Which of the following agents is effective in the treatment of Parkinson’s? A. penicillin B. amantadine C. erythromycin D. acyclovir E. cephalexin Answer: B, amantadine Amantadine (Symmetrel) is effective (somewhat). It is used in treating Influenza A. Another choice is selegiline, and levodopa/carbidopa. The other antibiotics listed here are not useful in Parkinson’s. Help Support […]
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The Daily PANCE & PANRE Question 51
Which of the following choices is associated with meconium staining of the amniotic fluid? A. bowel obstruction B. peeling of the infant’s skin C. aspiration pneumonitis and respiratory distress syndrome D. infection with E. coli E. intrauterine cataract formation and sensorineural hearing loss Answer: C, aspiration pneumonitis and respiratory distress syndrome When the infant has meconium […]
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 & 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 33
Laboratory report: elevated serum free t4; low serum TSH level. Which of the following is the MOST likely diagnosis? A. Primary hypothyroidism B. Secondary hypothyroidism C. T3 thyrotoxicosis D. Graves disease E. Chronic Hashimoto’s thyroiditis Answer: D, Graves disease High T4 (hyperthyroid), with a low TSH indicates that the pituitary is working normally, and the […]
The Daily PANCE & PANRE Question 52
A 32 year-old male presents after slipping and falling off the roof of his home and striking his head. He suffered a brief loss of consciousness. Since that time, he has noted increasing urination and thirst. His serum chemistries reveal an elevated sodium level. His urine specific gravity is 1.003. Which of the following is […]
NCCPA Examination Content Blueprint PDF (ECB)
When studying for the PANCE or PANRE let the NCCPA Content Blueprint be your guide! Along with a good review book, the content blueprint allows you to focus your review on the topics that will be covered on the PANCE and PANRE. In my experience, it is best to review the blueprint, find your weak […]
The Audio PANCE and PANRE Board Review Podcast Episode 7
Welcome to episode 7 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 […]
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 & 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 & PANRE Question 34
The results of a barium esophagram reveal esophageal webbing in a woman with long-standing iron deficiency anemia. Her diagnosis is: A. Barretts esophagus. B. achalasia. C. Plummer-Vinson syndrome. D. Dresslers syndrome. E. Ogilvies syndrome. Answer: C, Plummer-Vinson syndrome. Plummer-Vinson is something to know for those who want a 100% on the exam. There is no need […]
The Daily PANCE & PANRE Question 53
You are educating a patient that has just been advised that he has “polyps” in his colon. Which of the following statements is FALSE? A. The larger the colonic polyp, the greater the risk of malignant transformation B. Villous adenomas have a 30-70% risk of malignant transformation. C. The greater the number of concomitant colonic […]
The Virtual PANCE and PANRE – It’s Like Having a Pearson VUE Testing Center in Your Living Room
When preparing for your PANCE or PANRE Board exam, it is hard to know what to expect on test day. Yes, you can watch the preparatory NCCPA PANCE Video or PANRE Video and you should, because they are informative. Usually, after I watch them two or maybe even three times, I feel more knowledgeable but also increasingly anxious. […]
The Daily PANCE and PANRE Question 75
Which of the following agents is most appropriate in the treatment of a pregnant patient infected with Chlamydia? A. tetracycline B. penicillin C. norfloxacin D. erythromycin E. doxycycline Answer: D, erythromycin Of these choices, erythromycin is best in a pg lady. PCN does not work for Chlamydia. Tetracyclines (A & E) should be avoided. Quinolones (norfloxacin) […]
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 & 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 […]
Make a Difference – Train the Next Generation of PAs in Sub-Saharan Africa as a Clinical Associates Mentor
Note: The Clinical Associates twinning partnerships in South Africa are made possible through the support of the US President’s Emergency Plan for AIDS Relief (PEPFAR) and the US Centers for Disease Control and Prevention (CDC) in South Africa. Activities are carried out through institutional partnerships linking South African universities with counterpart institutions in the United States. […]
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 and PANRE Question 76
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. […]
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 36
A 6 year-old male is brought into your office for evaluation of his gait. You note that when ambulatory, the medial aspects of his knees are far apart and his feet are unusually close together. Which of the following best describes this condition? A. cubitus valgus B. cubitus varus C. genu valgus D. genu varum […]
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? Salter-Harris Type III Salter-Harris Type IV Salter-Harris Type V torus greenstick Answer: D Torus fracture Torus or buckle fracture […]
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 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 […]
The Power of Picmonics Plus Get 20% OFF!
Let’s start with a simple question… You’re 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 PA History Quiz: I Scored a 3 Out of 25, How About You?
View Poll And the answer is . . . You will have to take the quiz below to find out! “Whoever wishes to foresee the future must consult the past.” I wish the title of this blog post were an attention grabbing exaggeration, but sadly it is true, I scored a 3 out of 25 […]
The Wealthy PA Part 3: Long Term Disability Insurance (and How to Buy it)
If you lost the ability to work as a physician assistant, how would you pay for anything?
Many people think they are adequately covered through their work but here is a newsflash – you’re probably not.
State Disability is temporary and Social Security Disability is notoriously difficult to get approved for and only covers a fraction of your income.
The supplemental disability insurance offered by most employers is often short-term, covering only months of living expenses.
This is why you need to purchase your own long-term disability insurance either through your employer or an independent agent.
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 19
A 55-year-old male presents complaining of “difficulty writing” 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? hemorrhage in the distribution of his […]