Podcast Episode 73 Ten FREE PANCE and PANRE Audio Board Review Questions

Welcome to episode 73 of the Audio PANCE and PANRE PA Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the SMARTYPANCE course content following the NCCPA content blueprint (download the FREE cheat sheet). This week we willbe coveringten general board review questions based on theNCCPA PANCE and PANRE Content Blueprints. Below you will find an interactive exam to complement the podcast. The Audio PANCE and PANRE Physician Assistant Board Review Podcast I hope you enjoy this free audio component to the examination portion of this site. The full boardreview includes over 2,000 interactive board review questions andis available to all members of thePANCE and PANRE AcademyandSmarty PANCE. You can download and listen to pastFREE episodes here,oniTunes, onGoogle Play MusicorStitcherRadio. You can listen to the latest episode, take an interactive quizand download your results below. Listen Carefully Then Take The Practice Exam If you can't see the audio player click here to listen to the full episode. Podcast Episode 73: Ten Question PANCE and PANRE Podcast Quiz The following questions are linked to NCCPA Content Blueprint lessons from the Smarty PANCE and PANRE Board Review Website. If you are a member you will be able to log in and view this interactive video lesson. 1. A 45-year obese female (BMI=36.7 ) presents to your clinic with a random serum glucose level of 242. You diagnose the patient with type II diabetes and place her on metformin 500 mg twice daily and ask that she check her glucose first thing in the morning and again late at night. The patient states that her glucose first thing in the morning is 424 and by the evening it is 96. Which of the following tests would you like to order to confirm your diagnosis? ACTH level HgA1C 24 collection of VMA Dexamethasone suppression test Cortisol levels Click here to see the answer Answer: D. Dexamethasone suppression test This patient is presenting with elevated glucose levels in the morning and normal levels at night. This is due to the dawn phenomenon or secreting too much cortisol first thing in the morning which is very common in patients with Cushing syndrome. The diagnostic test of choice for Cushing syndrome is a dexamethasone suppression test. While it is true that the cortisol levels will be elevated this does not diagnose Cushings syndrome. Review NCCPA Blueprint Topic: Cushings syndrome 2.A 49-year-old male is admitted to the hospital with a diagnosis of pneumonia. He has had a cough and fever up to 101.2 F for five days. The patient states that his cough is productive and he is also complaining of sharp right-sided chest pain. On physical exam, you note diminished breath sounds on the right as well as dullness to percussion. The chest x-ray demonstrates a right lower lobe infiltrate. Which of the following bacteria would be the most likely cause of this patient's pneumonia? Mycoplasma Pneumococcal H. Flu Legionnaires Chlamydia Click here to see the answer Answer: B. Pneumococcal Pneumococcal pneumonia is the most common form of pneumonia in an adult that is greater than 40. It usually presents as lobar pneumonia with dullness to percussion and diminished breath sounds. There is also a vaccination available. Mycoplasma is the most common form of pneumonia in young adults and those less than 40. Review NCCPA Blueprint Topic: Bacterial pneumonia (ReelDx) 3.A 21-year-old male is brought into the emergency room by his fraternity brothers. He appears confused and is agitated. He has a temperature of 100.5 F, horizontal nystagmus, muscular rigidity and at times becomes incredibly combative. His laboratory evaluation shows a CPK level of 8000 and his blood alcohol level is 0. Which of the following drugs most likely explains this patient's symptoms? Methamphetamines LSD PCP Ecstasy Marijuana Click here to see the answer Answer: C. PCP PCP can cause extreme agitation as well as fever, muscular rigidity, horizontal nystagmus, and rhabdomyolysis. The best treatment for these patients is IV fluids and sedation with medications like Geodon, Haldol, Thorazine, and Ativan. You can also add Benadryl to this cocktail. Review NCCPA Blueprint Topic: Substance-related and addictive disorders 4.A 51-year-old male presents to the ED complaining of substernal burning discomfort. He reports a history of mild hypertension and Raynaud's phenomenon. On physical exam, you notice he has shortened fingers. When further questioned the patients states that he was once told that he may have a type of autoimmune disease but is unaware of the name. Which of the following medications would be most helpful for the patient's chronic heartburn Omeprazole Cimetidine Carafate Zofran Amlodipine Click here to see the answer Answer: E. Amlodipine The patients symptoms of heartburn, hypertension, Raynauds phenomenon, and short fingers are consistent with scleroderma. The best treatment for the reflux esophagitis that can occur with scleroderma is a calcium channel blocker. Calcium channel blockers serve as a smooth muscle relaxant which will relax his tight esophagus resulting in increased mobility and fewer