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. […]
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Legacy Exams
Note: The exam will load in the space below and can often take a few seconds to load so be patient. 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 […]
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) […]
Physician Assistant vs. Nurse Practitioner vs. Medical Doctor
Medical Profession Comparison Chart: Medical Assistant vs. Nurse vs. Nurse Practitioner vs. Physician Assistant vs. Family Practice Physician (updated ) *Programs vary, and the following represents averages for each vocation. Category Medical Assistant (MA) Nurse (RN, BSN) Nurse Practitioner (NP) Physician Assistant (PA) Physician (MD) Prerequisite Education None None Bachelor’s Degree in nursing and clinical […]
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
The Daily PANCE and PANRE Fast Track – Question 36
Which of the following is most likely the cause of galactorrhea and amenorrhea? A. Sheehan’s syndrome B. prolactin – secreting adenoma C. Frohlich’s syndrome D. Cushing’s disease E. a basophilic adenoma of the pituitary Answer B: Prolactin-secreting adenoma is the most common cause of galactorrhea/amenorrhea (after exclusion of pregnancy). I would choose Sheehan’s syndrome if […]
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The Daily PANCE and PANRE Fast Track – Question 47
During a newborn’s first feeding attempt, choking, coughing and cyanosis occur. Historically, the mother had polyhydramnios during the pregnancy. Which diagnosis is most likely the explanation for the newborn’s distress? A. choanal atresia B. respiratory distress syndrome C. polycystic kidney disease D. congenital heart disease E. tracheoesophageal fistula Answer: E This is the classic presentation […]
The Daily PANCE and PANRE Fast Track – Question 54
A patient presents after falling down some stairs. The chief complaint is pain to the right thumb. During the examination, you note gross laxity in the first metacarpophalangeal joint when moving the right thumb into abduction. An x- ray reveals no fracture. Which of the following structures is injured? A. radial collateral ligament of the […]
The Reason I became a Physician Assistant in 20 Minutes and 46 Seconds
his is the video from our global medical mission trip October 2012. We were proud to serve over 600 people with combined medical and dental care. I have written several posts on the topic. It was an amazing experience and every time I need a reminder of why I love my job, I just look […]
The Daily PANCE and PANRE Fast Track – Question 57
A patient is started on a new antipsychotic medication for his disorder. Three days later he develops altered consciousness, lead-pipe rigidity, diaphoresis and catatonia. Vital signs reveal respiratory rate of 20, temperature of 105.6 degrees F, and pulse oximetry of 95% room air. Which of the following would be the most appropriate initial intervention in […]
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 Fast Track – Question 5
Secondary to a traumatic event, a child complains of pain in the index finger. An x-ray of the digit demonstrates a fracture line through the metaphysis 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 Type II […]
The Daily PANCE & PANRE Fast Track – Question 8
Your 27 year-old sister is visiting and requests you to provide refills of dexamethasone and homotropine ophthalmic drops for her. What condition is most likely being treated? A. conjunctivitis B. glaucoma C. iritis D. Herpes keratitis E. blepharitis Answer: C, iritis Iritis is treated with steroid drops (dexamethasone) and miotic drops *homotropine, like atropine (to constrict […]
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 & 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 […]
The Daily PANCE and PANRE Fast Track – Question 26
A mother brings her nine year-old son to your office, along with the snake that bit him 20 minutes earlier. Which of the following, if identified during your examination of the snake, is most suggestive that the snake is poisonous? A. elliptical pupils B. a rounded head C. a double row of caudal plates D. […]
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 and PANRE Fast Track – Question 37
A young female presents with several “target-like lesions” on her arms, legs and ,, thorax. She takes birth control pills and recently completed a ten day course of penicillin. What is the most likely diagnosis? A. erythema multiforme B. erythem nodosum C. erysipelas D. pleurodynia E. erythema chronicum migrans Answer: A Target lesions are erythema […]
The Daily PANCE and PANRE Fast Track – Question 45
A mother brings her adult son to your office, relating a history of two weeks of difficulty sleeping, irritability, and problems with relationships with others. He has also been very talkative, expressed a multitude of “great ideas” and just seems to “talk constantly.” Several weeks ago, he seemed depressed. Which of the following diagnostic studies […]
Fix Your 401K
Address Your Debt The 401K Fix Does Your Employer offer a 401K with a Match? Yes 401K with a Match Look at your fees. The median annual fees for all plans is 0.72% of assets. My wifes hospital charges 0.13% and my work charges 1.5% This is important as we will see below Meet your company […]