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 […]
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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 […]
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: pityriasis rosea tinea […]
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? cirrhosis nephrotic syndrome congestive heart failure cystitis pyelonephritis Answer: B Nephrotic syndrome This is a classic presentation of nephrotic syndrome. Note: * This is part of […]
Virchow’s Triad: Social Medicine, Morality and Public Health
A Moral Understanding of Public Health Virchow’s triad is named after the eminent German physician Rudolf Virchow (1821-1902). It describes the three broad categories of factors that are thought to contribute to thrombosis. Hypercoagulability Hemodynamic changes (stasis, turbulence) Endothelial injury/dysfunction But, in my opinion Virschows most important contribution to medicine had nothing to do with three […]
Physician Assistants: In Whom We Place Our Trust
As PAs, we are entrusted with the care of sick patients and their families. Things don’t always go as planned. Here’s my story of loss and how I was able to get back up when I let my patient (and their family) down.
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The Daily PANCE & PANRE Question 11
Combinations of antimicrobial agents are commonly employed in the treatment of meningitis in infants less than three months old. Ampicillin is commonly an agent included in this regimen. Ampicillin is used empirically for the possible presence of: A Escherichia coli. B Listeria monocytogenes. C Cytomegalovirus. D Herpesvirus. E Hemophilus influenzae. Answer: B While E. Coli […]
The Daily PANCE and PANRE Fast Track – Question 3
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 Fast Track – Question 30
A patient is given a new product for an acute migraine headache. Shortly after the injection, the patient complains of significant chest tightness. Which of the following medications do you suspect this patient received? A. promethazine B. metoclopramide C. sumitriptan D. trimethobenzamide E. ketorolac Answer: C Sumatriptan (Imitrex) and all triptans can cause chest tightness […]
PANCE and PANRE Exam 2
I have done my best to ensure the questions and answers on each PANCE/PANRE practice exam are up to date, relevant and accurate. As of now, you must complete the exam and wait for the time to expire prior to receiving/reviewing your results. Each time you take the exam your prior takes and scores will be available […]
FLASH CARDS – PANCE and PANRE Board Review Set 1 (40 Question Preview)
Access all five 1,250 question EXAM Flashcard Sets on Quizlet when you join the PANCE and PANRE Exam Academy. Includes a free iPhone and Android mobile app so you can study on the go.
The Daily PANCE and PANRE Fast Track – Question 33
A patient with a hernia complains of severe pain and a persistent lump in the groin. The contents of the hernia are ischemic. What is the best description for the hernia? A. reducible B. irreducible C. incarcerated D. strangulated E. indirect Answer D: Incarcerated means “not reducible”, strangulated means “ischemic”, or no flow
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The Daily PANCE and PANRE Fast Track – Question 15
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 pregnant lady. PCN does not work for Chlamydia. Tetracyclines (A & E) should be avoided. Quinolones (norfloxacin) […]
The Daily PANCE and PANRE Fast Track – Question 18
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)
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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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My First Day as a Physician Assistant: Faking it Till You’re Making it
My first day as a real PA I remember my first day on the job as if it were yesterday. I was petrified . . . To put it mildly. When I ask other PAs about their first day they often proclaim having had a certain sense of calm. For me, it was pure fear. […]
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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? CT scan skull radiographs MRI scan EEG PET scan Answer: B Skull radiographs Of these choices, the skull film is LEAST useful. Whether or not the skull is fractured, […]
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 & PANRE Question 15
Which of the following thyroid profiles is most compatible with a diagnosis of primary hypothyroidism? a low TSH (thyroid stimulating hormone) level and a high T4 a low TSH level and a normal T4 a low TSH level and a low T4 a high TSH level and a low T4 a high TSH and a […]
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 […]