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 35
Which of the following agents has a mechanism of action that does not involve beta-receptors? A. epinephrine B. albuterol C. propranolol D. prazosin E. 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. Help […]
The Daily PANCE & PANRE Question 54
Wolf-Parkinson-White (WPW) and Lown-Ganong-Levine (LGL) syndrome are both characterized by: A. left ventricular dysfunction. B. a shortened PR interval. C. the presence of delta waves. D. large pericardial effusions. E. marked left ventricular hypertrophy. Answer: B, a shortened PR interval. WPW & LGL both have short PR intervals. WPW also has a “delta wave” and predisposes […]
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: B, metoprolol This is a picky Q for the […]
The Daily PANCE and PANRE Question 24
A 34-year-old female patient presents to the ER with sharp pleuritic-type chest pain. An x-ray shows an enlarged cardiac silhouette suggestive of pericarditis. On more careful questioning, the patient admits to polyarticular arthritis involving the small joints of her hands. Her obstetrical history is positive for two third trimester spontaneous abortions. At this point, you […]
The Daily PANCE and PANRE Question 77
A patient with acute renal failure proves a urine specimen that demonstrates normal osmolality and sodium content. The urine contains no casts, but RBCs are present. Which of the following is the most likely etiology of this patient’s acute renal failure? A. prerenal cause B. intrarenal — glomerulonephritis C. intrarenal — acute tubular necrosis D. […]
The Daily PANCE & PANRE Question 55
A patient that you are examining for carpal tunnel syndrome reveals that her paresthesias occur in all five digits. Which digit does NOT experience paresthesias with median nerve neuropathy? A. first (thumb) B. second (index) C. third (long) D. fourth (ring) E. fifth (pinky) Answer: E, fifth (pinky) The fifth finger is ALWAYS innervated by the […]
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: 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 78
All of the following, when administered to the physically dependent opiate abuser, can precipitate withdrawal symptoms EXCEPT: A. naloxone. B. pentazocine. C. nalbuphine. D. methadone. E. buprenorphine. Answer: D, methadone. That is why we use methadone when weaning folks from opiates (like heroin) Help Support The Physician Assistant Life for FREE! This is provided as […]
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 are noted. What diagnosis is most likely? A. Gonorrhea B. Chlamydia C. Candidiasis D. bacterial vaginosis E. Trichomoniasis Answer: D, bacterial vaginosis Clue cells means BV […]
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 […]
The Daily PANCE & PANRE Question 63
A 38 year-old chronic smoker presents with shortness of breath and wheezing. He has had several similar episodes in the past. He states that each previous episode began after developing a “cold that moved into his chest.” Usually, after treatment with albuterol (VENTOLIN) and several days, the wheezing stops. He adds that he has a […]
The Daily PANCE and PANRE Question 79
During a sports ‘screening physical’ examination, a 15 year-old male is noted to have a murmur. You perform bedside maneuvers in an attempt to delineate which type of murmur you are auscultating. Which of the following would be the finding associated with the highest risk of sudden death for this patient? A. the intensity of […]
The Daily PANCE & PANRE Question 38
You note polygonal, purple, popular lesions involving the flexor surfaces of a patient’s wrists. The patient has no other lesions. The lesions appear to follow a linear pattern of distribution. What is this phenomenon? A. Auspitz sign B. Koebner’s phenomenon C. Darier’s sign D. Gorlin’s sign E. Gottron’s papules Answer: B, Koebner’s phenomenon Koebner’s phenomenon is […]
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): A. acute case of balanitis B. varicocele. C. hydrocele. D. spermatocele. E. paraphimosis. Answer: B, varicocele. This is a description of varicocele (varicose veins of the scrotum). Hydrocele is just a water collection […]
The Daily PANCE & PANRE Question 64
A patient is being treated for Tuberculosis. She is experiencing central scotomata, a loss of green-red color perception and decreased visual acuity. Which agent is most likely responsible? A. rifampin B. isoniazid C. streptomycin D. ethambutol E. para-aminosalicylic acid Answer, D Ethambutol is the TB drug that causes “E”ye symptoms. I remember it because it […]
