ast night, was a late night in the clinic. It was also a very long day. If you looked at my “numbers” you may wonder why. But nothing bothers me more than converting patients into numbers. It goes against everything I signed up for when I chose to become a physician assistant. In order to do […]
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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 […]
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 […]
The Daily PANCE & PANRE Question 33
Laboratory report: elevated serum free t4; low serum TSH level. Which of the following is the MOST likely diagnosis? Primary hypothyroidism Secondary hypothyroidism T3 thyrotoxicosis Graves disease Chronic Hashimoto’s thyroiditis Answer: D Graves disease High T4 (hyperthyroid), with a low TSH, indicates that the pituitary is working normally, and the thyroid is hyperactive i.e. Grave’s […]
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: B Koilonychia Koilonychia 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 14
Which white blood cell disorder is characterized by the presence of the Philadelphia chromosome in 90% of cases? A chronic lymphocytic leukemia (CLL) B acute lymphocytic leukemia (ALL) C chronic myelogenous leukemia (CML) D acute myelogenous leukemia (AML) E multiple myeloma Answer: C Philadelphia Chromosome occurs in CML. ALL occurs in children. AML is associated […]
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 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? A CT scan B skull radiographs C MRI scan D EEG E PET scan Answer: B Of these choices, the skull film is LEAST useful. Whether or not […]
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The Daily PANCE & PANRE Question 32
Which of the following agents is effective in the treatment of Parkinson’s? penicillin amantadine erythromycin acyclovir cephalexin Answer: B Amantadine Amantadine (Symmetrel) is effective (somewhat). It is also used in treating Influenza A. Another choice is selegiline, and levodopa/carbidopa. The other antibiotics listed here are not useful in the treatment of Parkinson’s disease. Note: * […]
Apply for the PAEA Student Health Policy Fellowship and “Be the Change!”
Apply for the PAEA Student Health Policy Fellowship program! Up to 20 PA students are selected to participate in this special program designed to develop leadership and advocacy skills for the physician assistant profession.
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? […]
The PA Life Mock Interview Reviews, Testimonials, and Successes
A Message from Stephen Pasquini PA-C The best way to prepare for your PA school interview is to practice, practice, practice…with a PA school admissions expert who understands the system and who will give you honest feedback and guidance throughout the process. You also want to know that your practice is paying off. We have […]
The Daily PANCE & PANRE Question 30
A 14-month-old female is brought to your office with a 3-day history of a fever of 104 degrees rectally. Suddenly, today, the fever stopped and a rash developed. Examination reveals a diffuse, fine, maculopapular rash. Presently, the child does not appear ill. The most likely diagnosis is: Rubella Rubeola (measles) erythema infectiosum (Fifth disease) Roseola […]
The Daily PANCE & PANRE Question 60
Fluid from a thoracentesis is grossly purulent. The effusion from which this fluid was aspirated is best described as a(n): loculated effusion chylothorax empyema hydrothorax hemothorax Answer: C Empyema A grossly purulent tap would suggest staph (empyema). Loculated effusion does not describe either a trans or exudative effusion. Chylo and hydrothorax suggest a transudative effusion (nonpurulent). And hemothorax […]
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 Physician Assistant and the Frog: Kiss Many a Frog Before you Marry a Toad
Every night before bed my wife and I take time as a family to read to our kids. I love fairy tales as teaching tools. I particular love the story of the princess who had to kiss a frog in order to find her handsome prince. There is a moral here: “You have to kiss […]
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 […]
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The Daily PANCE & PANRE Question 9
While suturing a wound, you opt to use lidocaine with epinephrine. The rationale for your choice is: A an increase in the absorption of the lidocaine. B an increase in the diffusion of the lidocaine into the nerve’s myelin sheath. C an increase in the blood flow to the area of injection. D an increase […]
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 58
A patient presents with a recurrent history of swelling on the right side of the jaw that begins while eating and subsides within two hours postprandially. You suspect: hypochondriasis sialolithiasis parotitis an abscessed tooth conjunctivitis mandibularis Answer: B Sialolithiasis Sialo(salivary gland) lithiasis (stone) is described in this question. Parotitis would be inflammation and infection of the […]
The Daily PANCE & PANRE Question 8
48 year-old nurse, with a body mass index of 31, presents for an evaluation for 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 and PANRE Fast Track – Question 50
A 59 year-old, heavy smoker, presents for the evaluation of facial swelling. Upon examination, you note swelling, not only of the face, but also of the neck and upper extremities. You appreciate diminished breath sounds and tactile fremitus in the right upper lobe. Which of the following diagnosis is most likely? A. Pancoast tumor B. […]
The Daily PANCE & PANRE Question 57
The examination of a 26-year-old male demonstrates a “bag of worms” consistency within the left hemiscrotum. This finding is suggestive of a(n): an acute case of balanitis varicocele hydrocele spermatocele paraphimosis Answer: B Varicocele This is a description of varicocele (varicose veins of the scrotum). A hydrocele is just a water collection in the scrotum. Spermatocele […]
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? A pH = 7.52; pC02 = 28; p02 […]
The Daily PANCE and PANRE Fast Track – Question 49
A 65 year-old female is referred to your office by her rheumatologist, complaining of a severe, unilateral headache of a piercing quality. You examine the patient and cannot appreciate any pulsation of the temporal artery on the side of her head, ipsilateral to her cephalgia. While awaiting consultation of the appropriate specialist, you prescribe prednisone. […]
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Personal Statement Panel Review (Replay)
We successfully launched our first large group live event on April 28, 2022, to celebrate the opening of CASPA! Just as AdComs are not uniform in how they react to personal statements, neither is our team! In this personal statement panel review, we analyze essays from clients who have been accepted into PA school to illustrate […]
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? […]