A Message from Stephen Pasquini PA-C We understand that the path to becoming a PA can be overwhelming and confusing. There are many steps involved, from selecting the right undergraduate courses to completing the application process and preparing for interviews. Our team at The PA Life is committed to helping aspiring PAs achieve their dreams. […]
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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 14
Which white blood cell disorder is characterized by the presence of the Philadelphia chromosome in 90% of cases? chronic lymphocytic leukemia (CLL) acute lymphocytic leukemia (ALL) chronic myelogenous leukemia (CML) acute myelogenous leukemia (AML) multiple myeloma Answer: C Chronic Myeloid Leukemia (CML) – (Philadelphia CreaM cheese) Philadelphia Chromosome occurs in CML. ALL occurs in children. […]
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 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 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. […]
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 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 […]
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 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 […]
The Best Medical iPhone and iPad Apps for Physicians, PAs, and Medical Students
Medical App Directory for iPhone on iTunes Anesthesiology Anesthesiology i-pocketcards – $3.99 – Designed for both the iPhone and the iPad, this app is a clinical reference guide with a compilation of scores, classification, algorithm and dosage information necessary for the Anesthetics environment. It has received a 4-star rating and several high reviews. Gas Guide: […]
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 Meaning of a Physician Assistant Life
I was going to bed last night and powering off my iPad when something wonderful happened. I received two kind messages, one from a long-time patient of mine and one from a reader of this blog. Both were a message of kindness and gratitude. They were so unexpected and so genuine that they touched me. […]
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 […]
Why Religion and Health Care Shouldn’t Mix–A 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 certain… the answer to solving America’s health care problems is definitely not placing […]
Webinar Replay: The Ultimate Guide to PA School Supplemental Essays
In this webinar replay, you will discover how to write PA school supplemental essays that will make you stand out from the crowd. Learn what topics to avoid, how to research each program, and how to tailor your answers to their mission and goals.
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 Daily PANCE & PANRE Question 10
An EKG demonstrates a PR interval of 0.16 seconds, a P to QRS relationship of 1:1, a variable heart rate and an R to R interval that is noted to accelerate ad decelerate during the respiratory cycle. What is the diagnosis? A Wenckebach B third degree heart block C atrial fibrillation D sinus arrhythmia E […]
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 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 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 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. […]
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? […]
The Daily PANCE and PANRE Fast Track – Question 34
A 46 year-old patient with chronic hypertension, suddenly discontinues the use of his antihypertensive agent. This patient presents to your office with a blood pressure of 198/116 in the left arm. The patient denies chest pain and shortness of breath. You note no evidence of acute end-organ changes on physical examination. His laboratory studies and […]
The Daily PANCE & PANRE Question 5
A 34-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? A. progressive systemic sclerosis […]
The Daily PANCE & PANRE Question 3
Which of the following is NOT a characteristic feature of the nephritic syndrome? A. proteinuria B. hematuria C. hypoalbuminemia D. hyperlipidemia E. 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) […]
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Good Job You’re Almost Done – Just One More Thing
Important: You must enter your name, email address and hit “Subscribe Now” in the form below to be enrolled in daily PANCE and PANRE Fast Track email series. *Make sure to check your spam filters in the event you do not receive a welcome email within the next 24 hours. One important point: Question 1 […]