How to Answer the Hardest PANCE and PANRE Test Questions: Podcast Episode 82

Welcome to episode 82 of the Audio PANCE and PANRE PA Board Review Podcast

Join me as we welcome Joe Gilboy PA-C back again to cover best practices that make answering even the toughest PANCE and PANRE Board review questions (and EOR exam questions) a breeze!

Below you will find interactive audio breaking down each question. It's a perfect companion to the podcast.

Special from today's episode:

• Listen to Joe's previous podcast episodes:
  • How to Study for Your PANCE: Podcast Episode 79
  • Podcast Episode 65: Hepatitis B Breakdown
• Start with high-quality questions in tutor mode (untimed with hints on we have a TON on Smarty PANCE)
• Poem "lockdown" by Brother Richard Hendrick
• Content Blueprint Review Course and EOR Courses

The Audio PANCE and PANRE Board Review Podcast Episode 82: How to Answer The Hardest PANCE/PANRE Test Questions

I hope you enjoy this free audio component to the examination portion of this site. The full board review course 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 more resources below.

If you can't see the audio player click here to listen to the full episode.

Questions we break down in this episode:

The following questions are linked to NCCPA Content Blueprint lessons from the Smarty PANCE and PANRE Board Review Website

Question 1: Developing good test-taking habits

1. 10-year-old boy presents to the emergency department complaining of sudden onset lightheadedness and chest discomfort, vital signs, 98.6, heart rate of 205, respiratory rate of 30 and 98% oxygen saturation, his EKG demonstrated sinus tachycardia with no p waves. What is the most likely diagnosis?

1. A-fib
2. A-flutter
3. Atrioventricular reentry tachycardia
4. V-tach

Steps to answering this question

Question 2: Choosing between two good answers

2. A 60-year-old woman with a history of hypertension, dyslipidemia, and coronary heart disease was sent to the emergency room from her primary care physician's office for a heart rate of 40. She has no complaints, except for mild fatigue. Medications include metoprolol, atorvastatin, lisinopril, and baby aspirin. Her EKG reveals sinus bradycardia and her physical exam is normal. Which of the following is the most appropriate next step and management?

1. Atropine
2. Make a medication adjustment
3. Schedule for a temporary pacemaker
4. Watchful waiting

Steps to answering this question

Question 3: The long test question

3. A 32-year-old previously healthy man comes to ER with a four-hour history of palpitations. He denies chest pain, shortness of breath or history of similar palpitations. He does admit to heavy alcohol use in the past week drinking one pint of vodka and 24 packs of beer each day in the ED his vital signs of blood pressure 135/75, heart rate of 115, respiratory rate of 14, and oxygen saturation of 98% on room air. He's got an irregularly irregular rhythm heard on auscultation and EKG shows atrial fibrillation. What is the next step in management?

1. Chemical conversion
2. Observation
3. Rate control
4. Synchronized cardioversion

Steps to answering this question:

Question 4: The short question with long answer choices

4. Which of the following patients should be classified as having unstable angina?

1. A 51-year-old woman who has chest pain three days ago, but is now chest pain-free, is found to have a positive troponin with q waves in II, III, and aVF without ST-segment elevation
2. A 55-year-old woman with a history of hypertension, but no prior cardiac disease who complains of one episode of chest pain that began while pushing her grocery cart and lasted 30 minutes
3. A 65-year-old male with a known history of coronary artery disease who gets chest pain and shortness of breath every time he climbs the steps to his bedroom
4. A 71-year-old man who underwent a coronary cardiac catheterization one month ago for early morning chest pain but shows minimal coronary artery disease with no fixed lesions presents with recurrent early morning chest pain that is relieved with nitroglycerin

Steps to answering this question:

Looking for all the podcast episodes?

This FREE podcast series is often limited to every other episode, you can download and enjoy the complete audio series by becoming a Smarty PANCE member.

Additional Resources

• Check out the new Smarty PANCE Internal Medicine Rotation (EOR) Review Course
• Download your Free Trello Smarty PANCE PAEA Internal Medicine EOR Tracking Template
• Take the FREE Internal Medicine Rotation Cardiovascular Practice Exam
• View the interactive Smarty PANCE Internal Medicine Rotation (EOR) Topic List
• Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram
• Follow Smarty PANCE and The Daily PANCE Blueprint on Facebook
• My list of recommended PANCE and PANRE review books
• Interactive PANCE and PANRE NCCPA Exam Content Blueprints
• Sign up for the FREE Daily PANCE and PANRE email series
• Join the Smarty PANCE NCCPA Content Blueprint Website
• Get your free Trello PANCE study schedule
• Get 20% of any Picmonic membership by using this link

This Podcast is also available on iOS and Android

1. iTunes: The Audio PANCE and PANRE Podcast iTunes
2. Stitcher Radio: The Audio PANCE and PANRE Podcast Stitcher
3. Google Play: The Audio PANCE and PANRE Podcast Google Play

Download the Content Blueprint Checklist

Follow this link to download your FREE copy of the PANCE Content Blueprint Checklist

Print it up and start crossing out the topics you understand, marking the ones you don't, and making notes of key terms you should remember. The PDF version is interactive and linked directly to the individual lessons on Smarty PANCE.

Download for PANCE Download for PANRE

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Stephen Pasquini PA-C Physician Assistant

Stephen has been a family practice PA since 2004 and is the creator of The PA Life, Smarty PANCE Board Review, and PASchoolfinder 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 to foster universal recognition/awareness of the PA profession. Read more about Stephen.

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About this webinar Are you applying to PA school but worried about writing a compelling personal statement that will grab the admissions committee’s attention? Do you want to learn the secrets of crafting a PA school essay that stands out from the crowd and showcases your personality, motivation, and fit for PA school? ​ If so, then you don’t want to miss our webinar on Crafting Your Best PA School Personal Statement. ​ In this webinar, you will learn the following: What a personal statement is and how schools use them. You will understand the purpose and expectations of writing a personal statement and how schools use this information during the admission process. What to do before you start writing. You will learn how to prepare and organize your thoughts, research, and brainstorm your strengths and achievements. A successful structure for your personal statement. You will learn how to craft a clear, coherent, and compelling narrative that showcases your personality, motivation, and fit for their program. Common mistakes to avoid. You will learn how to polish your personal statement and avoid errors that could undermine your credibility or impact. By joining this webinar, you will gain valuable insights and tips on how to write a personal statement that increases your chances of admission to your desired PA school. You will also have the opportunity to ask questions and get feedback from our experienced PA school coaches. ​ Don’t miss this chance to learn how to write your best PA school personal statement. Register now and secure your spot for this webinar. You won’t regret it! ​

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