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? Silicosis Sarcoidosis Alpha-1 antitrypsin deficiency Histoplasmosis Tuberculosis Answer: B Sarcoidosis Sarcoidosis typically presents with hilar lymphadenopathy and noncaseating granulomas […]
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The Daily PANCE & PANRE Question 41
A patient at a Christmas party on a cruise ship develops a terrible headache. His blood pressure is 224/158 mm Hg. Which of the following agents is this patient most likely taking regularly? A. tricyclic antidepressants B. barbiturates C. benzodiazepines D. monoamine oxidase inhibitors E. phenothiazines Answer:Â D, monoamine oxidase inhibitors This is a typical scenario […]
The Daily PANCE & PANRE Question 27
A 32-year-old male presents with dyspnea and a nonproductive cough. His is tachycardic, tachypneic and febrile. Auscultation of his chest reveals scattered rhonchi. His chest x-ray demonstrates a diffuse interstitial infiltrates. His ABG demonstrates moderate hypoxemia and his LDH is elevated. What is the most likely diagnosis? Streptococcal pneumoniae pneumonia Mycoplasma pneumoniae pneumonia Pneumocystis carinii […]
The Daily PANCE & PANRE Question 26
A Caucasian male has a history of a meconium ileus as a newborn, steatorrhea and a positive sweat test. What is the most likely diagnosis? A. Von Gierke’s disease B. Hurler’s syndrome C. Cystic fibrosis D. Hunter’s syndrome E. Cri du chat syndrome Answer: C, Cystic fibrosis This is the classic presentation of Cystic fibrosis […]
The Daily PANCE & PANRE Question 5
A 34-year-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? progressive systemic sclerosis CREST […]
The Daily PANCE & PANRE Question 42
A patient with known hyperlipidemia, taking clofibrate, presents to your office complaining of severe myalgias and weakness. He has noted a dark color to his urine. The laboratory calls with a panic value CPK of 8500. He was recently started on a new medication, four days earlier. Which of the following is most likely the […]
The Daily PANCE & PANRE Question 43
A female patient presents for an evaluation for primary amenorrhea. She is noted to be short of stature and has short fourth metacarpals. What diagnosis do you suspect? XO XXY XXX XXXY Trisomy 21 Answer:Â A XO This is the genotype for Turner’s syndrome. XXY is the genotype for Klinefelter’s (which is a tall, mildly retarded […]
The Daily PANCE & PANRE Question 27
A 32 year-old male presents with dyspnea and a nonproductive cough. His is tachycardic, tachypneic and febrile. Auscultation of his chest reveals scattered rhonchi. His chest x-ray demonstrates a diffuse interstitial infiltrate. His ABG demonstrates moderate hypoxemia and his LDH is elevated. What is the most likely diagnosis? A. Â Streptococcal pneumoniae pneumonia B. Â Mycoplasma pneumoniae […]
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? TSH […]
The Daily PANCE & PANRE Question 43
A female patient presents for an evaluation for primary amenorrhea. She is noted to be short of stature and have short fourth metacarpals. What diagnosis do you suspect? A. XO B. XXY C. XXX D. XXXY E. Trisomy 21 Answer:Â A, XO This is the genotype for Turner’s syndrome. XXY is the genotype for Klinefelter’s (which […]
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 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 & 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 and PANRE Question 45
An elderly patient is recovering from pneumonia caused by Influenza. Suddenly, the patient’s condition deteriorates. You order a chest x-ray that demonstrates an air-fluid level, suggestive of an abscess. You empirically begin treatment for: Streptococcal pneumoniae Chlamydia Haemophilus influenzae Staphylococcus aureus Legionella pneumophila Answer:Â D Staphylococcus aureus Empyema (lung abscess) is almost always staph aureus. While […]
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: […]
Are you a PA Practicing Medicine by Design or by Default?
