A female presents complaining of a grayish, watery vaginal discharge. The KOH prep does not reveal any hyphae. Clue cells are identified on the wet mount. A paucity of WBCs are noted. What diagnosis is most likely? A. Gonorrhea B. Chlamydia C. Candidiasis D. bacterial vaginosis E. Trichomoniasis Answer: D, bacterial vaginosis Clue cells means BV […]
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The Daily PANCE & PANRE Question 56
A 22 year-old female complains of vaginal bleeding for 24 hours. Her last menstrual cycle was seven weeks ago She has had an IUD, but currently uses no form of contraception. Her HCG is positive. She denies fever, chills and vaginal discharge, prior to the onset of the vaginal bleeding. You order a pelvic ultrasound […]
The Daily PANCE & PANRE Question 52
A 32-year-old male presents after slipping and falling off the roof of his home and striking his head. He suffered a brief loss of consciousness. Since that time, he has noted increasing urination and thirst. His serum chemistries reveal an elevated sodium level. His urine specific gravity is 1.003. Which of the following is the […]
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 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 & PANRE Question 57
The examination of a 26 year-old male demonstrates a “bag of worms” consistency within the left hemiscrotum. This finding is suggestive of a(n): A. acute case of balanitis B. varicocele. C. hydrocele. D. spermatocele. E. paraphimosis. Answer: B, varicocele. This is a description of varicocele (varicose veins of the scrotum). Hydrocele is just a water collection […]
The Daily PANCE & PANRE Question 37
A female presents complaining of a grayish, watery vaginal discharge. The KOH prep does not reveal any hyphae. Clue cells are identified on the wet mount. A paucity of WBCs is noted. What diagnosis is most likely? Gonorrhea Chlamydia Candidiasis Bacterial Vaginosis Trichomoniasis Answer: D Bacterial Vaginosis Clue cells mean BV Note: * This is part […]
My First Day as a Physician Assistant: Faking it Till You’re Making it
My first day as a real PA I remember my first day on the job as if it were yesterday. I was petrified . . . To put it mildly. When I ask other PAs about their first day they often proclaim having had a certain sense of calm. For me, it was pure fear. […]
The PA Life Pre-PA Consulting Service: Reviews, Testimonials, and Success Stories
A Message from Stephen Pasquini PA-C We understand that the path to becoming a PA can be overwhelming and confusing. There are many steps involved, from selecting the right undergraduate courses to completing the application process and preparing for interviews. Our team at The PA Life is committed to helping aspiring PAs achieve their dreams. […]
The Daily PANCE & PANRE Question 69
A 58 year-old male presents complaining of weakness of his grip. Your examination reveals that the problem is bilateral. During the next few office visits, you note the development of hyperactivity of his DTRs, extensor plantar reflexes and dysarthria. The patient’s sensory system remains normal and he denies any urinary symptomatology. Which of the following […]
Physician Assistant Personal Statement Collaborative Reviews and Testimonials
A Message from Stephen Pasquini PA-C You deserve an essay that demonstrates your greatest strengths. Why? Because you have worked tirelessly and invested your time, money, and precious resources to fulfill your goal of becoming a PA. We are grateful for each one of you who has gifted us with your trust and your unique personal statement […]
The Daily PANCE & PANRE Question 39
A 6 year-old female presents complaining of right ear pain. The tympanic membrane cannot be well visualized. She complains of pain when the tragus is manipulated. Several periauricular lymph nodes are easily palpable. Which of the following is the most likely diagnosis? A. acute otitis media B. acute otitis externa C. eustachian tube dysfunction D. […]
The Daily PANCE & PANRE Question 20
A female in her third trimester of pregnancy developed hypertension, diffuse edema, proteinuria, and hyperreflexia. She was treated with intravenous magnesium sulfate and is now hyporeflexic and drowsy. What do you prescribe now? calcium diazepam an amphetamine additional magnesium oxygen Answer: A Calcium Pre-eclampsia causes hyperreflexia. Magnesium is the treatment. The sign of magnesium toxicity […]
The Daily PANCE & PANRE Question 54
