The Audio PANCE and PANRE Board Review Podcast Episode 3

Are you bored to death in the car and worriedabout your upcoming PANCE or PANRE? Do you have a long, painful commute to your next OB rotation and had enough NPR? Do you have time while on a run or at the gym that is filled with tracks byMaroon 5 or Katy Perryand you know there must be something better? Problem Solved! Welcome to episode 3 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 created this audio seriesto helpyou fill some downtime when you are unableto read (like in the car) with some useful board review. My favorite places to study are during my morning commute, at the gym, or whiletrudging upa hill on a nice trail run. 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. You can download and listen to past FREE episodes here,oniTunes, on Google Play Music or StitcherRadio Listen Carefully Then Take The Quiz Download episode 3 NEW! Take an Interactive Quiz of the Audio Questions! Audio PANCE and PANRE Episode 3 Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Start Congratulations - you have completed Audio PANCE and PANRE Episode 3. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%% %%FORM%% Have Your Exam Results Emailed to You Enter your name and email address below to have your results as well as the test questions, your answers and the correct answers delivered to your inbox. Name First Last Email mTouch Quiz Populated FieldsmTouch Quiz will automatically populate the fields below. 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Question 1A 45 year-old smoker presents with a sore mouth and increasing difficulty eating for two weeks. Physical examination reveals a 1 cm white lesion on the buccal mucosa that cannot be rubbed off. Which of the following is the most likely diagnosis?AOral cancerBOral candidiasisCAphthous ulcerDNecrotizing ulcerative gingivitisQuestion 1 Explanation: The presence of leukoplakia in a smoker over the age of 40 should be biopsied to rule out the presence of oral cancer.Question 2A 25 year-old female presents to the emergency department after an episode of substernal chest pain with radiation to the middle of her back that came on suddenly and lasted for about four minutes this morning while in bed. She denies previous episodes. Examination is unremarkable, but she appears jittery. Toxicology screen is positive for cocaine. Which of the following medications is contraindicated in this patient?ALorazepam (Ativan)BDiltiazem (Cardizem)CNitroglycerin (Nitrostat)DPropanolol (Inderal)Quest ion 2 Explanation: Pure Beta blockers, such as propranol, can cause a paradoxical hypertension because of unopposed alpha-adrenergic effects.Question 3Abduction of the shoulder against resistance helps localize pain in which of the following muscles of the shoulder girdle?ASupraspinatusBInfraspinatusCTeres minorDSubscapularisQuestion 3 Explanation: Abduction against resistance tests the supraspinatus.Question 4A patient with obsessive compulsive disorder would most likely have which of the following findings?ARaw, red handsBPriapismCMemory impairmentDAbdominal painQuestion 4 Explanation: Common manifestations of obsessive compulsive disorder include phobias of germ and contaminants which results in frequent handwashing leading to chafed and reddened hands. The other answers are inconsistent with obsessive compulsive disorder.Question 5Which immunoglobulin is the first to respond during the primary immune response for a gram positive bacterial infection?AIgMBIgGCIgADIgEQuestion 5 Exp lanation: IgM is the first immunoglobin to respond during the acute exposure. This immunoglobulin promotes opsonization and phagocytosis. IgG is the immunoglobulin that responds during the secondary exposure. IgE is the immunoglobulin that responds during an allergic response as well as during a parasitic infection. IgA is an antibody found in colostrums and GI secretions.Question 6A 62 year-old homeless patient presents complaining of fever, weight loss, anorexia, night sweats and a chronic cough that recently became productive of purulent sputum that is blood streaked. On physical examination, the patient appears chronically ill and malnourished. Which of the following chest x-ray findings supports your suspected diagnosis?AHyperinflation and flat diaphragmsBInterstitial fibrosis and pleural thickeningCCavitary lesions involving the upper lobesDD. "Eggshell" calcification of hilar lymph nodesQuestion 6 Explanation: This patient most likely has tuberculosis. A chest x-ray finding