The Audio PANCE and PANRE Physician Assistant Board Review Podcast

Welcome to episode 37 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast.

Join me as I continue to cover topic specific PANCE and PANRE review from the Academy course content following the NCCPA™ content blueprint.

Click here to download my interactive content blueprint checklist

This week we will be covering 10 topic specific Musculoskeletal board review questions.

The Musculoskeletal System accounts for 10% of your PANCE/PANRE board exam.  

Below you will find an interactive exam to complement the podcast.

I hope you enjoy this free audio component to the examination portion of this site. The full genitourinary board review includes over 72 GU specific questions and is available to all members of the PANCE and PANRE Academy.

If you can’t see the audio player click here to listen to the full episode.

You can take the interactive exam by clicking here.

This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy.

I will be releasing new episodes every few weeks. The Academy is discounted, so sign up now.

Resources and Show Notes:

Welcome to episode 35 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast.

Join me as I continue to cover topic specific PANCE and PANRE review from the Academy course content following the NCCPA™ content blueprint.

This week we will be covering 10 topic specific Genitourinary board review questions.

GU accounts for 6% of your PANCE/PANRE board exam.  

Below you will find an interactive exam to complement the podcast.

I hope you enjoy this free audio component to the examination portion of this site. The full genitourniary board review includes over 72 GU specific questions and is available to all members of the PANCE and PANRE Academy.

If you can’t see the audio player click here to listen to the full episode.

You can take the interactive exam by clicking here.

This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy.

I will be releasing new episodes every few weeks. The Academy is discounted, so sign up now.

Resources and Show Notes:

Welcome to episode 33 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast.

Join me as I continue to cover topic specific PANCE and PANRE review from the Academy course content following the NCCPA™ content blueprint.

This week we will be covering 10 topic specific HEENT board review questions.

Eyes, Ears Nose and Throat accounts for 9% of your PANCE/PANRE board exam.  

Below you will find an interactive exam to complement the podcast.

I hope you enjoy this free audio component to the examination portion of this site. The full Gastroenterology/Nutrition review includes over 111 EENT specific questions and is available to all members of the PANCE and PANRE Academy.

If you can’t see the audio player click here to listen to the full episode.

You can take the interactive exam by clicking here.

This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy.

I will be releasing new episodes every few weeks. The Academy is discounted, so sign up now.

Resources and Show Notes:

Welcome to episode 31 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast.

Join me as I continue to cover topic specific PANCE and PANRE review from the Academy course content following the NCCPA™ content blueprint.

This week we will be covering 10 topic specific Gastroenterology board review questions.

Gastroenterology and Nutrition accounts for 10% of your PANCE/PANRE board exam.  

Below you will find an interactive exam to complement the podcast.

I hope you enjoy this free audio component to the examination portion of this site. The full Gastroenterology/Nutrition review includes over 149 GI/Nutrition specific questions and is available to all members of the PANCE and PANRE Academy.

If you can’t see the audio player click here to listen to the full episode.

You can take the interactive exam by clicking here.

This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy.

I will be releasing new episodes every few weeks. The Academy is currently discounted, so sign up now.

Resources and Show Notes:

Welcome to episode 29 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast.

Over the next few episodes I will be covering topic specific PANCE and PANRE review from the Academy course content following the NCCPA content blueprint.

This week we will be covering 10 topic specific Pulmonology board review questions.

Below you will find an interactive exam to complement the podcast.

I hope you enjoy this free audio component to the examination portion of this site. The full pulmonology review includes over 142 pulmonology specific questions and is available to all members of the PANCE and PANRE Academy.

If you can’t see the audio player click here to listen to the full episode.

You can take the interactive exam by clicking here.

This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy.

I will be releasing new episodes every few weeks. The Academy is currently discounted, so sign up now.

Resources and Show Notes:

Welcome to episode 27 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast.

Over the next few episodes I will be covering topic specific PANCE and PANRE review from the Academy course content following the NCCPA content blueprint.

This week we will be covering 10 topic specific Cardiology board review questions.

Below you will find an interactive exam to complement the podcast.

I hope you enjoy this free audio component to the examination portion of this site. The full cardiology review includes over 147 cardiology specific questions and is available to all members of the PANCE and PANRE Academy.

If you can’t see the audio player click here to listen to the full episode.

You can take the interactive exam by clicking here.

This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy.

I will be be releasing new episodes every two weeks. The Academy is currently discounted, so sign up now.

Resources and Show Notes:

Welcome to episode 25 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast.

The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode.

I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy.

Download the FREE PDF transcript for FREE here or on Scribd.

If you can’t see the audio player click here to listen to the full episode.

The Audio PANCE and PANRE Episode 25

1. Which of the following conditions will produce a transudative pleural effusion?

A. Kaposi’s sarcoma

Answer: C. Cirrhosis

Transudative pleural effusions result from alteration in the formation of pleural fluid, the absorption of pleural fluid, or both, by systemic factors. Local factors affecting pleural fluid absorption and/or formation produce exudative pleural effusions.