Wolff-Parkinson-White (WPW) and Lown-Ganong-Levine (LGL) syndrome are both characterized by: left ventricular dysfunction a shortened PR interval the presence of delta waves large pericardial effusions marked left ventricular hypertrophy Answer: B Shortened PR interval WPW & LGL both have short PR intervals. WPW also has a “delta wave” and predisposes the patient to supraventricular tachyarrhythmias. Note: […]
187 US PA Programs That Accept International Students
🌎 Click here for information on where PAs can work internationally. The good news is that if you are a foreign student interested in attending a US PA school, you have a range of options. Currently, 187 of the 303 active PA programs in the United States open their doors to international applicants. Ninety-nine of […]
The Daily PANCE & PANRE Question 40
A 51 year-old male with renal artery stenosis and an elevated BUN and creatinine, is newly diagnosed as hypertensive. Which of the following agents should be avoided? A. hydrochlorothiazide-triamterene B. prazosin C. nifedipine D. verapamil E. furosemide Answer: A, hydrochlorothiazide-triamterene This is a potassium sparing diuretic and should be avoided in anyone with renal disease. ACEI […]
The Daily PANCE & PANRE Question 39
A 6-year-old female presents complaining of right ear pain. The tympanic membrane cannot be well visualized. She complains of pain when the tragus is manipulated. Several periauricular lymph nodes are easily palpable. Which of the following is the most likely diagnosis? acute otitis media acute otitis externa eustachian tube dysfunction Ramsay-Hunt syndrome perforated tympanic membrane […]
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. […]
The Daily PANCE & PANRE Question 71
Which of the following is NOT a risk factor for the development of osteoporosis? A. low testosterone levels in men B. low levels of physical activity C. inadequate dietary protein D. cigarette smoking E. chronic corticosteroid use Answer: C, inadequate dietary protein Low dietary Calcium, not protein, is a risk factor for osteoporosis. All of the […]
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 41
A patient at a Christmas party on a cruise ship develops a terrible headache. His blood pressure is 224/158 mm Hg. Which of the following agents is this patient most likely taking regularly? A. tricyclic antidepressants B. barbiturates C. benzodiazepines D. monoamine oxidase inhibitors E. phenothiazines Answer: D, monoamine oxidase inhibitors This is a typical scenario […]
The Daily PANCE & PANRE Question 40
A 51-year-old male with renal artery stenosis and an elevated BUN and creatinine is newly diagnosed as hypertensive. Which of the following agents should be avoided? hydrochlorothiazide-triamterene prazosin nifedipine verapamil furosemide Answer: A Hydrochlorothiazide-triamterene This is a potassium-sparing diuretic and should be avoided in anyone with renal disease. ACEI should be avoided as well (but none […]
The Daily PANCE & PANRE Question 56
A 22-year-old female complains of vaginal bleeding for 24 hours. Her last menstrual cycle was seven weeks ago She has had an IUD, but currently uses no form of contraception. Her HCG is positive. She denies fever, chills and vaginal discharge, prior to the onset of the vaginal bleeding. You order a pelvic ultrasound to […]
The Daily PANCE and PANRE Question One
A 52-year-old male presents complaining of urinary frequency, with hesitancy, and nocturia for the past few months. During his physical examination, you note a nontender, non-enlarged prostate with an isolated right posterior lobe nodule. Which of the following options is most appropriate? Order a serum acid phosphatase level Initiate prazosin and schedule a follow-up appointment […]
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 25
A patient with AIDS develops severe headaches. A CT scan demonstrates multiple ring-enhancing lesions of the brain. What diagnosis is most likely? Toxoplasmosis Histoplasmosis Lymphoma Cytomegalovirus Herpes encephalitis Answer: A Toxoplasmosis Toxoplasmosis occurs commonly in HIV and is a parasitic infection causing ring-enhancing lesions (but lots of things can cause ring-enhancing lesions). CMV is common […]
The Daily PANCE & PANRE Question 41
A patient at a Christmas party on a cruise ship develops a terrible headache. His blood pressure is 224/158 mm Hg. Which of the following agents is this patient most likely taking regularly? tricyclic antidepressants barbiturates benzodiazepines monoamine oxidase inhibitors phenothiazines Answer: D Monoamine oxidase inhibitors This is a typical scenario for MAOI induced malignant hypertension […]
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 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 […]