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Physician Assistant (PANCE) Practice Test 3
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Avg score: 32% • Most missed: “Congestive heart failure is most effectively treated by which of the following m…”
The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more
Physician Assistant (PANCE) Practice Test 3
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25 Questions

1. A healthy 40-year-old male presents for routine, annual check-up. The patient does not complain of any symptoms. Electrocardiogram is normal. Blood pressure is normal. Auscultation of the heart reveals a “swishing” sound. You order an echocardiogram to evaluate the “swishing” sound. Which of the following abnormalities would you expect to find on the echocardiogram?
2. A 44-year-old male presents with shortness of breath on exertion, fatigue, and sudden nocturnal dyspnea. Auscultation of the chest reveals a middiastolic murmur at the apex with little radiation. Auscultation also reveals S1 accentuated opening snap following S2. Based on the presentation and physical examination, which of the following is the proper diagnosis?
3. Which of the following medications is used for maintenance therapy for overactive bladder?
4. Zollinger-Ellison syndrome is characterized by a tumor that secretes which of the following digestive enzymes?
5. Which of the following medications would you prescribe to treat epididymitis that occurs as a result of a bacterial infection?
6. Which of the following hypertensive medications, often used for initial therapy of essential hypertension, reduces plasma volume, and chronically reduces peripheral resistance?
7. A 52-year-old female who has previously undergone thyroidectomy presents with irritability and distal extremity tingling. Physical examination reveals a positive Chvostek’s sign and Trousseu’s phenomenon. Bloodwork reveals decreased serum calcium and magnesium. Based on this information, what is the most appropriate initial diagnosis?
8. A 26-year-old female presents with the behavior pattern of being dependent, clinging, and submissive. She has difficulty making her own decisions and will not disagree with anyone for fear of being disliked. Based on these characteristics, which of the following is the most appropriate diagnosis?
9. A 46-year-old male presents with fever, anorexia, weight loss, muscle aches, and peripheral neuropathy. Bloodwork reveals elevated C-reactive protein and erythrocyte sedimentation rate. Urinalysis reveals proteinuria. Based on the patient’s presentation and test results, which of the following is the most appropriate diagnosis?
10. A 62-year-old chronically ill male with a history of alcohol abuse presents with cough, purulent sputum, and rigors. The patient’s sputum is noted to be the color of currant jelly. Chest X-ray confirms the presence of pneumonia. Due to the presence of currant jelly–colored sputum, which of the following pathogens is the most likely cause of this patient’s pneumonia?
11. A 24-year-old female presents with history of cough, purulent sputum, shortness of breath, and fever. Auscultation of the chest reveals expiratory rhonchi. Chest X-ray was performed and appeared normal. Based on patient symptoms and physical examination, which of the following is the proper diagnosis?
12. A 34-year-old female intravenous drug user presents with stiffness in the jaw and neck, difficulty eating, and irritability. Physical examination reveals muscle spasms of the jaw and face. Based on the patient’s presentation, and physical examination, which of the following is the most appropriate diagnosis?
13. A 28-year-old male presents with difficulty swallowing. Barium swallow reveals a “parrot-beaked” esophageal appearance, which is a sign of achalasia. Based on the patient’s presentation and test results, which of the following is the most appropriate diagnosis?
14. Which of the following clinical interventions is recommended for a kidney stone measuring less than 5 mm?
15. Quinidine and procainamide are maintenance medications for abnormal heart rhythms such as supraventricular tachycardia and symptomatic premature ventricular contractions. These medications belong to the class of drugs known as:
16. Methotrexate is the indicated form of treatment for ectopic pregnancy only if the ectopic mass is less than:
17. Furosemide, commonly referred to as Lasix, is a member of which of the following classes of diuretic medications?
18. A 40-year-old male presents with proximal muscle weakness, dysphagia, and malar skin rash. Bloodwork reveals elevated levels of creatinine phosphokinase and aldolase. Based on the patient’s presentation and test results, which of the following is the most appropriate diagnosis?
19. A 34-year-old male presents with involuntary, quick movements of the hands and feet, irritability, moodiness, and antisocial behavior. CT scan reveals cerebral atrophy as well as atrophy of the caudate nucleus. Based on the patient’s presentation and test results, which of the following is the most appropriate diagnosis?
20. Glomerulonephritis is a disorder in which the renal glomeruli are damaged due to deposition of inflammatory proteins in the glomerular membranes. Which of the following medications are used for maintenance therapy of this disorder?
21. Which of the following vaccines should be administered to high-risk children at least 2 years of age? These include children with heart problems, lung problems, sickle cell disease, and diabetes.
22. Which of the following types of medication is a first-line treatment for maintenance of mild gastroesophageal reflux disease (GERD)?
23. Ergocalciferol is the medication of choice for the treatment of osteomalacia. Osteomalacia is precipitated by a deficiency of which of the following vitamins?
24. Laparotomy is indicated for treatment of ectopic pregnancy only in which of the following conditions?
25. Which of the following medications can be prescribed to halt nicotine cravings?

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