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 […]
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Episode 51: The Audio PANCE and PANRE Board Review Podcast – Comprehensive Audio Quiz
Welcome to episode 51 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the Academy course content following the NCCPAâ„¢ content blueprint (download the FREE cheat sheet). This week we will be covering ten general board review questions based on the NCCPA PANCE […]
The Daily PANCE & PANRE Question 10
An EKG demonstrates a PR interval of 0.16 seconds, a P to QRS relationship of 1:1, a variable heart rate and an R to R interval that is noted to accelerate and decelerate during the respiratory cycle. What is the diagnosis? Wenckebach third-degree heart block atrial fibrillation sinus arrhythmia atrial flutter Answer: D sinus arrhythmia […]
The Daily PANCE & PANRE Question 55
A patient that you are examining for carpal tunnel syndrome reveals that her paresthesias occur in all five digits. Which digit does NOT experience paresthesias with median nerve neuropathy? A. first (thumb) B. second (index) C. third (long) D. fourth (ring) E. fifth (pinky) Â Answer:Â E, fifth (pinky) The fifth finger is ALWAYS innervated by the […]
The Physician Assistant School and Program Directory eBook
Physician Assistant Programs 2015 eBook! Download this FREE 200 page PA Program Directory eBook and start planning your future today. Why you should get the ebook It’s 100% FREE! It’s been fully updated for 2015!Program requirements updated for the 2014-2015 application cycle. All the information you need in one place!Comprehensive data on every accredited PA […]
PA Programs with a 100% 5-Year PANCE Pass Rate
When deciding which PA school to attend, PANCE pass rates often enter the discussion. Although I agree that five-year PANCE pass rates reflect well on a PA program, I don’t believe they should be the most important part of your PA school decision matrices. Many factors can affect a PA programs PANCE pass rates, and […]
How to Survive PA School as a Dad: Advice from a PA School Parent
The Life of a PA School Father My name is William Seibt, and I was a PA student and a dad. We moved out to Miami from Phoenix to attend PA school when my son was nine months old. We arrived in Miami in a Penske truck the evening before classes started and stayed with my sister-in-law […]
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 9
While suturing a wound, you opt to use lidocaine with epinephrine. The rationale for your choice is: an increase in the absorption of the lidocaine an increase in the diffusion of the lidocaine into the nerve’s myelin sheath an increase in the blood flow to the area of injection an increase in the duration of […]
The Daily PANCE & PANRE Question 54
Wolf-Parkinson-White (WPW) and Lown-Ganong-Levine (LGL) syndrome are both characterized by: A. left ventricular dysfunction. B. a shortened PR interval. C. the presence of delta waves. D. large pericardial effusions. E. marked left ventricular hypertrophy. Â Answer:Â B, a shortened PR interval. WPW & LGL both have short PR intervals. WPW also has a “delta wave” and predisposes […]
The Daily PANCE & PANRE Question 48
A 14-month-old female is brought to your office with a 1-day history of a fever of 101 degrees rectally. Suddenly, today, the parent noted small red spots that became bumps and are now blisters. The majority of the lesions are on the thorax. Each vesicle resides on its own erythematous base. A. shingles B. Ramsay-Hunt […]
The Daily PANCE & PANRE Question 8
A 48-year-old nurse, with a body mass index of 31, presents for an evaluation of back pain. She relates that historically, she had a positive PPD test a year ago and did not follow-up as directed. She has recently been experiencing night sweats and coughing. An x-ray of her lumbar spine reveals osteopenia and cortical […]
The Daily PANCE & PANRE Question 53
You are educating a patient that has just been advised that he has “polyps” in his colon. Which of the following statements is FALSE? A. The larger the colonic polyp, the greater the risk of malignant transformation B. Villous adenomas have a 30-70% risk of malignant transformation. C. The greater the number of concomitant colonic […]
Google Glass: Welcome to the World of Augmented Health Care
I love technology. Â And yes, I love Google. When the two combine the only thing that can make me happier is the thought of how these types of technologies will evolve to bring patient care into the 21’st century. I remember when I started PA school in 2002 it was suggested that we purchase a […]
The Daily PANCE and PANRE Question 47
A 48-year-old male presents with crushing chest pain for 45 minutes. He is diaphoretic, nauseous and short of breath. His EKG demonstrates 4 mm of ST segment depression in leads I, aVL, V5, and V6. What is the most likely diagnosis? esophageal spasm hiatal hernia acute lateral wall subendocardial myocardial ischemia acute inferior wall myocardial […]
The Daily PANCE and PANRE Question 79
During a sports ‘screening physical’ examination, a 15 year-old male is noted to have a murmur. You perform bedside maneuvers in an attempt to delineate which type of murmur you are auscultating. Which of the following would be the finding associated with the highest risk of sudden death for this patient? A. the intensity of […]
Meet The PA Pioneers of Israel: The Israeli Physician Assistant
This is part four of a nine-part miniseries by documentary filmmaker Adam Halbur on the PA model around the world. The Test: PAs for Israel Israel, the only Middle East country other than Saudi Arabia to attempt a physician assistant program, graduated its first trial cadre in 2017, retrained emergency medical technicians to fill shortages […]
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? pH = 7.52; pC02 = 28; p02 = 80 […]
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 […]
10 Reasons Why You Should Become a Physician Assistant
Why should you become a physician assistant? Here are ten good reasons why you should choose to be a PA: 1. You get to help people every day and get paid to do it: Honestly, I could stop here. Every day I wake up to go to work I look forward to the work I […]
The Daily PANCE and PANRE Question 46
A 17-year-old male is stabbed in the anterior chest with an ice pick. He quickly becomes hypotensive, tachycardic and obtunded. His breath sounds are equal, his neck veins are distended, and his chest x-ray is normal. What condition is most likely? Simple pneumothorax Tension pneumothorax Pericardial Tamponade aortic laceration distal to the origin of the […]
The Future of Physician Assistant Education: Stop Stealing Dreams
Have you heard of Seth Godin’s free education manifesto Stop Stealing Dreams? In this manifesto, he discusses the history of education in America. How it was tailored to create “cogs in an industrial machine” rather than the much-needed linchpin’s necessary to drive future innovations. “School has become an industrialized system, working on a huge scale, […]
The Daily PANCE and PANRE Question 78
All of the following, when administered to the physically dependent opiate abuser, can precipitate withdrawal symptoms EXCEPT: A. naloxone. B. pentazocine. C. nalbuphine. D. methadone. E. buprenorphine. Answer:Â D, methadone. That is why we use methadone when weaning folks from opiates (like heroin) Help Support The Physician Assistant Life for FREE! This is provided as […]
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? TSH […]
The Daily PANCE & PANRE Question 51
Which of the following choices is associated with meconium staining of the amniotic fluid? A. bowel obstruction B. peeling of the infant’s skin C. aspiration pneumonitis and respiratory distress syndrome D. infection with E. coli E. intrauterine cataract formation and sensorineural hearing loss  Answer: C, aspiration pneumonitis and respiratory distress syndrome When the infant has meconium […]
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 […]
The Reason I became a Physician Assistant in 20 Minutes and 46 Seconds
his is the video from our global medical mission trip October 2012. We were proud to serve over 600 people with combined medical and dental care. I have written several posts on the topic. It was an amazing experience and every time I need a reminder of why I love my job, I just look […]
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 & PANRE Question 5
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 […]
Physician Assistant Salary by State: 2019 Comparison Table
Click here to view the table. What capital city should you move to if you want the highest median Physician Assistant salary in the United States? I will give you a hint, this city has banned “happy hour” since 1984. What capital city should you move to if you want the lowest median physician assistant salary […]