Pasquini PA-C 1 Comment

Episode 3 The Audio PANCE and PANRE The Physician Assistant Life

Are you bored to death in the car and worried about your upcoming PANCE or PANRE?

Do you have a long, painful commute to your next OB rotation and had enough NPR?

Do you have time while on a run or at the gym that is filled with tracks by Maroon 5 or Katy Perry and you know there must be something better?

Problem Solved!

Welcome to episode 3 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 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.

My favorite places to study are during my morning commute, at the gym, or while trudging up a hill on a nice trail run.

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, on Google Play Music or Stitcher Radio

Listen Carefully Then Take The Quiz

Download episode 3

NEW! Take an Interactive Quiz of the Audio Questions!

Audio PANCE and PANRE Episode 3

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Question 1
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
Question 1 Explanation: 
Abduction against resistance tests the supraspinatus.
Question 2
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 hour
Question 2 Explanation: 
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.
Question 3
During an influenza epidemic, a 6 year-old male is seen with fever and a severe sore throat. The parents report that his symptoms have not improved despite administration of aspirin. The next day, the parent calls to report that the child has persistent vomiting and increased lethargy. On examination, he is found to be delirious and disoriented with hyperactive reflexes. The liver edge is 3 cm below the right costal margin in the midclavicular line. Which of the following is the most likely diagnosis?
A
Reye's syndrome
B
Measles encephalitis
C
Guillain-Barre syndrome
D
Acute bacterial meningitis
Question 3 Explanation: 
The suspected influenza associated with development of vomiting, progressive mental status changes, hyperreflexia, and hepatomegaly are consistent with a diagnosis of Reye's syndrome.
Question 4
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
Question 4 Explanation: 
The presence of leukoplakia in a smoker over the age of 40 should be biopsied to rule out the presence of oral cancer.
Question 5
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
Question 5 Explanation: 
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.
Question 6
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)
Question 6 Explanation: 
Pure Beta blockers, such as propranol, can cause a paradoxical hypertension because of unopposed alpha-adrenergic effects.
Question 7
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
Question 7 Explanation: 
Common manifestations of obsessive compulsive disorder include phobias of germ and contaminants which results in frequent handwashing leading to chafed and reddened hands. The other answers are inconsistent with obsessive compulsive disorder.
Question 8
As a rule, solid foods such as cereal and fruits are best introduced into an infant's diet at approximately
A
1 to 3 weeks.
B
4 to 8 weeks.
C
4 to 6 months.
D
10 to 14 months.
Question 8 Explanation: 
The inclusion of solid foods in the diet is best done at approximately 4-6 months. Before 4 to 6 months of age does not contribute significantly to the infant's health and it increases their risk of allergies and atopy.
Question 9
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
D. "Eggshell" calcification of hilar lymph nodes
Question 9 Explanation: 
This patient most likely has tuberculosis. A chest x-ray finding of cavitary lesions involving the upper lobes would support this suspected diagnosis.
Question 10
A 56 year-old female four days post myocardial infarction presents with a new murmur. On examination the murmur is a grade 3/6 pansystolic murmur radiating to the axilla. She is dyspenic at rest and has rales throughout all her lung fields. Blood pressure is 108/68 mmHg, pulse 70 bpm. Which of the following would be the definitive clinical intervention?
A
Intra-aortic balloon counterpulsation
B
Mitral valve replacement
C
Coronary artery bypass surgery
D
Immediate fluid bolus
Question 10 Explanation: 
MVR is the definitive intervention to correct MR caused by papillary muscle rupture.
Question 11
What is the treatment of magnesium sulfate toxicity?
A
Nifedipine
B
Terbutaline
C
Potassium carbonate
D
Calcium gluconate
Question 11 Explanation: 
10% calcium gluconate is used to treat magnesium sulfate toxicity.
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Looking for episode 2?

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.

There are currently 8 episodes and 90 minutes of audio content available for download from the academy homepage.

I will 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

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And, if you haven't already, make sure to download Brian Wallaces' excellent Physician Assistant Exam Review Podcast. Follow along with Brian who covers new topics twice monthly and really does an amazing job!