o f cavitary lesions involving the upper lobes would support this suspected diagnosis.Question 7What is the recommended method for screening pregnant women for gestational diabetes?AFasting blood sugar and 2 hour post prandialB50 gram glucose load followed by a blood sugar in 1 hourC75 gram glucose load followed by a blood sugar in 2 hoursD100 gram glucose load followed by a blood sugar at 1 hour, 2 hours, and 3 hourQuestion 7 Explanation: One hour Glucola is the screening test for gestational diabetes. It is a 50 gram glucose load, with a serum glucose obtained 1 hour after the dose. Normal value is less than 140 mg/dL.Question 8As a rule, solid foods such as cereal and fruits are best introduced into an infant's diet at approximatelyA1 to 3 weeks.B4 to 8 weeks.C4 to 6 months.D10 to 14 months.Question 8 Explanation: The inclusion of solid foods in the diet is best done at approximately 4-6 months. Before 4 to 6 months of age does not contribute significantly to the infant's health an d it increases their risk of allergies and atopy.Question 9What is the treatment of magnesium sulfate toxicity?ANifedipineBTerbutalineCPotassium carbonateDCalcium gluconateQuestion 9 Explanation: 10% calcium gluconate is used to treat magnesium sulfate toxicity.Question 10During an influenza epidemic, a 6 year-old male is seen with fever and a severe sore throat. The parents report that his symptoms have not improved despite administration of aspirin. The next day, the parent calls to report that the child has persistent vomiting and increased lethargy. On examination, he is found to be delirious and disoriented with hyperactive reflexes. The liver edge is 3 cm below the right costal margin in the midclavicular line. Which of the following is the most likely diagnosis?A Reye's syndromeBMeasles encephalitisCGuillain-Barre syndromeDAcute bacterial meningitisQuestion 10 Explanation: The suspected influenza associated with development of vomiting, progressive mental status changes, hype rreflexia, and hepatomegaly are consistent with a diagnosis of Reye's syndrome.Question 11A 56 year-old female four days post myocardial infarction presents with a new murmur. On examination the murmur is a grade 3/6 pansystolic murmur radiating to the axilla. She is dyspenic at rest and has rales throughout all her lung fields. Blood pressure is 108/68 mmHg, pulse 70 bpm. Which of the following would be the definitive clinical intervention?A Intra-aortic balloon counterpulsationBMitral valve replacementCCoronary artery bypass surgeryDImmediate fluid bolusQuestion 11 Explanation: MVR is the definitive intervention to correct MR caused by papillary muscle rupture. Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results There are 11 questions to complete. List Return Shaded items are complete. 1234567891011End Return You have completed questions question Your score is Correct Wrong Partial-Credit You have not finished your quiz. If you leave this page, your progress will be lost. Correct Answer You Selected Not Attempted Final Score on Quiz Attempted Questions Correct Attempted Questions Wrong Questions Not Attempted Total Questions on Quiz Question Details Results Date Score Hint Time allowed minutes seconds Time used Answer Choice(s) Selected Question Text All doneNeed more practice!Keep trying!Not bad!Good work! Good work!Perfect! Looking for episode 2? This FREE series is limited to every 3rd episode, you can download and enjoy the complete audio series by joining The PANCE and PANRE Exam Academy. There are currently 8 episodes and 90 minutes of audio content available for download from the academy homepage. I will be releasing new episodes every two weeks. The Academy is currently discounted at $35 for the entire year, so sign up now. 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 And, if you haven't already, make sure to download Brian Wallaces' excellentPhysician Assistant Exam Review Podcast.Follow along with Brian who covers new topics twice monthly and really does an amazing job! document.createElement('audio'); https://traffic.libsyn.com/pasquini/The_Audio_PANCE_and_PANRE_Questions_21-30.mp3Podcast: Download () | 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 Board 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 QuizEpisode 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 -The Audio PANCE and PANRE Board Review Podcast Episode 1 Welcome to episode 1of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. 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