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You are here: Home / PANCE and PANRE Exam Preparation / Free PANCE and PANRE Exams / Episode 51: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz

Episode 51: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz

July 11, 2017 By Stephen Pasquini PA-C Leave a Comment

The Audio PANCE and PANRE Physician Assistant Board Review Episode 51Welcome 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

View this ReelDx patient video case of a 51-year-old with rectal bleeding and abdominal pain (proctitis)

Click here to see the answer

Answer: B. Anal fissures

Anal fissures are easily diagnosed from history alone with the classic finding of severe pain upon defecation. Constipation is also a common cause of the trauma that leads to the development of a fissure.

A. Proctitis is usually caused by anorectal infections that produce symptoms of anorectal discomfort, tenesmus, constipation, and discharge from the rectum.
C. Rectal prolapse is commonly seen in elderly females with complaints that include an anal mass, rectal bleeding and a change in bowel habits.
D. While internal hemorrhoids may cause rectal bleeding, tearing pain is an uncommon complaint unless there is evidence of thrombosis of irreducible tissue.

2. What type of chest pain is most commonly associated with a dissecting aortic aneurysm?

A. Squeezing
B. Dull, aching
C. Ripping, tearing
D. Burning

Dissecting aortic aneurysm is covered as part of the NCCPA Cardiology Content Blueprint and accounts for 16% of the exam

Click here to see the answer

Answer: C. A dissecting aortic aneurysm often presents with a very severe ripping, tearing like pain.

A dissecting aortic aneurysm often presents with a very severe ripping, tearing like pain.

A. Squeezing pain is more characteristic of angina or esophageal pain.
B. Dull, aching pain is more characteristic of chest wall pain, possibly angina, or anxiety.
D. Burning pain is more characteristic of esophageal reflux, esophagitis, or tracheobronchitis.

3. A 15-year-old softball player presents after jamming the distal tip of her finger into severe flexion. She is unable to extend the distal phalanx and she has pain on palpation of the distal interphalangeal joint. X-ray of the hand fails to reveal any associated avulsion fracture. Which of the following is the treatment of choice?

A. Open reduction and internal fixation
B. Continuous extension of the DIP with splinting
C. Continuous flexion of the PIP with splinting
D. Application of short arm cast

Soft tissue injuries of the forearm, wrist, and hand are covered as part of the NCCPA Musculoskeletal Content Blueprint and accounts for 10% of the exam

Click here to see the answer

Answer: B. Continuous extension of the DIP with splinting

The treatment of choice for a tear in the extensor tendon of the finger is continuous extension of the DIP via splinting for 6 to 8 weeks.

D. Short arm casting is indicated in wrist and metacarpal injuries but not in DIP extensor injuries.

4. A patient presents with loss of pigmentation on the back of hands, face, and body folds due to the absence of epidermal melanocytes. There has been improvement with PUVA treatment. Which of the following is the most likely diagnosis?

A. Pityriasis alba
B. Tinea versicolor
C. Vitiligo
D. Melasma

View this ReelDx patient video case of a 7-year-old female with localized, depigmented skin patches; rash

Click here to see the answer

Answer: C. Vitiligo

 Vitiligo is the acquired loss of pigmentation due to the absence of epidermal melanocytes presenting on the back of hands, face, or body folds.

A. Pityriasis alba is caused by dermal inflammation that becomes scaly and hypopigmented.
B. Tinea versicolor is a fungal infection of the skin presenting as oval or circular lesions
D. Melasma is an acquired brown hyperpigmentation involving the face and neck in women during their second or third trimester of pregnancy.

5. Which of the following medications used in the management of anxiety has a delayed onset of action?

A. Buspirone (BuSpar)
B. Diphenhydramine (Benadryl)
C. Lorazepam (Ativan)
D. Butalbital (Fiorinal)

Anxiety disorders are covered as part of the NCCPA Content Psychiatry Blueprint which accounts for 6% of your exam

Click here to see the answer

Answer: A. buspirone (BuSpar)

Buspirone takes several days to weeks for it to have clinical activity.

B. Diphenhydramine works as a histamine blocker and will cause sedation immediately because of its anticholinergic effects.
C. Lorazepam is an anxiolytic medication that has an immediate onset of activity.
D. Butalbital is a short to intermediate-acting barbiturate that has immediate activity.

6. A 57-year-old male was working on his farm when some manure was slung hitting his left eye. He presents several days after with a red, tearing, painful eye. Fluorescein stain reveals uptake over the cornea looking like a shallow crater. Which of the following interventions would be harmful?

A. Ophthalmic antibiotics
B. Pressure patch
C. Examination for visual acuity
D. Copious irrigation

Corneal abrasion is covered as part of the NCCPA EENT Content Blueprint and accounts for 9% of the exam

Click here to see the answer

Answer: B. Pressure patch

Patching of the eye after a corneal abrasion associated with organic material contamination is contraindicated due to increased risk of fungal infection.

A. Ophthalmic antibiotics and copious irrigation are indicated when treating a patient with a suspected corneal ulcer due to an infectious cause.
C. Examination for assessment of visual acuity should be performed.

7. A 75-year-old female falls on her outstretched arm. She sustains a humeral mid-shaft fracture. Nerve impingement occurs due to the fracture. What is the most likely physical examination abnormality that will be encountered?

