A 34-year-old female presents complaining of symmetrical redness and swelling of the small joints of her hands (PIPs and MCPs). She has noted that the symptoms are worst in the morning. Her erythrocyte sedimentation rate is elevated and her rheumatoid factor is negative. Which of the following diagnosis is most likely? progressive systemic sclerosis CREST […]
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Pre-Physician Assistant: The Ultimate Getting Started Guide
Welcome, Future Physician Associates! Hi, and welcome to this special section of the PA Life website designed specifically for future physician assistants/associates. I’m happy to help you as you get started on this journey! Be assured that you are certainly not alone and that I once walked in your shoes. I assume you already know […]
The Daily PANCE & PANRE Question 4
A patient describes a history of recurrent bouts of uveitis. Her chemistry panel reveals elevated serum calcium and uric acid levels. Her anergy screen is negative. Her chest x-ray demonstrates bilateral hilar adenopathy. Which diagnosis is most likely? Silicosis Sarcoidosis Alpha-1 antitrypsin deficiency Histoplasmosis Tuberculosis Answer: B Sarcoidosis Sarcoidosis typically presents with hilar lymphadenopathy and noncaseating granulomas […]
The Daily PANCE & PANRE Question 3
Which of the following is NOT a characteristic feature of the nephrotic syndrome? proteinuria hematuria hypoalbuminemia hyperlipidemia generalized edema Answer: B. Hematuria Hematuria is present in NEPHRITIC syndrome. Nephrotic syndrome characteristically includes proteinuria (>3.5 gm/day), with resulting low serum albumin, hyperlipidemia, hypertension, hypercoagulability, and generalized edema (from oncotic third-spacing) Note: * This is part of […]
The Daily PANCE & PANRE Question 35
Which of the following agents has a mechanism of action that does not involve beta-receptors? epinephrine albuterol propranolol prazosin ritodrine Answer: D Prazosin Of these choices, prazosin is an alpha-blocker. Ritodrine and epinephrine cause beta sympathetic stimulation. Albuterol is a beta agonist. Propranolol is a beta blocker. Note: * This is part of the Daily […]
The Daily PANCE and PANRE Question Two
Which term is used to describe the characteristic concave or “spoon-shaped” nails of iron deficiency anemia? leukonychia koilonychia clubbing onycholysis paronychia Answer: B Koilonychia Koilonychia is a spoon-shaping of the nail itself. It is usually a result of iron deficiency anemia. Leukonychia is often associated with hypoalbuminemia that causes partial or complete white discoloration of the nails. […]
The Daily PANCE & PANRE Question 34
The results of a barium esophagram reveal esophageal webbing in a woman with long-standing iron deficiency anemia. Her diagnosis is: Barrett’s esophagus achalasia Plummer-Vinson syndrome Dressler’s syndrome Ogilvie’s syndrome Answer: C Plummer-Vinson syndrome Plummer-Vinson is something to know for those who want a 100% on the exam. There is no need to memorize this. More […]
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 32
Which of the following agents is effective in the treatment of Parkinson’s? penicillin amantadine erythromycin acyclovir cephalexin Answer: B Amantadine Amantadine (Symmetrel) is effective (somewhat). It is also used in treating Influenza A. Another choice is selegiline, and levodopa/carbidopa. The other antibiotics listed here are not useful in the treatment of Parkinson’s disease. Note: * […]
The Daily PANCE and PANRE Fast Track – Question 39
Which of the following increases the likelihood that a patient will precipitate calcium-containing kidney stones? A an increase in daily water intake B an increase in daily sodium chloride intake C a reduction in daily sugar consumption D a reduction in daily protein consumption E “normal” daily dairy product consumption Answer: B The combination of […]
The Daily PANCE & PANRE Question 31
The most common cause of preventable blindness in the United States is: macular degeneration cataracts retinal detachments glaucoma trauma Answer: D Glaucoma The wording is intentionally difficult in this question. Macular degeneration, retinal detachments, and trauma are not preventable. Cataracts are “curable”, but the cataract itself is probably not “preventable.” Chronic glaucoma can be treated to […]
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 59
Which of the following is the earliest manifestation of diabetic nephropathy? proteinuria a progressive decline in the creatinine clearance an elevated serum haptoglobin renal insufficiency microalbuminuria Answer:Â E Microalbuminuria Tiny amounts of albumin (microalbumin) show up first – but need a special test ordered to detect it. Intervention at this point with an ACEI prolongs 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? anterior cerebral middle cerebral posterior cerebral internal carotid external carotid Answer: D Internal Carotid This […]
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 infiltrates. His ABG demonstrates moderate hypoxemia and his LDH is elevated. What is the most likely diagnosis? Streptococcal pneumoniae pneumonia Mycoplasma pneumoniae pneumonia Pneumocystis carinii […]
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 & 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? Von Gierke’s disease Hurler’s syndrome Cystic fibrosis Hunter’s syndrome Cri du chat syndrome Answer: C Cystic fibrosis This is the classic presentation of Cystic fibrosis Note: * This is part […]
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:Â 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: […]
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 […]
Personal Statement Panel Review (Replay)
We successfully launched our first large group live event on April 28, 2022, to celebrate the opening of CASPA! Just as AdComs are not uniform in how they react to personal statements, neither is our team! In this personal statement panel review, we analyze essays from clients who have been accepted into PA school to illustrate […]
The Daily PANCE & PANRE Question 51
Which of the following choices is associated with meconium staining of the amniotic fluid? bowel obstruction peeling of the infant’s skin aspiration pneumonitis and respiratory distress syndrome infection with E. coli intrauterine cataract formation and sensorineural hearing loss Answer:Â C Aspiration pneumonitis and respiratory distress syndrome When the infant has meconium in the amniotic fluid, he […]
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Secrets of Successful PA School Letters of Recommendation
Your essay is your voice about yourself. A recommendation letter is someone else’s voice about you. Whether we like it or not, other people’s opinions matter. A good letter of recommendation can make your day; a great letter of recommendation can change your life. Whether it is a dating review on Tinder, a restaurant recommendation […]
A Conversation Every Physician Assistant Has Had
If you are a practicing Physician Assistant this will surely make you laugh! Â How many times have you had this conversation? The Conversation Highlights: What are you doing these days? I have a great girlfriend, Kim and she’s a nurse I met her here at the hospital where I sometimes work as a physician assistant […]
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The Physician Assistant Essay and Personal Statement Collaborative
Are you ready to get started? Choose your package, and we will begin today! Single Edit One-on-one Service Supplemental Essays Your success is our passion. (See just some of our 100’s of testimonials and comments below). We are ready to help. Our current PA school essay editing service status (): Accepting New Submissions (Photo: Me circa 1987, […]
THE PA LIFE READING RECOMMENDATION EMAIL
“Can you recommend any good books?” After being asked this question a thousand times, I put together a private email list of book recommendations. The goal of the newsletter is to recommend books that stick with you long after you’ve put them down—or better yet, change your life. The email is simple and quick. Each […]