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 […]
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The Daily PANCE and PANRE Fast Track – Question 26
A mother brings her nine year-old son to your office, along with the snake that bit him 20 minutes earlier. Which of the following, if identified during your examination of the snake, is most suggestive that the snake is poisonous? A. elliptical pupils B. a rounded head C. a double row of caudal plates D. […]
Fix Your 401K
Address Your Debt The 401K Fix Does Your Employer offer a 401K with a Match? Yes 401K with a Match Look at your fees. The median annual fees for all plans is 0.72% of assets. My wifes hospital charges 0.13% and my work charges 1.5% This is important as we will see below Meet your company […]
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 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 and PANRE Fast Track – Question 37
A young female presents with several “target-like lesions” on her arms, legs and ,, thorax. She takes birth control pills and recently completed a ten day course of penicillin. What is the most likely diagnosis? A. erythema multiforme B. erythem nodosum C. erysipelas D. pleurodynia E. erythema chronicum migrans Answer: A Target lesions are erythema […]
The Daily PANCE and PANRE Question 24
A 34-year-old female patient presents to the ER with sharp pleuritic-type chest pain. An x-ray shows an enlarged cardiac silhouette suggestive of pericarditis. On more careful questioning, the patient admits to polyarticular arthritis involving the small joints of her hands. Her obstetrical history is positive for two third trimester spontaneous abortions. At this point, you […]
The Daily PANCE and PANRE Question 77
A patient with acute renal failure proves a urine specimen that demonstrates normal osmolality and sodium content. The urine contains no casts, but RBCs are present. Which of the following is the most likely etiology of this patient’s acute renal failure? A. prerenal cause B. intrarenal — glomerulonephritis C. intrarenal — acute tubular necrosis D. […]
The Daily PANCE and PANRE Fast Track – Question 45
A mother brings her adult son to your office, relating a history of two weeks of difficulty sleeping, irritability, and problems with relationships with others. He has also been very talkative, expressed a multitude of “great ideas” and just seems to “talk constantly.” Several weeks ago, he seemed depressed. Which of the following diagnostic studies […]
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? anterior cerebral middle cerebral posterior cerebral internal carotid external carotid Answer: D Internal Carotid This […]
The Daily PANCE & PANRE Question 7
A 14 year-old is experiencing a severe asthma attack. Although he is using accessory muscles to breath, auscultation of his chest reveals no audible wheezing. His heart rate is 160 and his respiratory rate is 52. Which of the following arterial blood gases represents the worst prognosis? A pH = 7.52; pC02 = 28; p02 […]
The Daily PANCE and PANRE Fast Track – Question 47
During a newborn’s first feeding attempt, choking, coughing and cyanosis occur. Historically, the mother had polyhydramnios during the pregnancy. Which diagnosis is most likely the explanation for the newborn’s distress? A. choanal atresia B. respiratory distress syndrome C. polycystic kidney disease D. congenital heart disease E. tracheoesophageal fistula Answer: E This is the classic presentation […]
ChatGPT Answers the Top 46 PA School Applicant Interview Questions
Just be yourself! This is the one piece of interview advice we have all heard a gazillion times. Maybe you heeded this advice but failed to get into PA school. Or, maybe, like many, advice to “just be oneself” while examining one’s greatest weaknesses doesn’t’ bode well for confidence? Be myself? But who’s that exactly? […]
The Daily PANCE & PANRE Question 29
Upon review of an EKG, you notice periodic, repetitively absent QRS complexes and “grouped beating.” Which of the following is the explanation? Third-degree heart block Mobitz Type II heart block Mobitz Type I heart block First-degree heart block Sinus tachycardia Answer: C Mobitz Type I heart block I don’t like the wording of this question, […]
The Daily PANCE & PANRE Question 21
This papulosquamous eruption is most common in young adults. A single oval patch is generally noted several days before a more generalized, fawn-colored rash erupts. This rash is most prevalent on the trunk, and the proximal upper and lower extremities. The rash spontaneously disappears over 5 to 6 weeks. The diagnosis is: A. pityriasis rosea. […]
The Daily PANCE and PANRE Fast Track – Question 54
A patient presents after falling down some stairs. The chief complaint is pain to the right thumb. During the examination, you note gross laxity in the first metacarpophalangeal joint when moving the right thumb into abduction. An x- ray reveals no fracture. Which of the following structures is injured? A. radial collateral ligament of the […]
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 and PANRE Fast Track – Question 49
A 65 year-old female is referred to your office by her rheumatologist, complaining of a severe, unilateral headache of a piercing quality. You examine the patient and cannot appreciate any pulsation of the temporal artery on the side of her head, ipsilateral to her cephalgia. While awaiting consultation of the appropriate specialist, you prescribe prednisone. […]
