Podcast Episode 108: Did You Miss Us? The Audio PANCE and PANRE is Back!
Description
Listen to Podcast Episode 108: Ten PANCE, PANRE, and Rotation Review Questions
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Welcome to episode 108 of the Audio PANCE and PANRE Physician Assistant/Associate (PA) Board Review Podcast.
Join me today as we cover ten board review questions for your PANCE, PANRE, EOR, and EOC exams.
Resources and links from today’s episode:
- Sign up for our new PANCE and PANRE Test-taking Masterclass
- Review the Asthma GINA guidelines and the lung cancer screening guidelines
- Sign up for the Entire Blueprint Email Series
- Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram and Facebook
- Join the Smarty PANCE Member’s Community, then sign up for a study group to get updates about upcoming webinars.
I hope you enjoy this free audio component of the examination portion of this site. Smarty PANCE includes over 2,000 interactive board review questions, along with flashcards, ReelDx cases, integrated Picmonics, and lessons covering every blueprint topic available to all Smarty PANCE members.
- You can download and listen to past FREE episodes here, on iTunes, Spotify, Amazon Music, and all podcasting apps.
- On each episode page, you can listen to all the latest episodes, take interactive quizzes, and download more resources.
Interactive exam to complement today’s podcast
1. A 25-year-old woman comes to the office due to fatigue and dizziness for the past several months. She works as a nurse and finds it increasingly difficult to complete her shifts. The patient reports heavy menstrual periods lasting 7-8 days each month. She has no significant medical history and is not on any medications. Blood pressure is 100/60 mm Hg and pulse is 75/min. BMI is 22 kg/m². Physical examination reveals pale conjunctivae and spoon-shaped nails. Hemoglobin is 8.5 g/dL. Which of the following sets of additional laboratory findings is most likely to be seen in this patient?
A. Low ferritin, high TIBC, low serum iron
B. High ferritin, low TIBC, high serum iron
C. Low ferritin, low TIBC, high serum iron
D. High ferritin, high TIBC, low serum iron
E. Low ferritin, high TIBC, high serum iron
The answer is A. Low ferritin, high TIBC, low serum iron
The most likely additional laboratory findings in this patient are low ferritin, high total iron-binding capacity (TIBC), and low serum iron, which are indicative of iron deficiency anemia. Her history of heavy menstrual periods and symptoms of fatigue and pallor suggest chronic blood loss leading to iron deficiency. Ferritin is a marker of iron stores, and low levels indicate depletion of iron reserves. High TIBC reflects increased capacity of the blood to bind iron due to low iron levels.
Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Hematology ⇒ Cytopenias ⇒ Anemias ⇒ Iron deficiency
2. A 4-year-old girl presents with fever and neck pain. She has had a runny nose, cough, and sore throat for the past five days. Two days ago, she developed a high fever and worsening neck pain, and today, she has refused to eat or drink. Her immunizations are up to date. Temperature is 39.5°C (103.1°F), pulse is 130/min, and respirations are 26/min. Examination reveals bilateral anterior cervical lymphadenopathy, a muffled voice, and trismus. The child holds her neck stiffly and resists any movement. The tonsils are erythematous and covered with white exudates. Lateral neck radiograph reveals a widened prevertebral space. Which of the following is the most likely diagnosis?
A. Epiglottitis
B. Peritonsillar abscess
C. Retropharyngeal abscess
D. Bacterial tracheitis
E. Acute bacterial sinusitis
The answer is C. Retropharyngeal abscess
Retropharyngeal abscess is the most likely diagnosis given the presentation of fever, neck pain, refusal to eat or drink, trismus, and a widened prevertebral space on lateral neck radiograph. This condition commonly occurs in young children and can result from a spread of infection from the upper respiratory tract. The stiff neck and resistance to movement are classic signs of a deep neck space infection such as a retropharyngeal abscess.
Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint EENT ⇒ Oropharyngeal disorders ⇒ Diseases of the teeth and gums => Infectious and inflammatory disorders => Deep neck infection
3. A 30-year-old woman comes to the office due to left hand and wrist pain after tripping and falling onto an outstretched left hand while jogging. Examination shows severe tenderness to palpation of the radial dorsal aspect of the wrist. Range of motion and sensation are preserved. X-ray of the wrist is normal. Which of the following is the best next step in management of this patient?
A. Immediate MRI of the wrist
B. Application of a thumb spica splint and follow-up in 1-2 weeks
C. Reassurance and advise rest and ice
D. Referral to an orthopedic surgeon
E. Repeat X-ray in 1 week
The answer is B. Application of a thumb spica splint and follow-up in 1-2 weeks
The best next step in management is the application of a thumb spica splint and follow-up in 1-2 weeks. The clinical presentation is suggestive of a scaphoid fracture, which may not be visible on initial X-rays. Immobilization with a thumb spica splint helps to stabilize the wrist and prevent complications. Follow-up imaging or clinical re-evaluation can help confirm the diagnosis if symptoms persist.
Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Musculoskeletal -> Upper extremity disorders -> <a href="https://smartypance.com/lessons/upper-extremity-disorders/fracturesdislocations-forearm-wrist-hand-reeldx284/" id="isPasted" rel="noop
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