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? A. Silicosis B. Sarcoidosis C. Alpha-1 antitrypsin deficiency D. Histoplasmosis E. Tuberculosis Answer: B Sarcoid typically presents […]
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: A. hypochondriasis B. sialolithiasis C. parotitis. D. an abscessed tooth. E. conjunctivitis manibularis. Answer: B, sialolithiasis Sialo(salivary gland) lithiasis (stone) is described in this question. Parotitis would be […]
The Daily PANCE & PANRE Question 65
Secondary to a traumatic even, a child complains of pain in the index finger. An x-ray of the digit demonstrates a fracture line through the metaphysic of the proximal aspect of the middle phalanx, ending at the epiphyseal plate. What type of fracture does this child have? A. Salter Harris Type I B. Salter Harris […]
12 Secrets to Writing an Irresistible PA School Personal Statement
In our book “How to write your PA School personal statement,” we interviewed twelve PA school administrators from twelve top-ranking PA programs across the country in search of answers to a simple question: What do PA school administrators want to see in your PA school essay? The results of this search, summarized in the first […]
Cardiac Pharmacology Part One: The Audio PANCE and PANRE Episode 84
Welcome to episode 84 of the Audio PANCE and PANRE PA Board Review Podcast Today we welcome back PA board review expert Joe Gilboy PA-C as he covers the exceptionally important topic of cardiac pharmacology. Below you will find a downloadable audio version of this podcast as well as links to resources mentioned in today’s episode. […]
The Audio PANCE and PANRE Board Review Podcast Episode 19
Welcome to episode 19 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I hope you enjoy this free audio component to the examination portion of this site. The […]
The Top 5 Reasons People Choose to Become a PA: Put To The Test
What are the most important considerations for a career path after PA school for PA students and future PAs? Here are the top 5 reasons PA students give for choosing PA school Work-life balance Availability of jobs Stable, secure future Ability to pay off debt Relationship with supervising physician For those answering the most recent Physician […]
Little Big Men: The Rise of Kenya’s Clinical Officer
This is part ten of a ten-part docuseries of PAs around the world. Today we travel to Kenya and meet the dedicated pioneers and healthcare heroes who would become Kenya’s first Clinical Officers (CO).
The 10 Best Cities for PAs to Move to in 2024
In its latest ranking of best healthcare jobs, U.S. News and World Report ranked physician assistants as the #2 healthcare job and the #4 best job overall in America. PAs are undoubtedly in high demand. As of the most recent estimates by the U.S. Bureau of Labor Statistics, there are ~148,000 PAs working in the USA. They […]
Pre-Physician Assistant: The Ultimate Getting Started Guide
Welcome, Future Physician Associates! Hi, and welcome to this special section of the PA Life website designed specifically for future physician assistants/associates. I’m happy to help you as you get started on this journey! Be assured that you are certainly not alone and that I once walked in your shoes. I assume you already know […]
Congratulations You Did it – Time to Take Your Day 60 Midterm Exam
Now that you finished the 60 day email review series it is time to test your knowledge. Many of you may have either taken your exam or are really close to the deadline. If you have the time, you can sign up below to take an interactive midterm exam which covers every question from days 30-60 of […]
FREE PANCE and PANRE Practice Exam
Want 100’s of more questions just like these? Join Smarty PANCE Complete the next 90 questions to get your score – Gain full access to all my interactive board review exams including the audio PANCE and PANRE and the brand new Virtual PANCE and PANRE.
Attention Procrastinators: Introducing The Daily PANCE and PANRE FAST-TRACK Email Edition!
Get a full 90 days of official board review email questions in just 30 days! Of all the things I offer here on the PALife blog, few have been as popular as the free Daily PANCE and PANRE board review email series. If you haven’t already signed up for the free series you can do […]
The Audio PANCE and PANRE Board Review Podcast Episode 9
Welcome to episode 9 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I created this audio series to help you fill some downtime when you are unable to read (like in […]