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 […]
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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 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 & 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: 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 18
A 6 year-old child falls onto his right arm. An x-ray demonstrates a buckle in the cortices of the distal radius, proximal to the growth plate, without angulation. What is the term used to describe this fracture? A Salter-Harris Type III B Salter Harris Type IV C Salter Harris Type V D torus E greenstick […]
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 12
A 42 year-old female presents after finding a firm, painless bump in her right eyelid. On examination, you note a 6 mm mass within the tarsus of the right eye. The skin is freely movable over the mass. The remainder of the ophthalmoscopic examination is unremarkable. Which of the following is the most likely diagnosis? […]
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: C Aspiration pneumonitis and respiratory distress syndrome When the infant has meconium in the amniotic fluid, he […]
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 49
A 35-year-old male complains of acute left eye pain immediately after he struck a nail with a hammer. On examination, you note that the left pupil is elliptical. What diagnostic test/procedure will most likely confirm your diagnostic suspicion? fluorescein staining of the eye pressing on the globe to assess intraocular pressure an X-ray of the […]
The Daily PANCE & PANRE Question 6
A 27 year-old nulliparous female presents because she’s been trying to get pregnant for two years, but has failed. She relates a history of a misdiagnosis of appendicitis that lead to abscess formation when she was 14 years old. Which of the following diagnostic studies would be most helpful at this point in her evaluation? […]
The Daily PANCE & PANRE Fast Track – Question 6
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 […]
A Better Way to “Cram” for your Next PA School Exam
Study blueprint topics and quizzes integrated with real patient video cases I have partnered with ReelDx™ to give you exclusive access to over 700+ video cases with ultrasound, imaging, and lab data plus 1,000+ topics captured by providers in the ER, exam room, ambulance, and the developing world. These cases are integrated directly into the NCCPA™ […]
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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 […]
101 PA School Admissions Essays: The Book!
You’re slaving away at your personal statement but can’t help wondering if anyone will read past the first line. A troubling thought, isn’t it? A Great Personal Statement Does Matter It’s what makes you different from the millions of other applicants hoping for attention from the Admissions Committee. After all, everyone is cranking out healthcare […]
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I’ve Been a PA for 18 Years, and Still, Nobody Knows What I Do for a Living
After 18 years as a physician assistant, I still struggle to explain my profession to patients. Join my frustrating yet amusing journey to convey my medical role. I’ll share my failed attempts and proposed solutions, including ideas like getting a PA character on Grey’s Anatomy. Together we can reshape the landscape of healthcare, one understanding at a time.
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 […]
The Best Apps for Physician Assistant Students and PA Professionals
The Augmented PA If you haven’t noticed, the medical app business is booming, and for good reason. As physician assistant students, PAs, or practicing medical professionals, we need to synthesize a tremendous amount of data and be able to recall it in a pinch. We are short on time, overloaded with information, and expected to […]
Professional Physician Assistant Resume, CV and Cover Letter Service
Are you interested in getting help with your CV/Resume/Cover Letter by a team of professionals experience with helping medical professionals, specifically PAs? Wondering how you are going to land that job with a requirement of 2 years medical experience as a new graduate? Let my team of medically trained professionals help! If you are interested […]
The Daily PANCE and PANRE Fast Track – Question 20
A 44 year-old male presents with a fever, a cough productive of brownish sputum, rigors and lethargy for seven days. A chest x-ray reveals a right middle lobe infiltrate and a right-sided pleural effusion. A thoracentesis is performed. Which of the following results from the pleural fluid analysis would be most characteristic of acute pneumonia? […]
A Conversation Every Physician Assistant Has Had
If you are a practicing Physician Assistant this will surely make you laugh! 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 […]
Good Job You’re Almost Done – Just One More Thing
Important: You must enter your name, email address and hit subscribe in the form below to be enrolled in daily PANCE and PANRE extended edition email series. Midterm Exam: You will receive an email notification with a link to take your day 60 “second midterm” within the hour. If you can’t wait for the email […]
Scholarships, Grants and Loan Repayment Programs for Physician Assistants
PA School is Expensive It goes without saying PA school is expensive. PA school is also demanding, which means you will have limited time (if any) to work while attending school. With the average undergraduate education debt prior to PA school at $36,300 and the average anticipated debt load from PA school at $75,000-$124,000, it […]