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 […]
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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 […]
How to Deal with Bad News in Your Personal Statement
Don’t panic. Here’s how to reframe those negatives on your CAPA application as positives. So, your life hit a rough spot or two on the way to this moment in which you find yourself writing a personal statement to get into PA school. Maybe your journey has included a couple of plot twists. You’re wondering […]
The Daily PANCE & PANRE Question 25
A patient with AIDS develops severe headaches. A CT scan demonstrates multiple ring-enhancing lesions of the brain. What diagnosis is most likely? A. Toxoplasmosis B. Histoplasmosis C. lymphoma D. Cytomegalovirus E. Herpes encephalitis Answer: A Toxo occurs commonly in HTV, and is a parasitic infection causing ring-enhancing lesions (but lots of things can cause ring-enhancing […]
The Daily PANCE & PANRE Question 42
A patient with known hyperlipidemia, taking clofibrate, presents to your office complaining of severe myalgias and weakness. He has noted a dark color to his urine. The laboratory calls with a panic value CPK of 8500. He was recently started on a new medication, four days earlier. Which of the following is most likely the […]
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 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 26
A Caucasian male has a history of a meconium ileus as a newborn, steatorrhea and a positive sweat test. What is the most likely diagnosis? A. Von Gierke’s disease B. Hurler’s syndrome C. Cystic fibrosis D. Hunter’s syndrome E. Cri du chat syndrome Answer: C, Cystic fibrosis This is the classic presentation of Cystic fibrosis […]
The Daily PANCE & PANRE Question 43
A female patient presents for an evaluation for primary amenorrhea. She is noted to be short of stature and have short fourth metacarpals. What diagnosis do you suspect? A. XO B. XXY C. XXX D. XXXY E. Trisomy 21 Answer: A, XO This is the genotype for Turner’s syndrome. XXY is the genotype for Klinefelter’s (which […]
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 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 27
A 32 year-old male presents with dyspnea and a nonproductive cough. His is tachycardic, tachypneic and febrile. Auscultation of his chest reveals scattered rhonchi. His chest x-ray demonstrates a diffuse interstitial infiltrate. His ABG demonstrates moderate hypoxemia and his LDH is elevated. What is the most likely diagnosis? A. Streptococcal pneumoniae pneumonia B. Mycoplasma pneumoniae […]
The Daily PANCE & PANRE Question 28
A patient describes a history of a “curtain being brought down over my right eye it stayed there for a few minutes then was lifted back up.” In which of the following arteries is the etiology of this complaint located? A. anterior cerebral B. middle cerebral C. posterior cerebral D. internal carotid E. external carotid […]
The Daily PANCE & PANRE Question 44
An 18 year-old female presents after completing her freshman year at college. Two months ago, she developed “bronchitis” which has persisted. She has become increasingly tired and has frequent night sweats. A chest x-ray today reveals a left mediastinal mass. What is the next step in her evaluation? A. repeat the chest x-ray in six […]
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 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 Physician Assistant Life Book Club
ISSUE 44 | NOVEMBER 2017 The Mask of Masculinity HOW MEN CAN EMBRACE VULNERABILITY, CREATE STRONG RELATIONSHIPS, AND LIVE THEIR FULLEST LIVES By Lewis Howes BUY THE BOOK The Mask of Masculinity isn’t a book I necessarily planned on reading, but I was compelled to read it for two reasons: One, Lewis Howes is a […]
CASPA Video Tutorial Section One: Personal Information
Welcome to part one of a five-part CASPA video series walking you through every step of your CASPA application from start to finish! In this video, we’ll go over the first section of the CASPA application: Personal Information.
