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You are here: Home / PANCE and PANRE Exam Preparation / The Audio PANCE and PANRE Board Review Podcast Episode 13

The Audio PANCE and PANRE Board Review Podcast Episode 13

January 17, 2015 By Stephen Pasquini PA-C Leave a Comment

The Audio PANCE and PANRE Episode 13 The Physician Assistant LifeWelcome to episode 13 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, on Google Play Music or Stitcher Radio.
  • You can listen to the latest episode, download the transcript and take an interactive quiz of the questions below.
Download a Free PDF Transcript of the Questions and Answers
FREE  PDF Transcript

Listen Carefully Then Take The Quiz

Download episode 13

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

Click here to see the answer
C. Hematoma of the orbit – Orbital hemorrhage into the space surrounding the globe following blunt trauma and rupture of the orbital vessels results in increased ocular pressure, proptosis, visual loss, and limitation of movement in all directions. CT reveals a hematoma.

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

Click here to see the answer
A. Fixed split S2 – An atrial septal defect will cause a shunt of blood from the left to the right atrium. This will result in an equalization in the amount of blood entering both the left and right ventricles which effectively eliminates the normally wide splitting that inspiration typically causes in hearts without an atrial septal defect.

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

Click here to see the answer
B. Elevated sweat chloride – The diagnosis of cystic fibrosis is made only after an elevated sweat chloride test or demonstration of a genotype consistent with cystic fibrosis.

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.

Click here to see the answer
C. 6 months – Intermittent alternating convergent strabismus is frequently noted for the first 6 months of life, but referral is indicated if it persists beyond 6 months.

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

Click here to see the answer
C. Distant heart sounds – Distant heart sounds are common in emphysema patients due to hyperinflation of the lungs.

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

Click here to see the answer
B. Intractable pain – Indications for surgical treatment of chronic pancreatitis include severe pain that limits the patient’s functioning or intractable pain despite the use of non-narcotic analgesics and absence of alcohol intake.

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)

Click here to see the answer
D. Indomethacin (Indocin) – Indomethacin, a nonsteroidal anti-inflammatory medication, is the treatment of choice in a patient with acute pericarditis.

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.

Click here to see the answer
B. 5 days – Sutures of the face should be removed in 5 days in order to allow for adequate healing and to limit the amount of scarring.

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 contraceptives.

Click here to see the answer
A. Rifampin may interfere with the efficacy of the oral contraceptives.

10. When performing a rectal examination, prostatic massage is contraindicated in

A. acute bacterial prostatitis.
B. chronic bacterial prostatitis.
C. nonbacterial prostatitis.
D. prostatodynia.

Click here to see the answer
A. Acute bacterial prostatitis – Vigorous manipulation of the prostate during rectal examination may result in septicemia. This is contraindicated in the presence of fever, irritative voiding symptoms, and perineal/sacral pain.

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This Podcast is also available on iTunes and Stitcher Radio for Android

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  • 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
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  • Podcast Episode 65: Hepatitis B Breakdown With Joe Gilboy PA-C
  • Podcast Episode 67: Ten PANCE and PANRE Board Review Audio Questions
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  • 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
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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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The Audio PANCE and PANRE Board Review Podcast Episode 7

Welcome to episode 7 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 7

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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