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 […]
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How to Change PA Specialties: Pain Management, Family Practice, Dermatology
Watch the Virtual Shadowing REPLAY featuring Cassie McGee, PA-C, as she shares her journey from Pain Management and Family Practice to Dermatology. Gain valuable insights into the life of a practicing PA and explore the reasons behind her specialty switch. Don’t miss this engaging Live Q&A session, full of personal experiences and professional wisdom, perfect for aspiring PAs and healthcare enthusiasts.
The Daily PANCE & PANRE Question 13
A 22-year-old patient was involved in an automobile accident and is comatose. Which of the following diagnostic modalities would be least useful in this patient’s evaluation? CT scan skull radiographs MRI scan EEG PET scan Answer: B Skull radiographs Of these choices, the skull film is LEAST useful. Whether or not the skull is fractured, […]
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: A XO This is the genotype for Turner’s syndrome. XXY is the genotype for Klinefelter’s (which is a tall, mildly retarded […]
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? pterygium […]
Physician Assistant Salary Map: Compare Salary by State
Here at the PA Life, I am always trying to develop tools that make your life (and my life) easier. This might be one of my favorites. Trying to negotiate a salary is hard enough. This becomes even harder when you have to adjust for the never ending list of variables such as previous salary […]
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 and PANRE FAST TRACK
Email Edition Twice the questions in half the time (for less than a cup of coffee) One time payment $3.99 This is a secure signup using PayPal. When you subscribe to the fast track series you will receive two additional high frequency PANCE and PANRE email questions daily dispersed to your inbox over 30 […]
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 & 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 22
A patient presents complaining of generalized swelling. Her urine is positive for protein. Her serum testing reveals hyperlipidemia and hypoalbuminemia. Which of the following is the most likely diagnosis? A. cirrhosis B. nephrotic syndrome C. congestive heart failure D. cystitits E. pyelonephritis Answer: B, nephrotic syndrome This is a classic presentation of nephrotic syndrome. […]
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 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 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 […]
Haiti Medical Mission Trip: Settling In, Resetting my Clock and Resetting my World View
This post is the third of a series about working as a physician assistant in Haiti. Growth happens at times when we are the most challenged And yes this almost always involves overcoming fear. There is no better way to travel than with the locals, no better way to experience the culture, no better way […]
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 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? A. calcium B. diazepam C. an amphetamine D. additional magnesium E. oxygen Answer: A, calcium Pre-eclampsia causes hyper-reflexia. Magnesium is the treatment. […]
Save a Patient Save the World: The Crisis Text Line
“He won’t stop raping me, he told me not to tell anyone, he is my dad, are you there?” -Anonymous Teenager hen Nancy Lublin started texting teenagers to help with her social advocacy organization, what she found was shocking — they started texting back about their own problems, from bullying to depression to abuse. So […]
The Daily PANCE & PANRE Question 19
A 55 year-old male presents complaining of “difficulty wrtiing” using his dominant hand and some “slurred” speech. He has a h/o hypertension, DM type II, and hypertriglyceridemia. Which of the following would you anticipate to find on a CT scan of his head, as the explanation for his chief complaint? A. hemorrhage in the distribution […]
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 […]
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 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 […]
Physician Assistants: In Whom We Place Our Trust
As PAs, we are entrusted with the care of sick patients and their families. Things don’t always go as planned. Here’s my story of loss and how I was able to get back up when I let my patient (and their family) down.
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 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 & 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 […]
The Daily PANCE & PANRE Question 16
All of the following are factors that predispose a patient to the development of gastroesophageal reflux EXCEPT: A hiatal hernia. B pregnancy C scleroderma. D an incompetent esophageal sphincter E pernicious anemia. Answer: E Pernicious anemia has no correlation with GERD. It is an autoimmune destruction of the gastric parietal cells that make intrinsic factor. […]
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 […]
Mastering Your PA School Interview: Tone Matters
In your PA school interview, there will inevitably be answers that tempt you to go negative. Don’t do it! Resist the urge to throw someone under the bus – no matter how much they may deserve it. There will be several questions where you’ll be inclined to be pessimistic. Describe a situation where your work […]
The Daily PANCE & PANRE Question 15
Which of the following thyroid profiles is most compatible with a diagnosis of primary hypothyroidism? A a low TSH (thyroid stimulating hormone) level and a high T4 B a low TSH level and a normal T4 C a low TSH level and a low T4 D a high TSH level and a low T4 E […]