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View all posts in this series
  • The Audio PANCE and PANRE Board Review Podcast Episode 1
  • The Audio PANCE and PANRE Board Review Podcast Episode 3
  • The Audio PANCE and PANRE Board Review Podcast Episode 5
  • The Audio PANCE and PANRE Board Review Podcast Episode 7
  • The Audio PANCE and PANRE Board Review Podcast Episode 9
  • The Audio PANCE and PANRE Board Review Podcast Episode 11
  • The Audio PANCE and PANRE Board Review Podcast Episode 13
  • The Audio PANCE and PANRE Board Review Podcast Episode 15
  • The Audio PANCE and PANRE Board Review Podcast Episode 17
  • The Audio PANCE and PANRE Board Review Podcast Episode 19
  • The Audio PANCE and PANRE Board Review Podcast Episode 21
  • The Audio PANCE and PANRE Board Review Podcast Episode 23
  • The Audio PANCE and PANRE Board Review Podcast Episode 25
  • Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27
  • Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29
  • Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31
  • EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33
  • Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35
  • Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37
  • Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39
  • Episode 41: The Audio PANCE and PANRE Board Review Podcast
  • Episode 43: The Audio PANCE and PANRE Board Review Podcast
  • Murmur Madness: The Audio PANCE and PANRE Episode 45
  • Episode 47: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz
  • Episode 49: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz
  • Episode 51: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz
  • Episode 53: General Surgery End of Rotation Exam – The Audio PANCE and PANRE Podcast
  • Episode 55: The Audio PANCE and PANRE Board Review Podcast
  • Episode 57: The Audio PANCE and PANRE Board Review Podcast
  • Episode 59: Emergency Medicine EOR – The Audio PANCE and PANRE Board Review Podcast
  • Episode 61: The Audio PANCE and PANRE Board Review Podcast
  • Episode 63: The Audio PANCE and PANRE PA Board Review Podcast
  • Podcast Episode 65: Hepatitis B Breakdown With Joe Gilboy PA-C
  • Podcast Episode 67: Ten PANCE and PANRE Board Review Audio Questions
  • Podcast Episode 69: Ten PANCE and PANRE Board Review Audio Questions
  • Podcast Episode 71: Ten PANCE and PANRE Board Review Audio Questions
  • Podcast Episode 73: Ten FREE PANCE and PANRE Audio Board Review Questions
  • Podcast Episode 75: Ten FREE PANCE and PANRE Audio Board Review Questions
  • Podcast Episode 77: The Audio PANCE and PANRE Board Review Podcast
  • How to Study for Your PANCE: Podcast Episode 79
  • Podcast Episode 81: Internal Medicine EOR Cardiology Questions
  • How to Answer the Hardest PANCE and PANRE Test Questions: Podcast Episode 82
  • How to Answer Tricky PANCE and PANRE Test Questions Part 2: Podcast Episode 83
  • Cardiac Pharmacology Part One: The Audio PANCE and PANRE Episode 84
  • Podcast Episode 85: Ten Mixed Multiple Choice Questions
  • How to Be a Better PA Part 1: Nurses, Lab Techs, and X-Ray Technicians
  • Podcast Episode 87: Ten Internal Medicine EOR Questions
  • How to Be a Better PA Part 2: Medical Staff, Administrators, and Supervisors
  • Podcast Episode 89: Ten PANCE, PANRE, and Rotation Review Questions
  • Podcast Episode 90: Ten PANCE, PANRE, and Rotation Review Questions

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About Stephen Pasquini PA-C

Stephen has been a family practice PA since 2004 and is the creator of The PA Life and Smarty PANCE Board Review websites. A National Health Service Corps Scholar and a graduate of The University of Medicine and Dentistry of NJ (Rutgers) PA Program and the University of Washington in Seattle, WA. Stephen's goal is to provide one-of-a-kind online resources for those interested in or practicing in the PA profession, to promote better access to healthcare for all, and foster universal recognition/awareness of the PA profession. Read more about Stephen.

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  1. Jordan says

    July 23, 2014 at 9:48 pm

    I take my PANRE next month. I am enjoying the question and answer format and I really appreciate the quizes that accompany the podcast. As a member of the Academy this has been great! Thank you so much, keep up the great work.

    Reply

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Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39

Welcome to episode 39 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39

Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37

Welcome to episode 37 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37

The Audio PANCE and PANRE Genitourinary Review 1

Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35

Welcome to episode 35 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35

PANCE and PANRE HEENT Audio Review Part One

EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33

Welcome to episode 33 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33

Gastroenterology 1 The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31

Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31

Welcome to episode 31 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31

Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29

Welcome to episode 29 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29

The Audio PANCE and PANRE Board Review Podcast Episode 27

Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27

Welcome to episode 27 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27

Episode 25 The Audio PANCE and PANRE Board Review Podcast They Physician Assistant Life

The Audio PANCE and PANRE Board Review Podcast Episode 25

Welcome to episode 25 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 25

EPISODE 23 THE AUDIO PANCE AND PANRE PODCAST

The Audio PANCE and PANRE Board Review Podcast Episode 23

Welcome to episode 23 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 23

The Audio PANCE and PANRE Board Review Podcast Episode 21

Welcome to episode 21 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 21

The Audio PANCE and PANRE Board Review Podcast Episode 19

Welcome to episode 19 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 19

The Audio PANCE and PANRE Board Review Podcast Episode 17

Welcome to episode 17 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 17

The Audio PANCE and PANRE Board Review Podcast Episode 15

Welcome to episode 15 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 15

The Audio PANCE and PANRE Board Review Podcast Episode 13

Welcome to episode 13 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 13

The Audio PANCE and PANRE Board Review Podcast Episode 11

Welcome to episode 11 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 11

The Audio PANCE and PANRE Board Review Podcast Episode 9

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The Audio PANCE and PANRE Episode 7

The Audio PANCE and PANRE Board Review Podcast Episode 7

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The Audio PANCE and PANRE Board Review Podcast Episode 5

Welcome to episode 5 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 5

The Audio PANCE and PANRE Board Review Podcast Episode 3

Are you bored to death in the car and worried about your upcoming PANCE or PANRE? Do you have a long, … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 3

The Audio PANCE and PANRE Board Review Podcast Episode 1

Welcome to episode 1 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about The Audio PANCE and PANRE Board Review Podcast Episode 1

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