chances for heartburn. Review NCCPA Blueprint Topic: Systemic sclerosis Scleroderma 5. You are called to see a patient who is currently on multiple psychiatric medications including Lithium, Lorazepam, Abilify, Trazodone, and Sertraline. He also takes Lasix. He is in an assisted living facility and is brought to you by his care team for an acute psychotic episode. Which of the following medications is most likely responsible for the patients acute psychosis? Lorazepam Lasix Abilify Trazodone Sertraline Click here to see the answer Answer: B. Lasix Loop diuretics can be very problematic in patients taking psychiatric medications. Loop diuretic result in a loss of water in the vascular volume, henceforth levels of different psychiatric medications will become higher. For example, if a patient is on lithium and they are currently on Lasix lithium level becomes higher and they can become with lithium toxic. Review NCCPA Blueprint Topic: Schizophrenia spectrum and other psychotic disorders 6.A young healthy female patient with a recent diagnosis of depression complains of a 4-month history of amenorrhea and decreased sex drive. She has no significant past medical history and usually has normal menstrual cycles. Which of the following medications is most likely the cause of this patient's symptoms? Sertraline Trazodone Abilify Venlafaxine Risperidone Click here to see the answer Answer: E. Risperidone Older (second-generation) atypical antipsychotic agents can cause elevations in plasma prolactin concentrations while the newer atypical antipsychotics have minimal effect. Risperidone (an older second-generation antipsychotic agent) can cause amenorrhea, sexual dysfunction, and infertility. Review NCCPA Blueprint Topic: Depressive disorders (Pearls) 7.A 64-year-old male presents with a chief complaint of lower extremity pain while walking his dog every afternoon. What is the most important risk factor for developing peripheral vascular disease? Smoking Hypertension Elevated cholesterol Elevated triglycerides Diabetes Click here to see the answer Answer: A. Smoking Smoking is the strongest risk factor for PVD. As a class of drugs view nicotine as a very potent vasoconstrictor causing vasoconstriction everywhere. For example vasoconstriction of the vessels in the heart=CAD which can lead to MI. Constricted blood vessels in the brain=CVA and constricted blood vessels in the periphery=PVD. Review NCCPA Blueprint Topic: Peripheral artery disease (Lesson) 8. A 35-year-old male patient presents concerned about his cardiac risk factors. He has a low HDL level, hypertension, type II DM, and an elevated LDL and triglyceride levels. His brother had CAD at the age of 47. Which of the following risk factor has the highest value when determining this patients risk of developing CAD? Low HDL levels Hypertension Diabetes High cholesterol Family history Click here to see the answer Answer: C. Diabetes Diabetes is the strongest risk factor for CAD. All the other choices are risk factors however they do not have the same predictive value as diabetes when it comes to the severity of CAD. Review NCCPA Blueprint Topic: Coronary Heart Disease (PEARLS) 9.Which of the following is considered to be a 1st line medication used in endocarditis prophylaxis for high-risk patients undergoing invasive procedures such as an esophageal stricture dilation? Cipro Clindamycin Amoxicillin Clarithromycin Doxycycline Click here to see the answer Answer: C. Amoxicillin Amoxicillin is the prophylactic agent of choice against endocarditis, as it is able to cover both gram-negative and gram-positive organisms. If the patient is PCN allergic then Clindamycin is the next best choice. Review NCCPA Blueprint Topic: Acute and subacute bacterial endocarditis 10. In a patient with a VSD murmur which of the following will be seen during the physical exam? Split S1 Diastolic crescendo murmur Wide pulse pressures Holosystolic murmur Split S2 Click here to see the answer Answer: D. Holosystolic murmur In VSD the patient will have a holosystolic murmur moving from left to right during systole causing more blood to move into the right ventricle and pulmonary artery. End game is pulmonary hypertension. Review NCCPA Blueprint Topic: Ventricular septal defect [spoiler title=C Looking for all the podcast episodes? This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joiningThe PANCE and PANRE Exam Academy+ SMARTYPANCE I will bereleasing new episodes every few weeks. The Academy isdiscounted, so sign up now. Resources and Links From The Show My list of recommended PANCE and PANRE review books Interactive PANCE and PANRE NCCPA Exam Content Blueprints Sign up for the FREE Daily PANCE and PANRE email series Join theSmarty PANCE NCCPA Content Blueprint Website + The PA Life Academy Get 20% of any Picmonic membership by using this link Use Code "PALIFE" and get 10% OFF THE RUTGERS PANCE AND PANRE REVIEW COURSE This Podcast is also available on iTunes and Stitcher Radio for Android iTunes:The Audio PANCE AND PANRE Podcast iTunes Stitcher Radio:The Audio PANCE and PANRE Podcast Stitcher Download The Content Blueprint Checklist Follow this link to download your FREE copy of the