2. Which of the following pathophysiological processes is believed to initiate acute appendicitis?

A. Obstruction

Answer: A. Obstruction

Obstruction of the appendiceal lumen by lymphoid hyperplasia, a fecalith or foreign body initiates most cases of appendicitis.

3. A 23 year-old female with a history of palpitations presents for evaluation. She admits to acute onset of rapid heart beating lasting seconds to minutes with associated shortness of breath and chest pain. The patient states she can relieve her symptoms with Valsalva. Which of the following is the most appropriate diagnostic study to establish a definitive diagnosis in this patient?

A. Cardiac catheterization

Answer: D. Electrophysiology study

Electrophysiology study is useful in establishing the diagnosis and pathway of complex arrhythmias such as supraventricular tachycardia.

4. A known alcoholic presents to the emergency department with altered level of consciousness and a blood glucose level of 35 mg/dL. Which of the following best explains this glucose result?

A. Excess pancreatic insulin release

Answer: D. Hepatic glycogen depletion and impaired gluconeogenesis

Alcohol-related hypoglycemia results from hepatic glycogen depletion and impaired gluconeogenesis and not due to antibody formation, excessive insulin release from the pancreas, or rapid release of carbohydrate into the small bowel.

5. Which of the following is the chief adverse effect of thiazide diuretics?

A. Hypokalemia

Answer: A. Hypokalemia

Thiazide diuretics can induce electrolyte changes. Principle among those is hypokalemia.

6. The most distinctive sign of pertussis is

A. stridor without cough.

Answer: D. paroxysmal cough with crowing inspiration.

A paroxysmal cough with a loud inspiration (the whoop) is noted in pertussis.

7. The finding of egophony is most consistent with

A. emphysema.

Answer D. Lobar pneumonia

Egophony occurs with consolidation caused by lobar pneumonia.

8. A patient presents with edema, which is most noticeable in the hands and face. Laboratory findings include proteinuria, hypoalbuminemia, and hyperlipidemia. The most likely diagnosis is

A. congestive heart failure.

Answer: C. nephrotic syndrome.

Proteinuria, hyperlipidemia, and hypoalbuminemia are consistent with nephrotic syndrome.

9. The best course of action for a patient with a bothersome inflamed pinguecula (pingueculitis) is

A. antibiotic drops.

Answer: D. no treatment.

With pingueculitis, no treatment is necessary; a short course of NSAID drops or steroids may help.

10. An immunocompromised patient presents with signs and symptoms consistent with Legionella pneumophila who has not responded to initial antibiotic therapy with a macrolide. Which of the following should be added?

A. Clarithromycin (Biaxin)

Answer B. Rifampin

Rifampin should be used as an adjunct in patients with either a macrolide or quinolone antibiotic, who have failed therapy, are immunocompromised or have severe illness.

This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy.

I will be be releasing new episodes every two weeks. The Academy is currently discounted, so sign up now.

While you are over there, download and subscribe to Brian Wallaces’ excellent Physician Assistant Exam Review Podcast. Follow along with Brian who covers new topics twice monthly and really does an amazing job!

Cheers,

Stephen Pasquini PA-C

Welcome to episode 23 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast.

The Audio PANCE and PANRE is an audio board review series that includes 10 Multiple Choice PANCE and PANRE Board Review Questions in each episode.

I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy.

Download the FREE PDF transcript for FREE here or on  Scribd.

If you can’t see the audio player click here to listen to the full episode.

The Audio PANCE and PANRE Episode 23

1. A 72 year-old female presents with vulvular pruritus for the last nine months, which has progressively worsened over the last two months. She states that she went through menopause at age 54 and has been on estrogen and progesterone therapy since that time. Physical examination reveals red lesions with white plaques on the vulva. What should the next course of management include?

A. Refer to a gynecologist for biopsy.

B. Refer to a dermatologist for antifungal therapy.

C. Treat with a topical steroid.

D. Treat with estrogen cream.

Answer: A. Refer to a gynecologist for biopsy.

Vulvular squamous cell hyperplasia causes thickening and hyperkeratosis of the vulva. The lesions are red and moist and cause intense pruritus over time the area becomes thickened and a white plaque may develop. Biopsy must be done to evaluate for intraepithelial neoplasm or invasive tumor.

2. A 30 year-old female presents to the emergency department with a syncopal episode. She has a history of irregular menstrual cycles and infertility. She has scanty, persistent vaginal bleeding and sharp pelvic pain. A left adnexal mass is palpated. The most likely diagnosis is

A. placenta abruptio.

B. ectopic pregnancy.

C. pelvic inflammatory disease.

D. ruptured ovarian cyst.

Answer B. ectopic pregnancy.

Infertility increases the risk of developing ectopic pregnancy. The onset of vaginal bleeding, pelvic pain, and formation of an adnexal mass makes this the most likely diagnosis.

