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. […]
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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 hilarĀ lymphadenopathyĀ and noncaseating granulomas […]
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? A. flourescein staining of the ey B. pressing on the globe to assess intraocular pressure C. […]
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:Ā D Staphylococcus aureus Empyema (lung abscess) is almost always staph aureus. While […]
Podcast Episode 85: Ten Mixed Multiple Choice Questions
Welcome to episode 85 of the Audio PANCE and PANRE PA Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the SMARTYPANCE course content following the NCCPAā¢ content blueprint (download the FREE cheat sheet). Special from today’s episode: Download your copy of the FreeĀ Trello Smarty PANCE NCCPAā¢ Blueprint […]
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Letās start with a simple questionā¦ You’reĀ studying for your PANCE exam, and you need to memorize 1000’s of clinical pearls from 467 topics covering 13 content blueprint organ systems, the culmination of two years of hard work and endless pimping from sadistic, but well-intentioned, attending physicians. How, exactly do you go about memorizing all this […]
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 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 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 Audio PANCE and PANRE Board Review Podcast Episode 5
Welcome to episode 5 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includesĀ 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I created this audio seriesĀ to helpĀ you fill some downtime when you are unableĀ to read (like […]
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:Ā 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 […]
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:Ā B Koilonychia KoilonychiaĀ 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 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 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:Ā A XO This is the genotype for Turner’s syndrome. XXY is the genotype for Klinefelter’s (which is a tall, mildly retarded […]
Free PANCE and PANRE Board Review – Email Series
Sign up for the FREE Daily PANCE and PANRE I am super excited to announce myĀ Free Daily PANCE and PANRE board review email review series. It’s 60 days of PANCE and PANRE Board Review Questions and Answers delivered directly to your inbox. It is an easy and fun way to learn! A new question will […]
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:Ā B, metoprolol This is a picky Q for the […]
The Daily PANCE and PANRE Question One
A 52-year-old male presents complaining of urinary frequency, with hesitancy, and nocturia for the past few months. During his physical examination, you note a nontender, non-enlarged prostate with an isolated right posterior lobe nodule. Which of the following options is most appropriate? Order a serum acid phosphatase level Initiate prazosin and schedule a follow-up appointment […]
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:Ā A, XO This is the genotype for Turner’s syndrome. XXY is the genotype for Klinefelter’s (which […]
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 […]
Physician Assistant/Associate (PA) Salary for all 50 States Adjusted by Cost of Living 2024
According to the most recent data from the Bureau of Labor Statistics, released on April 3, 2024, physician assistants/associates (PAs) in the U.S. earn an impressive average annual salary of $130,490, with a mean hourly wage of $62.74. The latest American Academy of Physician Assistants (AAPA) salary report showed a slight (5.8% NOT inflation adjusted) increase […]
Virtual PANRE Testing Room
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 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 & 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:Ā D Monoamine oxidase inhibitors This is a typical scenario for MAOI induced malignant hypertension […]
2018 Physician Assistant School Tuition and Fees: Cost Comparison Table
Tuition, Costs, and Fees of Resident and Nonresident Tuition For All 256 US PA Programs How Much Does it Cost to Go to PA School in 2018? Average cost of resident tuition + fees to graduate from an accredited physician assistant program in 2018 is:Ā $79,941 This is an increase of 11% from 2017 Average cost […]
Physician Assistant New Graduate Sample Resume and Curriculum Vitae
Here is the resume that I used upon graduating from PA School. I am sharing this in hopes of helping others who are trying to decide what to include as part of a resume or curriculum vitae as a new graduate. I have included downloadableĀ Microsoft Word files below. You can download this sample resume forĀ a […]
Virtual PANCE Testing Room
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:Ā C, inadequate dietary protein Low dietary Calcium, not protein, is a risk factor for osteoporosis. All of the […]
Why Religion and Health Care Shouldnāt MixāA 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 certainā¦ the answer to solving America’s health care problems is definitely not placing […]
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? A. tricyclic antidepressants B. barbiturates C. benzodiazepines D. monoamine oxidase inhibitors E. phenothiazines Answer:Ā D, monoamine oxidase inhibitors This is a typical scenario […]