Content Blueprint Checklist Print it up and start crossing out the topics you understand, marking the ones you don't and making notes of key terms you should remember. The PDF version is interactive and linked directly to the individual lessons on SMARTY PANCE. Download for PANCE Download for PANRE .et_bloom .et_bloom_optin_5 .et_bloom_form_content { background-color: #e5e0da !important; } .et_bloom .et_bloom_optin_5 .et_bloom_form_container .et_bloom_form_header { background-color: #b24a49 !important; } .et_bloom .et_bloom_optin_5 .carrot_edge .et_bloom_form_content:before { border-top-color: #b24a49 !important; } .et_bloom .et_bloom_optin_5 .carrot_edge.et_bloom_form_right .et_bloom_form_content:before, .et_bloom .et_bloom_optin_5 .carrot_edge.et_bloom_form_left .et_bloom_form_content:before { border-top-color: transparent !important; border-left-color: #b24a49 !important; } @media only screen and ( max-width: 767px ) {.et_bloom .et_bloom_optin_5 .carrot_edge.et_bloom_form_right .et_bloom_form_content:before, .et_bloom .et_bloom_optin_5 .carrot_edge.et_bloom_form_left .et_bloom_form_content:before { border-top-color: #b24a49 !important; border-left-color: transparent !important; } }.et_bloom .et_bloom_optin_5 .et_bloom_form_content button { background-color: #445a6d !important; } .et_bloom .et_bloom_optin_5 .et_bloom_form_content .et_bloom_fields i { color: #445a6d !important; } .et_bloom .et_bloom_optin_5 .et_bloom_form_content .et_bloom_custom_field_radio i:before { background: #445a6d !important; } .et_bloom .et_bloom_optin_5.et_bloom_optin .et_bloom_border_letter { background: repeating-linear-gradient( 135deg, #445a6d, #445a6d 10px, #fff 10px, #fff 20px, #f84d3b 20px, #f84d3b 30px, #fff 30px, #fff 40px ) !important; } .et_bloom .et_bloom_optin_5 .et_bloom_form_content button { background-color: #445a6d !important; } .et_bloom .et_bloom_optin_5 .et_bloom_form_container h2, .et_bloom .et_bloom_optin_5 .et_bloom_form_container h2 span, .et_bloom .et_bloom_optin_5 .et_bloom_form_container h2 strong { font-family: "Open Sans", Helvetica, Arial, Lucida, sans-serif; }.et_bloom .et_bloom_optin_5 .et_bloom_form_container p, .et_bloom .et_bloom_optin_5 .et_bl oom_form_container p span, .et_bloom .et_bloom_optin_5 .et_bloom_form_container p strong, .et_bloom .et_bloom_optin_5 .et_bloom_form_container form input, .et_bloom .et_bloom_optin_5 .et_bloom_form_container form button span { font-family: "Open Sans", Helvetica, Arial, Lucida, sans-serif; } The Daily PANCE and PANREGet 60 days of PANCE and PANRE Board Certified Review Questions and Answers delivered directly to your inbox. 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You have Successfully Subscribed! document.createElement('audio'); http://traffic.libsyn.com/pasquini/Episode_73_The_Audio_PANCE_and_PANRE_Physician_Assistant_Board_Review_Podcast.mp3Podcast: Download (13.0MB) | EmbedSubscribe: Apple Podcasts | Android | Email | Google Podcasts | Stitcher | RSS | PANCE and PANRE Podcast PlayerView all posts in this seriesThe Audio PANCE and PANRE Board Review Podcast Episode 1The Audio PANCE and PANRE Board Review Podcast Episode 3The Audio PANCE and PANRE Board Review Podcast Episode 5The Audio PANCE and PANRE Board Review Podcast Episode 7The Audio PANCE and PANRE Board Review Podcast Episode 9The Audio PANCE and PANRE Board Review Podcast Episode 11The Audio PANCE and PANRE Board Review Podcast Episode 13The Audio PANCE and PANRE Board Review Podcast Episode 15The Audio PANCE and PANRE Board Review Podcast Episode 17The Audio PANCE and PANRE Board Review Podcast Episode 19The Audio PANCE and PANRE Board Review Podcast Episode 21The Audio PANCE and PANRE Board Review Podcast Episode 23The Audio PANCE and PANRE Boa rd Review Podcast Episode 25Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39Episode 41: The Audio PANCE and PANRE Board Review PodcastEpisode 43: The Audio PANCE and PANRE Board Review PodcastMurmur Madness: The Audio PANCE and PANRE Episode 45Episode 47: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 49: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpi sode 51: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 53: General Surgery End of Rotation Exam The Audio PANCE and PANRE PodcastEpisode 55: The Audio PANCE and PANRE Board Review PodcastEpisode 57: The Audio PANCE and PANRE Board Review PodcastEpisode 59: Emergency Medicine EOR The Audio PANCE and PANRE Board Review PodcastEpisode 61: The Audio PANCE and PANRE Board Review PodcastEpisode 63: The Audio PANCE and PANRE PA Board Review PodcastPodcast Episode 65: Hepatitis B Breakdown With Joe Gilboy PA-CPodcast Episode 67: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 69: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 71: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 73: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 75: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 77: The Audio PANCE and PANRE Board Review Podcast You may also like -Episode 51: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizWelcome to episode 51of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. 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