Virchow’s Triad: Social Medicine, Morality and Public Health
A Moral Understanding of Public Health Virchow’s triad is named after the eminent German physician Rudolf Virchow (1821-1902). It describes the three broad categories of factors that are thought to contribute to thrombosis. Hypercoagulability Hemodynamic changes (stasis, turbulence) Endothelial injury/dysfunction But, in my opinion Virschows most important contribution to medicine had nothing to do with three […]
31 (NEW) CASPA PA School Personal Statement Examples
Several years ago, I published a blog post titled 31 Physician Assistant Personal Statement Examples, which has been viewed over half a million times. The chance to read other people’s PA school essays proved so enticing that we even wrote a book about it. It’s called 101 CASPA PA school personal statement examples and is […]
Everything You Need to Know About Being a PA (and then some)
The ultimate guide to the PA profession – Navigate every aspect from certifying bodies like NCCPA and PAEA to data on applicants, programs, rotations, certification, salary, and the growth of PAs. Learn critical stats on PA schools, the PA job market, and new developments shaping the role of physician associates globally.
PANCE and PANRE – Legacy Exam 1
Note: If you are studying for the PANCE or the PANRE I recommend these Review Books. I have done my best to ensure the questions and answers on each PANCE/PANRE practice exam are up to date, relevant and accurate. As of now, you must complete the exam and wait for the time to expire prior to receiving/reviewing your […]
Fiona D’Agostino PA-C
Fiona D’Agostino is an internal medicine physician assistant. She graduated from the University of Michigan with a BS in Kinesiology and completed her master’s degree in physician assistant studies in 2017 from Rosalind Franklin University of medicine and science. She has been working in primary care for the past 3 years and has worked in […]
Physician Assistants in Primary Care – A Dying Breed, Indeed!
Today I read this interesting article from the Annals of Family Medicine. It is titled: Physician Assistants in Primary Care: Trends and Characteristics It proved the point of a recent conversation I was having with my cousin – an orthopedic PA at Kaiser. My theory was that family practice PAs would soon see the same trend […]
Riester Ri-Mini Otoscope and Ophthalmoscope Kit
If you’re looking for a reasonable, affordable, small and light general purpose set, look no further than the Riester Ri-Mini. This is the set I purchased, and it strikes a balance of price and quality. They’re well-made, durable, and actually work. They use AA batteries, so they’re small and can fit in your white coat easily […]
Free 5 Minute Clinical Consult and Epocrates Online Premium
Pfizer for Professionals Pfizer for Professionals: As much as I hate to give my email address over to the pharmaceutical companies this one is worth it. When you create a free professional account you get free access to several amazing resources and even an iPhone app that allows you to access these resources on the go. And yes, it really […]
Free PANCE and PANRE Board Review – Email Series
Sign up for the FREE Daily PANCE and PANRE I am super excited to announce my Free Daily PANCE and PANRE board review email review series. It’s 60 days of PANCE and PANRE Board Review Questions and Answers delivered directly to your inbox. It is an easy and fun way to learn! A new question will […]
Physician Assistant Programs Offering Part-Time Options
Are you looking to be a PA on the DL? While updating the PA Schoolfinder Physician Assistant Program Database, I was surprised to learn that there are only three Physician Assistant Programs in the United States offering part-time options. Physician Assistant Programs Offering Part-Time Options Rutgers University Physician Assistant Program – New Jersey University of Detroit […]
The Daily PANCE & PANRE Question 50
This drug causes gingival hyperplasia and hirsutism. At high doses, it can cause nystagmus, ataxia, and diplopia. Which drug is best described by these statements aspirin acetaminophen acyclovir phenytoin valproic acid Answer: D Phenytoin Dilantin (phenytoin) causes these typical symptoms Note: * This is part of the Daily PANCE and PANRE in your inbox email series: […]
Welch Allyn PanOptic Set w/LED PanOptic Ophthalmoscope (The Gold Standard)
The Welch Allena PanOptic™ provides 5X larger view of the inner eye. It also contains the new MacroView ™ Otoscope and a rechargeable power handle. The Ni-Cad battery handle can also be converted to permit alkaline C-cell battery use if needed. This is the granddaddy of diagnostic kits.