3. A patient presents complaining of periumbilical pain. Which of the following anatomical sites is this finding associated with?

A. Bladder

B. Stomach

C. Pancreas

D. Small bowel

Answer: D. Small bowel

Pain from the small intestine, appendix, or proximal colon causes periumbilical pain.

4. A 53 year-old patient presents with severe pain at the base of the thumb and no other finger involvement. The pain is worse with activity and lasts a short period of time following rest. There is no specific history of trauma to the thumb but the patient admits working with her hands as a typist. Which of the following is the most likely diagnosis?

A. Rheumatoid arthritis

B. Osteoarthritis

C. Hemochromatosis

D. Pseudogout

Answer: B. Osteoarthritis

The base of the thumb is typically involved with osteoarthritis as are the DIP joints of the other fingers.

5. A 38 year-old female with history of coarctation of the aorta repair at the age of two presents with fevers for four weeks. The patient states that she has felt fatigued and achy during this time. Maximum temperature has been 102.1 degrees F. She denies cough, congestion, or other associated symptoms. Physical examination reveals a pale tired appearing female in no acute distress. Heart reveals a new grade III-IV/VI systolic ejection border at the apex, and a II/VI diastolic murmur at the right sternal border. What is the most likely diagnosis?

A. Acute myocardial infarction

B. Bacterial endocarditis

C. Acute pericarditis

D. Restrictive cardiomyopathy

Answer B: Bacterial endocarditis

Bacterial endocarditis presents as febrile illness lasting several days to weeks, commonly with nonspecific symptoms, echocardiogram often reveals vegetations on affected valves.

6. A 45 year-old male presents with abdominal pain and one episode of mild hematemesis, which happened days ago. On physical examination, vital signs are stable and he is in no acute distress. Hemoglobin and hematocrit are unremarkable; endoscopy reveals non-bleeding small superficial ulceration of the duodenal bulb. Rapid urease test is positive. Which of the following is the most appropriate treatment at this time?

A. Schedule for a selective vagotomy and antrectomy

B. Start an antacid along with omeprazole (Prilosec)

C. Schedule elective ulcer excision and start sucralfate (Carafate)

D. Start omeprazole (Prilosec) and antibiotic therapy against H. pylori

Answer: D. Start omeprazole (Prilosec) and antibiotic therapy against H. pylori

Treatment goals of H. pylori associated ulcers include eradicating the infection with appropriate antibiotics as well as use of a proton pump inhibitor, such as omeprazole,

7. Which of the following findings is usually associated with Addison’s disease?

A. Weight gain

B. Hypertension

C. Increased pigmentation

D. High plasma cortisol levels

Answer: C. Increased pigmentation

Patients with Addison’s disease have diffuse tanning over nonexposed and exposed skin due to increased melanocytic factor that is released with adrenocorticotropic hormone.

8. A 60 year-old patient with COPD characteristic of emphysema presents with a cough and increased sputum production. The following information is noted: Temperature 100°F (37.8°C); Respiratory rate 20/min; Heart rate 88 beats/min; pH 7.44; PaO2 75 mmHg; PaCO2 40 mmHg; O2 saturation 92%. Physical examination is remarkable for increased AP diameter, diminished breath sounds without wheezes, rhonchi, or other signs of respiratory distress. Which of the following would be an appropriate treatment for this patient?

A. Broad-spectrum antibiotic

B. Admission to the hospital

C. Oxygen at 6 L/min by nasal cannula

D. Brief course of oral theophylline

Answer: A. Broad-spectrum antibiotic

A. Sputum production is extremely variable from patient to patient, but any increase in sputum with a history of COPD reported by a patient must be regarded as potentially infectious and treated promptly.

9. Which of the following physical findings suggest pernicious anemia?

A. Splenomegaly and hepatomegaly

B. Petechiae and ecchymosis

C. Loss of position and vibratory sensation

D. Cheilosis and koilonychia

Answer: C. Loss of position and vibratory sensation

Loss of position and vibratory sensation are common neurologic findings in pernicious anemia.

10. A 60 year-old male presents with a normochromic, normocytic anemia and splenomegaly. His past history reveals several episodes of bacterial pneumonia in the past year. The WBC count is 43,000 mm3 with 25% segmented neutrophils, 3% blasts, 70% mature lymphocytes, 1% basophils, and 1% eosinophils. This most likely represents

A. myelodysplastic syndrome.

B. acute lymphocytic leukemia.

C. chronic lymphocytic leukemia.

D. chronic myelogenous leukemia.

Answer: C. chronic lymphocytic leukemia.

Chronic lymphocytic leukemia usually occurs after the age of 50 presenting with lymphocytosis > 20,000 mm3 and lymphocytes that appear mature.

Watch the video

This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy.

I will be be releasing new episodes every two weeks. The Academy is currently discounted, so sign up now.

Cheers,

Stephen Pasquini PA-C