Welcome to episode 45 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast.
Today we are going to take a brief detour away from 10 daily questions and instead cover the murmurs you need to know for your PANCE and PANRE exam.
I have still included an 11 question exam at the end of this post so make sure you scroll down after you listen to the podcast.
There are a total of 17 cardiac conditions that may present on exam day in the form of a descriptive sound/murmur.
You will often be given supporting evidence such as the location of auscultation or radiation which you can use to narrow down your options.
There are total of 51 cardiac topics in the  NCCPA™ Cardiology PANCE and PANRE Content Blueprint which represents 16% of the PANCE and PANRE exam.
(click here to download the FREE NCCPA Content Blueprint cheat sheet)
These cardiac conditions and their associated murmurs cover a whopping 33% of the cardiology section of the PANCE and PANRE exam!
Take a listen to this week’s podcast episode
If you can’t see the audio player click here to listen to the full episode.
Let’s break this all down:
Each of the links below opens the corresponding lesson on SmartyPANCE and is available to members (you must be logged in or join now)
There are 9 valvular disorders associated with murmurs:
Valvular Disorders (PEARLS and Flashcards)

Aortic stenosis (ReelDx)
Aortic regurgitation (Diastolic Murmur)
Mitral stenosis (Diastolic)
Mitral regurgitation
Mitral valve prolapse
Tricuspid stenosis
Tricuspid regurgitation
Pulmonary stenosis
Pulmonary regurgitation

Five congenital heart diseases that have corresponding murmurs
Congenital Heart Diseases (PEARLS)


Murmur Madness: The Audio PANCE and PANRE Episode 45

Multiple Choice Physician Assistant Board Review and Rotation Exam Questions on the Go – Listen and Learn

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Listen to Podcast Episode 105: Ten PANCE, PANRE, and Rotation Review Questions
If you can’t see the audio player, click here to listen to the full episode.
Welcome to episode 105 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast.
Join me today as we cover ten board review questions for your PANCE, PANRE, EOR, and EOC exams.
Links from today’s episode:

* Sign up for the Entire Blueprint Email Series
* Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram
* Follow Smarty PANCE and The Daily PANCE Blueprint on Facebook
* Review systemic lupus erythematosus (SLE)
* Review the diabetes diagnostic guidelines
* Review gestational diabetes screening guidelines
* Review basal cell carcinoma and our comparison tables of the Blueprint dermatologic neoplasms
* 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, Google Podcasts, Stitcher, Amazon Music, and all podcasting apps
* You can listen to all the latest episodes, take interactive quizzes, and download more resources on each episode page.

Interactive exam to complement today’s podcast
1. A 68-year-old male farmer presents with a flesh-colored papule with a rolled border located on the right side of his forehead. As you examine the lesion closely, you notice something else about the lesion. Which of the following physical exam findings would make you more suspicious of malignancy?
A. Telangiectasia
B. Nikolsky sign
C. Hypopigmentation
D. Tenderness to palpation
E.

Podcast Episode 105: Ten PANCE, PANRE, and Rotation Review Questions

Listen to Podcast Episode 104: Ten PANCE, PANRE, and Rotation Review Questions
If you can’t see the audio player, click here to listen to the full episode.
Welcome to episode 104 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast.
Join me today as we cover ten board review questions for your PANCE, PANRE, EOR, and EOC exams.
Links from today’s episode:

* Sign up for the Entire Blueprint Email Series
* Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram
* Follow Smarty PANCE and The Daily PANCE Blueprint on 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, Google Podcasts, Stitcher, Amazon Music, and all podcasting apps
* You can listen to all the latest episodes, take interactive quizzes, and download more resources on each episode page.

Smarty PANCE is not sponsored or endorsed by, or affiliated with, the National Commission on Certification of Physician Assistants.
Interactive exam to complement today’s podcast
When is screening for gestational diabetes done?
A. 16 weeks
B. 22 weeks
C. 24 weeks
D. 32 weeks
E. 34 weeks
2. A 60-year-old male with a history of alcohol abuse and esophageal varices is brought to the ER with lethargy, delirium, weakness, and nausea. He is normotensive and afebrile. On physical exam, he is ill-appearing with jaundice, spider angiomas, a distended abdomen, and 3+ pretibial pitting edema. Based on his history and clinical presentation, which of the following electrolyte abnormalities would you expect to see in this patient?
A. Hyponatremia
B. Hypocalcemia
C. Hypercalcemia
D. Hyperphosphatemia
E. Hypermagnesemia
3. A 12-year-old male patient presents with a circular, expanding rash located where a tick had bitten him. He had recently been camping in the upper Midwest. He also complains of a headache and mild fever. Which of the following is a known cardiac complication of the patient’s most likely diagnosis?
A.

