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 […]
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The Daily PANCE and PANRE Question 76
Typically, it produces a local burning, followed in 3 to 4 hours by a white area of vasoconstriction. Subsequently, a bleb forms at the bite site, darkens, and is followed over hours to days by tissue necrosis. Which of the following inflicts this envenomation? A. brown recluse spider B. black widow spider C. scorpion D. […]
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 Β Answer:Β C, aspiration pneumonitis and respiratory distress syndrome When the infant has meconium […]
Why Choose PA Over NP? Here’s the Perfect Answer
A common PA school interview question that stumps many well-intentioned PA school interviewees is, “Why did you choose PA over NP?” This is a classic question that you must be prepared to answer. Do you have an answer? How to answer the PA vs. NP interview question without being offensive Here is a clip from […]
The Daily PANCE and PANRE Question 45
An elderly patient is recovering from pneumonia caused by Influenza. Suddenly, the patient’s condition deteriorates. You order a chest x-ray that demonstrates an air-fluid level, suggestive of an abscess. You empirically begin treatment for: Streptococcal pneumoniae Chlamydia Haemophilus influenzae Staphylococcus aureus Legionella pneumophila Answer:Β D Staphylococcus aureus Empyema (lung abscess) is almost always staph aureus. While […]
Where Are the Packrats
A very sad message from me
The Daily PANCE and PANRE Question 75
Which of the following agents is most appropriate in the treatment of a pregnant patient infected with Chlamydia? A. tetracycline B. penicillin C. norfloxacin D. erythromycin E. doxycycline Answer:Β D, erythromycin Of these choices, erythromycin is best in a pg lady. PCN does not work for Chlamydia. Tetracyclines (A & E) should be avoided. Quinolones (norfloxacin) […]
Is Physician Assistant (PA) School Hard?
Is PA school hard? Here is a question I get asked all the time: Is PA school difficult? Of course, in many ways, it is equally as rigorous as medical school. The didactic part of PA school (your first year) is made up of traditional academic classes. In many ways, it is like studying for […]
7 Questions to Ask Yourself While Writing Your PA School Personal Statement
Here are seven questions that you should ask yourself (and answer) while writing your PA school personal essay + FREE worksheet 1. What are you passionate about? You should be able to answer this question and if youβre not sure what youβre passionate about start thinking about it and make a list right now. Start […]
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 hilarΒ lymphadenopathyΒ and noncaseating granulomas […]
The Daily PANCE & PANRE Question 50
This drug causes gingival hyperplasia and hirsutism. At high doses it can cause nystagmus, ataxia and diplopia. Which drug is best described by these statements A. aspirin B. acetaminophen C. acyclovir D. phenytoin E. valproic acid Answer:Β D, phenytoin Dilantin (phenytoin) causes these typical symptoms Help Support The Physician Assistant Life for FREE! This is […]
The Daily PANCE & PANRE Question 74
A polarized light microscopic study of joint fluid demonstrates negative birefringent crystals. What is the diagnosis? A. rheumatoid arthritis B. septic arthritis C. pseudogout gout D. aseptic arthritis E. gout Answer:Β E, gout Uric acid (gout) is “Needle-shaped crystals with Negative birefringence) Calcium Pyrophosphate (pseudogout) is Prism-shaped crystals with Positive birefringence) Help Support The Physician […]
Why Religion and Health Care Shouldnβt MixβA Contraceptive Conundrum
A good portion of what I do as a family practice Physician Assistant involves counseling women and men about birth control. I have also gone to public schools and counseled junior high school students about puberty and sex. One thing is for certainβ¦ the answer to solving America’s health care problems is definitely not placing […]
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 44
An 18-year-old female presents after completing her freshman year at college. Two months ago, she developed “bronchitis” which has persisted. She has become increasingly tired and has frequent night sweats. A chest x-ray today reveals a left mediastinal mass. What is the next step in her evaluation? repeat the chest x-ray in six months ultrasound […]
What Can a Physician Assistant Specialize in?
One of the attractions of being a physician assistant is that you can change specialties throughout your career. There is no time limit to how long you need to be in any one specialty. You also do not need to switch among specialties if you donβt want to. PAs are adaptive, learn quickly, and we […]
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:Β B, metoprolol This is a picky Q for the […]
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:Β B Koilonychia KoilonychiaΒ 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 Audio PANCE and PANRE Board Review Podcast Episode 21
Welcome to episode 21Β of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includesΒ 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I hope you enjoy this free audio component to the examination portion of this site. The […]
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. […]
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 has short fourth metacarpals. What diagnosis do you suspect? XO XXY XXX XXXY Trisomy 21 Answer:Β A XO This is the genotype for Turner’s syndrome. XXY is the genotype for Klinefelter’s (which is a tall, mildly retarded […]
10 Questions Every PA School Personal Statement Must Answer
Thereβs no one right way to craft your PA personal statement. In fact, it should be as individual as you are. However, there are basic things to include, that together, answer the question: βWhy do you want to be a PA?β Here are 10 questions every PA personal statement needs to answer What brings you […]
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 44
An 18 year-old female presents after completing her freshman year at college. Two months ago, she developed “bronchitis” which has persisted. She has become increasingly tired and has frequent night sweats. A chest x-ray today reveals a left mediastinal mass. What is the next step in her evaluation? A. repeat the chest x-ray in six […]
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 Ultimate PA School Applicant Cheat Sheet With 7 Quick Tips for Getting into PA School
Here is my ultimate PA school applicant cheat sheet with 7 quick tips for getting into PA school. Do these seven things for the best chance of getting into PA school and becoming a physician assistant! 1. Shadowing: Get one hundredΒ hours of shadowing experienceΒ across various specialties. 2. GRE: Aim for a score ofΒ 300 +Β (150 + […]
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:Β C, inadequate dietary protein Low dietary Calcium, not protein, is a risk factor for osteoporosis. All of the […]
The Audio PANCE and PANRE Board Review Podcast Episode 19
Welcome to episode 19Β of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includesΒ 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I hope you enjoy this free audio component to the examination portion of this site. The […]
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:Β A, XO This is the genotype for Turner’s syndrome. XXY is the genotype for Klinefelter’s (which […]
Trying to Decide if You Want to be a Physician Assistant? Then “OOCH!”
Trying to Decide if You Want to be a Physician Assistant? Imagine a “hypothetical” student, Steve, who has decided to go to physician assistant school.Β What makes him think thatβs a good option? Well, he spent months toying with other possibilities βmedical school and even law schoolβ and he eventually decided PA school was the best […]