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 […]
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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 […]
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 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 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 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 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 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 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: 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 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 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 […]
The Daily PANCE and PANRE Fast Track – Question 1
A 31 year-old pharmacist complaining of rectal pain. He describes the pain as “a severe tightness that awakens him from sleep.” His bowel activity is normal. He denies rectal bleeding and seepage. He adds that sleep interruption is problematic, because with the number of hours he works, every minute of sleep is important. What is […]
PACKRAT Exam 1 – 250 Questions
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PANCE and PANRE 120 Question Legacy Exam 1
225 Question Exam 1
ACADEMY (EXAM 1)
Virtual PANCE and PANRE: Block 1
How to Become a Straight-A Student: The Unconventional Strategies Real College Students Use to Score High While Studying Less
Getting good grades in college is not about studying harder but about studying smarter. This is the book I wish I had when I was completing my undergraduate coursework, taking the GRE’s and later on in PA School. This is the most important book you may read this year! Click here
PANCE & PANRE Exam Pass and Failure Rates: An Update for 2023
The Physician Assistant National Certifying Exam (PANCE) has been in existence since 1973, and as of 2023, over 168,318 people have taken the exam. In recent years, we have seen some fluctuations in the pass rates, with notable changes following the release of new exam blueprints in 2019. Historical Perspective on PANCE Pass Rates Since […]
Lange Q&A Physician Assistant Examination
I would highly recommend this book for anyone studying for the PANCE or PANRE. I spent the two weeks head down in this book working through questions. I was not at all surprised to see many of the same questions on the actual exam. Beyond the questions though are strong indicators of where to focus […]
Virchow’s Triad: Social Medicine, Morality and Public Health
A Moral Understanding of Public Health Virchow’s triad is named after the eminent German physician Rudolf Virchow (1821-1902). It describes the three broad categories of factors that are thought to contribute to thrombosis. Hypercoagulability Hemodynamic changes (stasis, turbulence) Endothelial injury/dysfunction But, in my opinion Virschows most important contribution to medicine had nothing to do with three […]
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 […]
Welcome to The Daily PANCE and PANRE Board Review Email Series
I appreciate you signing up and I think you will really enjoy this series! The purpose of this email series is to provide you with a daily dose of the very best board review material, to guide your review efforts and hopefully, to act as a reminder that it is time to study. I will […]
Resuscitation!
Resuscitation! is the award-winning virtual patient simulator that makes learning medicine addictive! Resuscitation gives you a case presentation of a patient who is ill, and you play the role of the health care provider. You are in control and can take a history, perform a physical exam, develop a differential diagnosis and administer therapy to […]
Free 5 Minute Clinical Consult and Epocrates Online Premium
Pfizer for Professionals Pfizer for Professionals: As much as I hate to give my email address over to the pharmaceutical companies this one is worth it. When you create a free professional account you get free access to several amazing resources and even an iPhone app that allows you to access these resources on the go. And yes, it really […]
The Giving Tree by Shel Silverstein
It might seem odd to see a children’s book on a board about books for PAs. But if I were to choose one book that can teach us all about unconditional love and the definition of a life well-lived, it would be this one.
Interactive Map of State Constituent Chapters of the AAPA
As part of the PA School application process, I urge all applicants to join both the AAPA and their local state constituent chapter of the AAPA. To make the research process a bit easier, I have created a clickable map of all 56 AAPA State Constituent Chapters including direct links to their websites. You can […]
The Mind Body Prescription
Dr. John Sarno’s book “The MindBody Prescription: Healing the Body, Healing the Pain” is invaluable and is one of two books by Dr. Sarno that should be required reading for all medical school and PA school students, as well as all practicing medical providers. Dr. Sarno has written a gripping and extraordinarily truthful account of psychosomatic back […]
LinkedIn Profile Writing and Editing Service for PAs
If you’re a physician assistant/associate, pre-PA, or PA student then you know how important it is to have a strong LinkedIn profile. But writing and editing your LinkedIn profile can be a daunting task. That’s where our LinkedIn Profile Writing and Editing Service comes in. We will help you create, edit, or update your LinkedIn […]
Get a Life! A Physician Assistant Life
Sign up for The FREE Physician Assistant Life Newsletter Those of us who choose to study medicine are privileged folk. We are privileged because we have the ability to study hard and apply ourselves to a chosen field, often to serve others. We have an inherent duty to act responsibly in supporting our patients medical […]