Podcast Episode 104: Ten PANCE, PANRE, and Rotation Review Questions

Listen to Podcast Episode 103: Ten PANRE & PANRE-LA Intervention Complex Practice Question
If you can’t see the audio player, click here to listen to the full episode.
Welcome to episode 103 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast.
Join me today as we cover ten NCCPA-style board review questions for your PANRE and PANRE-LA exams.
Special from today’s episode:

* Take the new PANRE & PANRE-LA (Intervention Complex) Practice Exam: Covers all the topics tested within the new PANRE (Intervention Complex) performance expectation with links to Smarty PANCE lessons.
* PANRE & PANRE-LA Blueprint 8-Week Schedule and Study Planner
* Read The New 2023 PANRE and PANRE-LA: Everything you Need to Know
* Members can try out the newly updated PANRE-LA Smart Search Tool (you must log in to access the search bar)
* Sign up for the Entire Blueprint Email Series to get daily questions for the next 478 days!
* Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram
* Follow Smarty PANCE and The Daily PANCE Blueprint on 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, Google Podcasts, Stitcher, and most podcasting apps.
* You can listen to all the latest episodes, take interactive quizzes, and download more resources on each episode page.

Here is an interactive exam to complement today’s podcast
1. A 65-year-old man presents to your office with complaints of constipation for the past six months. He says that he has difficulty passing stools, which are hard and dry. He also reports occasional abdominal pain and bloating. He denies any weight loss, blood in stools, fever, or night sweats. His medical history is significant for hypertension and type 2 diabetes mellitus.

Podcast Episode 103: Ten PANRE & PANRE-LA Intervention Complex Practice Questions

Listen to Podcast Episode 102: Ten PANCE, PANRE, and Rotation Review Questions
If you can’t see the audio player, click here to listen to the full episode.
Welcome to episode 102 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast.
Join me today as we cover ten board review questions for your PANCE, PANRE, EOR™, and EOC™ exams.
Special from today’s episode:

* Read The New 2023 PANRE and PANRE-LA: Everything you Need to Know
* Members can try out the newly updated PANRE-LA Smart Search (you must log in to access the search bar)
* Sign up for the Entire Blueprint Email Series
* Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram
* Follow Smarty PANCE and The Daily PANCE Blueprint on 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, Google Podcasts, Stitcher, and most podcasting apps.
* You can listen to all the latest episodes, take interactive quizzes, and download more resources on each episode page.

Interactive exam to complement today’s podcast
1. Which of the following is NOT true about a non-ST elevation myocardial infarction?
A. Non-enteric-coated, chewable aspirin 325 mg should be given
B. Troponins are elevated
C. It happens due to a partially occluded epicardial coronary artery
D. Patients need a 12-lead EKG
E. You will always see ST depressions
2. A 22-year-old G1P0 female at 28 weeks gestation with a history of diabetes presents to the clinic with fever, chills, and dysuria. Vitals show tachycardia (115 bpm), tachypnea (22 bpm), and hypotension (90/58 mmHg). Physical exam reveals suprapubic tenderness. Labs reveal leukocytosis, hyponatremia, and hyperglycemia. Urine dipstick is positive for nitrites, blood, glucose, and ketones. Which of the following is the next best step?
A. Send home with oral antibiotics and analgesics
B. Reassurance and oral rehydration solution
C. Admit to hospital for antibiotics, fluids, & insulin
D. Order outpatient CT scan of the abdomen
E.

Podcast Episode 102: Ten PANCE, PANRE, and Rotation Review Questions

Welcome to episode 101 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast.
Join me today as we cover ten board review questions for your PANCE, PANRE, and rotation exams.
Special from today’s episode:

* Join the Smarty PANCE Member’s Community then sign up for a study group to get updates about upcoming webinars.
* Check out our updated End of Curriculum™ (EOC) Exam Course
* Sign up for the Entire Blueprint Email Series
* Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram
* Follow Smarty PANCE and The Daily PANCE Blueprint on Facebook

I hope you enjoy this free audio component of the examination portion of the Smarty PANCE website. The full board review website includes over 2,000 interactive board review questions, flashcards, and blueprint lessons available to all members of Smarty PANCE.

* You can download and listen to past FREE episodes here, on iTunes, Spotify, Google Podcasts, Stitcher, and most podcasting apps.
* You can listen to all the latest episodes, take interactive quizzes, and download more resources on each episode page.

Listen to Podcast Episode 101: Ten PANCE, PANRE, and Rotation Review Questions
If you can’t see the audio player, click here to listen to the full episode.
Interactive exam to complement today’s podcast
1. A 75-year-female smoker with a history of atrial fibrillation and hypertension presents to the ER complaining of a 2-hour history of right-sided weakness and aphasia that has now resolved. Her physical exam and vital signs are completely unremarkable. CT head is unremarkable. Which of the following is the most likely diagnosis?
A. Subarachnoid hemorrhage
B. Transient ischemic attack
C. Cerebral venous sinus thrombosis
D. Multiple sclerosis
E. Complicated migraine
2. A 26-year-old female presents with a history of miscarriages and recurrent pulmonary embolism. She is diagnosed with antiphospholipid syndrome. Which of the following is the mainstay of treatment for this condition?
A. Dual antiplatelet therapy (DAPT)
B. Aspirin and heparin
C. Dabigatran
D. Warfarin
E. Heparin
3. Which of the following is the most common cause of acute bronchitis in the United States?
A. Virus
B. Bacteria
C. Fungus
D. Allergies
E. Tuberculosis
4. A 27-year-old male presents to the clinic with shortness of breath, chest pain, and fatigue. His physical exam is remarkable for a crescendo-decrescendo systolic murmur heard at the apex.

Murmur Madness: The Audio PANCE and PANRE Episode 45

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