A patient is being treated for Tuberculosis. She is experiencing central scotomata, a loss of green-red color perception and decreased visual acuity. Which agent is most likely responsible? A. rifampin B. isoniazid C. streptomycin D. ethambutol E. para-aminosalicylic acid Answer, D Ethambutol is the TB drug that causes “E”ye symptoms. I remember it because it […]
Daily PANCE and PANRE
The Daily PANCE & PANRE Question 74
A polarized light microscopic study of joint fluid demonstrates negative birefringent crystals. What is the diagnosis? A. rheumatoid arthritis B. septic arthritis C. pseudogout gout D. aseptic arthritis E. gout Answer: E, gout Uric acid (gout) is “Needle-shaped crystals with Negative birefringence) Calcium Pyrophosphate (pseudogout) is Prism-shaped crystals with Positive birefringence) Help Support The Physician […]
The Daily PANCE & PANRE Question 74
A polarized light microscopic study of joint fluid demonstrates negative birefringent crystals. What is the diagnosis? A. rheumatoid arthritis B. septic arthritis C. pseudogout gout D. aseptic arthritis E. gout Answer: E, gout Uric acid (gout) is “Needle-shaped crystals with Negative birefringence) Calcium Pyrophosphate (pseudogout) is Prism-shaped crystals with Positive birefringence) Help Support The Physician […]
The Daily PANCE & PANRE Question 73
A patient that must be on a beta-blocking agent has reactive airway disease and commonly experiences central nervous system side effects from medications. Which of the following beta-blockers would most likely be tolerated by this patient? A. atenolol B. metoprolol C. nadfilol D. propranolol E. pindolol Answer: B, metoprolol This is a picky Q for the […]
The Daily PANCE & PANRE Question 73
A patient that must be on a beta-blocking agent has reactive airway disease and commonly experiences central nervous system side effects from medications. Which of the following beta-blockers would most likely be tolerated by this patient? A. atenolol B. metoprolol C. nadfilol D. propranolol E. pindolol Answer: B, metoprolol This is a picky Q for the […]
The Daily PANCE & PANRE Question 72
A 12 year-old male presents complaining of no appetite for 24 hours and pain near his navel. During the night, the pain moved to the right lower abdomen. He is now nauseated and vomiting and has a low-grade fever. In the operating room, a normal appendix is discovered. What is the most likely diagnosis? A. […]
The Daily PANCE & PANRE Question 72
A 12 year-old male presents complaining of no appetite for 24 hours and pain near his navel. During the night, the pain moved to the right lower abdomen. He is now nauseated and vomiting and has a low-grade fever. In the operating room, a normal appendix is discovered. What is the most likely diagnosis? A. […]
The Daily PANCE & PANRE Question 71
Which of the following is NOT a risk factor for the development of osteoporosis? A. low testosterone levels in men B. low levels of physical activity C. inadequate dietary protein D. cigarette smoking E. chronic corticosteroid use Answer: C, inadequate dietary protein Low dietary Calcium, not protein, is a risk factor for osteoporosis. All of the […]
The Daily PANCE & PANRE Question 71
Which of the following is NOT a risk factor for the development of osteoporosis? A. low testosterone levels in men B. low levels of physical activity C. inadequate dietary protein D. cigarette smoking E. chronic corticosteroid use Answer: C, inadequate dietary protein Low dietary Calcium, not protein, is a risk factor for osteoporosis. All of the […]
The Daily PANCE & PANRE Question 70
Which of the following is NOT a characteristic feature of multiple myeloma? A. elevated serum calcium B. osteoporosis C. “punched out” osseous lesions D. plasma cell infiltration of bone marrow E. hypogammaglobulinemia Answer: E. hypogammaglobulinemia MM is a HYPERgammaglobulinemia – all of the other findings occur in MM Help Support The Physician Assistant Life for […]
The Daily PANCE & PANRE Question 69
A 58 year-old male presents complaining of weakness of his grip. Your examination reveals that the problem is bilateral. During the next few office visits, you note the development of hyperactivity of his DTRs, extensor plantar reflexes and dysarthria. The patient’s sensory system remains normal and he denies any urinary symptomatology. Which of the following […]
The Daily PANCE & PANRE Question 69
A 58 year-old male presents complaining of weakness of his grip. Your examination reveals that the problem is bilateral. During the next few office visits, you note the development of hyperactivity of his DTRs, extensor plantar reflexes and dysarthria. The patient’s sensory system remains normal and he denies any urinary symptomatology. Which of the following […]
The Daily PANCE & PANRE Question 68
Your 27 year-old sister is visiting and requests you to provide refills of dexamethasone and homotropine ophthalmic drops for her. What condition is most likely being treated? A. conjunctivitis B. glaucoma C. iritis D. Herpes keratitis E. blepharitis Answer: C, iritis Iritis is treated with steroid drops (dexamethasone) and miotic drops *homotropine, like atropine (to constrict […]
The Daily PANCE & PANRE Question 68
Your 27 year-old sister is visiting and requests you to provide refills of dexamethasone and homotropine ophthalmic drops for her. What condition is most likely being treated? A. conjunctivitis B. glaucoma C. iritis D. Herpes keratitis E. blepharitis Answer: C, iritis Iritis is treated with steroid drops (dexamethasone) and miotic drops *homotropine, like atropine (to constrict […]