A. Inability to extend the wrist against resistance
B. Numbness over the deltoid muscle in the shoulder
C. Winging of the scapula
D. Weakness of the rotator cuff

Fractures and dislocations of the forearm, wrist, and hand are covered as part of the NCCPA Musculoskeletal Content Blueprint and accounts for 10% of the exam

Click here to see the answer

Answer: D. Inability to extend the wrist against resistance

The radial nerve is most likely entrapped by this fracture. Radial nerve damage will cause an inability to extend the wrist against resistance.

B. Axillary nerve injury results in numbness over the deltoid muscle; this nerve is more commonly injured in proximal humeral fractures and anterior shoulder dislocations.
C. Injury to the long thoracic nerve causes winging of the scapula due to its innervation of the serratus anterior muscle.
D. Injury to the subscapular nerve results in weakness and pain of the infraspinatus muscle; this injury is commonly seen in volleyball players from repetitive stress.

8. A 16-year-old male involved in a fight sustained a laceration to his right upper eyelid. He is unable to open his eye, and a possible laceration of the globe is suspected. Which of the following is the next step?

A. Use a slit lamp to determine the extent of the injury.
B. Use fluorescein strips to determine the extent of the injury.
C. Apply a metal eye shield and refer to an ophthalmologist.
D. Apply antibiotic ointment to the lid and recheck in 24 hours.

Disorders of they eye are covered as part of the NCCPA EENT Content Blueprint and accounts for 9% of the exam

Blowout Fracture

66-year-old female with acute onset of periorbital deformity. SmartyPANCE ReelDx + members can view this real-world case!

Click here to see the answer

Answer: C. Apply a metal eye shield and refer to an ophthalmologist.

Protect the eye from any pressure with a rigid metal eye shield and refer for immediate ophthalmologic consultation. Avoid unnecessary actions that would delay treatment or cause further injury.

9. Which of the following typical findings would be revealed during a sigmoidoscopy on a patient with Crohn's disease of the intestine?

A. Rectal pseudopolyps
B. Diffuse ulceration and bleeding
C. Sheets of WBCs with inflamed mucosa
D. Intermittent longitudinal mucosal ulcers and fissures

Inflammatory bowel disease is covered as part of the NCCPA Content Blueprint GI and Nutrition which accounts for 10% of the exam

Click here to see the answer

Answer: D. Intermittent longitudinal mucosal ulcers and fissures

Ulcerations tend to be linear with transverse fissures in Crohn’s disease. These skip lesions are common with Crohn’s disease.

A. Rectal pseudopolyps are associated with ulcerative colitis rather than Crohn’s.
B. Diffuse ulcerations and bleeding are more characteristic of ulcerative colitis than Crohn’s disease.
C. Sheets of WBCs or “pseudomembranes” can be detected in patients with pseudomembranous colitis.

10. A 72-year-old patient with a history of hypertension and atrial fibrillation presents with episodes of weakness, numbness, and paresthesia’s in the right arm. At the same time, she notes speech difficulty and loss of vision in her left eye. These symptoms come on abruptly and clear within minutes. Physical examination is normal except for the previously known arrhythmia. Which of the following is the most likely diagnosis?

A. Focal seizure
B. Migraine headache
C. Hypoglycemic episodes
D. Transient ischemic attack

Atrial fibrillation is covered as part of the NCCPA Cardiology Content Blueprint which is 16% of your exam

SmartyPANCE + ReelDx members can view this ReelDx patient case video of an 83-year-old with fast heart rate, palpitations

Click here to see the answer

Answer: D. Transient ischemic attack

This patient’s symptoms are consistent with transient ischemia in the carotid territory. Atrial fibrillation is a risk factor for cerebral emboli.

A. Focal seizures usually cause abnormal motor movement rather than weakness or loss of feeling.
B. Patients with migraines commonly have a history of episodes since adolescence.
C. Hypoglycemic episodes do not present with focal neurological findings.

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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
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  • Podcast Episode 73: Ten FREE PANCE and PANRE Audio Board Review Questions
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  • 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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The Audio PANCE/PANRE PA Board Review Podcast Welcome to episode 55 of the FREE Audio PANCE and PANRE … View episode and take the quiz about Episode 55: The Audio PANCE and PANRE Board Review Podcast

General Surgery End of Rotation Exam - The Audio PANCE and PANRE Board Review Podacst - The PA Life and SMARTY PANCE

Episode 53: General Surgery End of Rotation Exam – The Audio PANCE and PANRE Podcast

Welcome to episode 53 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Episode 53: General Surgery End of Rotation Exam – The Audio PANCE and PANRE Podcast

The Audio PANCE and PANRE Physician Assistant Board Review Episode 51

Episode 51: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz

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The Audio PANCE and PANRE Episode 49

Episode 49: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz

Welcome to episode 49 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Episode 49: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz

Episode 47

Episode 47: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz

Welcome to episode 47 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Episode 47: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz

Murmur Madness - The Audio PANCE and PANRE Physician Assistant Board Review Podcast

Murmur Madness: The Audio PANCE and PANRE Episode 45

Welcome to episode 45 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Murmur Madness: The Audio PANCE and PANRE Episode 45

Episode 43: The Audio PANCE and PANRE Board Review Podcast

Welcome to episode 43 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Episode 43: The Audio PANCE and PANRE Board Review Podcast

Episode 41: The Audio PANCE and PANRE Board Review Podcast

Welcome to episode 41 of the FREE Audio PANCE and PANRE Physician Assistant Board Review … View episode and take the quiz about Episode 41: The Audio PANCE and PANRE Board Review Podcast

Reproductive System Board Review Podcast

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

Welcome to episode 9 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 9

The Audio PANCE and PANRE Episode 7

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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