Default is the status quo. It is cookie cutter medicine. It is flowchart medicine. It is brainless medicine. Default medicine is continuing to prescribe Paxil when studies show it to be no more effective than a sugar pill, default is telling a diabetic patient to increase whole grains when you know it should be no grains, […]
Top 5 Reasons NOT to Become a Physician Assistant
Here are the Top 5 Reasons NOT to Become a Physician Assistant (PA) 1. You are becoming a PA because it’s (enter your reason here) than becoming a doctor Examples include: It’s easier than becoming a doctor It’s more convenient than becoming a doctor It’s more practical than becoming a doctor It’s my backup plan […]
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 […]
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 […]
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 […]
Episode 43: The Audio PANCE and PANRE Board Review Podcast
Welcome to episode 43 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover 10 PANCE and PANRE board review questions from the Academy course content following the NCCPAâ„¢ content blueprint (download the FREE cheat sheet). This week we will continue to take a break from topic specific board review and […]
Are Physician Assistants Capable of Deep Clinical Analysis?
Last week I wrote a letter to Wellness FX. They are an intriguing and progressive California based health care start-up offering laboratory diagnostics and online consultations. I wrote them asking if they were considering allied health professionals as part of their healthcare team. This is the letter I received back: Hi Stephen, Thank you for your interest in WellnessFX. At this time, […]
Everything You Need to Know About Being a PA (and then some)
The ultimate guide to the PA profession – Navigate every aspect from certifying bodies like NCCPA and PAEA to data on applicants, programs, rotations, certification, salary, and the growth of PAs. Learn critical stats on PA schools, the PA job market, and new developments shaping the role of physician associates globally.
PA School Applicant and Pre-PA Resume Template
Fully Customizable Microsoft Word PA School Applicant Resume Template Pre-PA, PA School Applicant, and CASPA Physician Assistant Resume This resume has been designed specifically for physician assistant (PA) school applicants and Pre-PAs. It is a clean, easy to follow, simple and professional design that is great for the pre-physician assistant hoping to place emphasis on […]
Will AI Phase Out Physician Assistants? Not on My Watch!
Will PAs Survive the Upcoming AI Revolution? As a seasoned PA, I’ve seen many changes sweep across the medical field. Advancements in technology, shifts in healthcare policy, and evolving patient expectations have continuously reshaped our profession. But there’s a new buzzword on the block: Artificial Intelligence (AI). Like an overzealous cloud, the question that hovers […]
Blog With Me – The Physician Assistant Life
Make a Difference, Share Your Experience and Help Others Along The Way! Do you have something you would like to share on the blog? Â I would love to hear your story as a single blog post or a recurring addition! Through sharing our experiences we help others, we shed more light on our profession and […]
Why Choose PA Over NP? Here’s the Perfect Answer
A common PA school interview question that stumps many well-intentioned PA school interviewees is, “Why did you choose PA over NP?” This is a classic question that you must be prepared to answer. Do you have an answer? How to answer the PA vs. NP interview question without being offensive Here is a clip from […]
Healthcare and the Hunger Games – Tributes and Patients
The reality of inequality is actually far worse than depicted in the movies and books. Courtesy of Lionsgate Tributes and Patients In Suzanne Collins wonderful series we are presented with a grim depiction of a future world. A world in which people are selected randomly to become participants in a game: A Hunger Game One in […]
The Turkey Book – An Introductory Manual for The Wards
What do you get if you “Gobble” instead of Google? In honor of the upcoming Thanksgiving weekend, I thought it was the perfect time to give you my combined copy of the “The Turkey Book”. Designed to assist medical students on their clinical rotations the “Turkey Book”, as it is called, is a wonderful compilation […]
A Surgeon Speaks: 7 Reasons Why You Should Choose PA Over MD
I am a fellowship-trained surgeon. Besides the financial aspect, the following 7 points will make your decision of PA vs. MD easy: 1. Â It takes on an average at least 15 years (after high school) of head in the sand (books) to complete fellowship and reach the $200,000 debt figure that you are quoting. 2. […]