The Daily PANCE & PANRE Question 67
A 2 month-old febrile male is brought to your facility to be evaluated for loss of appetite, irritability, and an acute petechial rash. Rectal temperature is 102.8F. Which of the following diagnostic studies is the most important in this child’s evaluation? A. white blood count and differentia B. urinalysis C. CSF analysis D. serum glucose […]
The Daily PANCE & PANRE Question 67
A 2 month-old febrile male is brought to your facility to be evaluated for loss of appetite, irritability, and an acute petechial rash. Rectal temperature is 102.8F. Which of the following diagnostic studies is the most important in this child’s evaluation? A. white blood count and differentia B. urinalysis C. CSF analysis D. serum glucose […]
The Daily PANCE & PANRE Question 66
A 24 year-old male presents complaining of chest pain. He states that it is worse with swallowing and taking a deep breath. It is improved sitting up and leaning forward. He denies trauma, a cough and shortness of breath. Which of the following test would be most compatible with your suspected diagnosis? A. a hiatal […]
The Daily PANCE & PANRE Question 66
A 24 year-old male presents complaining of chest pain. He states that it is worse with swallowing and taking a deep breath. It is improved sitting up and leaning forward. He denies trauma, a cough and shortness of breath. Which of the following test would be most compatible with your suspected diagnosis? A. a hiatal […]
The Daily PANCE & PANRE Question 65
Secondary to a traumatic even, a child complains of pain in the index finger. An x-ray of the digit demonstrates a fracture line through the metaphysic of the proximal aspect of the middle phalanx, ending at the epiphyseal plate. What type of fracture does this child have? A. Salter Harris Type I B. Salter Harris […]
The Daily PANCE & PANRE Question 65
Secondary to a traumatic even, a child complains of pain in the index finger. An x-ray of the digit demonstrates a fracture line through the metaphysic of the proximal aspect of the middle phalanx, ending at the epiphyseal plate. What type of fracture does this child have? A. Salter Harris Type I B. Salter Harris […]
The Daily PANCE & PANRE Question 64
A patient is being treated for Tuberculosis. She is experiencing central scotomata, a loss of green-red color perception and decreased visual acuity. Which agent is most likely responsible? A. rifampin B. isoniazid C. streptomycin D. ethambutol E. para-aminosalicylic acid Answer, D Ethambutol is the TB drug that causes “E”ye symptoms. I remember it because it […]
The Daily PANCE & PANRE Question 64
A patient is being treated for Tuberculosis. She is experiencing central scotomata, a loss of green-red color perception and decreased visual acuity. Which agent is most likely responsible? A. rifampin B. isoniazid C. streptomycin D. ethambutol E. para-aminosalicylic acid Answer, D Ethambutol is the TB drug that causes “E”ye symptoms. I remember it because it […]
The Daily PANCE & PANRE Question 63
A 38 year-old chronic smoker presents with shortness of breath and wheezing. He has had several similar episodes in the past. He states that each previous episode began after developing a “cold that moved into his chest.” Usually, after treatment with albuterol (VENTOLIN) and several days, the wheezing stops. He adds that he has a […]
The Daily PANCE & PANRE Question 63
A 38 year-old chronic smoker presents with shortness of breath and wheezing. He has had several similar episodes in the past. He states that each previous episode began after developing a “cold that moved into his chest.” Usually, after treatment with albuterol (VENTOLIN) and several days, the wheezing stops. He adds that he has a […]
The Daily PANCE and PANRE “Second Midterm” Exam:Questions 30 through 60
The Daily PANCE and PANRE "Second Midterm" Exam:Questions 30 through 60
The Daily PANCE & PANRE Question 60
Fluid from a thoracentesis is grossly purulent. The effusion from which this fluid was aspirated is best described as a(n): loculated effusion chylothorax empyema hydrothorax hemothorax Answer: C Empyema A grossly purulent tap would suggest staph (empyema). Loculated effusion does not describe either a trans or exudative effusion. Chylo and hydrothorax suggest a transudative effusion (nonpurulent). And hemothorax […]
The Daily PANCE & PANRE Question 60
Fluid from a thoracentesis is grossly purulent. The effusion from which this fluid was aspirated is best described as a(n): A. loculated effusion B. chylothorax. C. empyema. D. hydrothorax. E. hemothorax. Answer: C, empyema. A grossly purulent tap would suggest staph (empyema). Loculated effusion does not describe either a trans or exudative effusion. Chylo and hydro […]
The Daily PANCE & PANRE Question 59
Which of the following is the earliest manifestation of diabetic nephropathy? proteinuria a progressive decline in the creatinine clearance an elevated serum haptoglobin renal insufficiency microalbuminuria Answer: E Microalbuminuria Tiny amounts of albumin (microalbumin) show up first – but need a special test ordered to detect it. Intervention at this point with an ACEI prolongs the […]
The Daily PANCE & PANRE Question 59
Which of the following is the earliest manifestation of diabetic nephropathy? A. proteinuria B. a progressive decline in the creatinine clearance C. an elevated serum haptoglobin D. renal insufficiency E. microalbuminuria Answer: E, microalbuminuria Tiny amounts of albumin (microalbumin) show up first – but need a special test ordered to detect it. Intervention at this point […]