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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 71-year-old male presents with progressive shortness of breath. Physical examination reveals inspiratory crackles, clubbing, and cyanosis. Chest X-ray shows small opacities prominent in the upper lung fields. The patient’s history reveals he worked in a coal mine for 35 years. Based on the patient’s presentation, history, and test results, which of the following is the most accurate diagnosis?
2. A 44-year-old male presents with bluish discoloration under the eyes, clear and watery nasal discharge, and itchy eyes. Patient states this occurs when he is exposed to pollen or mold. Based on the patient’s presentation and physical examination, which of the following is the most appropriate diagnosis?
3. A 12-year-old male presents with hearing loss and pain in the left ear. Examination reveals an immobile eardrum that is erythematous and bulging. Based on the findings of the examination and the patient’s symptoms, which of the following is the correct diagnosis?
4. A 45-year-old obese sedentary female presents with dull pain in the right leg associated with swelling, redness, and tenderness. D-dimer level is elevated at 1,460 ng/dL. Based on the patient’s presentation and physical examination, which of the following is the most appropriate diagnosis?
5. Interferon-b is commonly used to decrease the frequency of relapses of moderate or severe attacks associated with which of the following disorders?
6. Minimizing exposure to ultraviolet radiation is suggested to decrease the risk of developing which of the following ocular disorders?
7. Electroencephalograms are commonly used to evaluate which of the following neurologic disorders?
8. Methotrexate, Ciclosporin, Rituximab, and Sulfasalazine are all medications approved for maintenance therapy of which of the following disorders?
9. A 44-year-old female reports having had gradual decrease in vision, episodes of double vision, and reduced color perception. Examination reveals translucent, yellow discoloration of the lens. Based on the patient’s presentation and examination, which of the following is the most appropriate diagnosis?
10. Which of the following hypertensive medications, often used for initial therapy of essential hypertension, reduces plasma volume, and chronically reduces peripheral resistance?
11. A 2-year-old boy presents with sudden onset of fever, anorexia, listlessness, and bleeding gums. Physical exam reveals red, swollen mucosa and vesicles on the oral mucosa, tongue, and lips. Based on the patient’s presentation and physical examination, which of the following is the most appropriate diagnosis?
12. A urea breath test is commonly performed to confirm the presence of which of the following types of bacteria?
13. A 24-year-old female presents with redness, inflammation, burning, and small eruptions on her lower face, around the mouth. Based on the patient’s presentation, which of the following is the most likely diagnosis?
14. Which of the following forms of contraception can last up to ten years?Which of the following forms of contraception can last up to ten years?
15. Desmopressin acetate is the indicated medication for treatment of which of the following disorders?
16. Which areas of the brain are affected in Pick’s disease?
17. Which of the following types of stroke is associated with hemispheric signs and symptoms such as aphasia, apraxia, hemipareisis, hemisensory losses, and visual field defects?
18. 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?
19. A 26-year-old female presents with anxiety, depression, and irrational fear of contracting a serious illness. She frequently misinterprets normal bodily sensations as manifestations of disease. Based on the patient’s behavior and personality, which of the following is the most likely diagnosis?
20. Felbatol is commonly used as which type of medication?
21. A 34-year-old male who was a victim of a motor vehicle accident presents with bright red blood coming from the nose. Bright red blood is also seen in the posterior pharynx. Based on the patient’s presentation and physical examination, which of the following is the most likely source of the epistaxis?
22. Decreasing alcohol consumption is the most effective treatment for which of the following gastrointestinal disorders?
23. 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?
24. A 62-year-old male presents with recurrent pulmonary embolism. His disorder has been resistant to anticoagulants. Due to this man’s history and condition, which of the following treatment options would you suggest?
25. Which of the following conditions appears as a linear lesion on the posterior midline of the rectal wall?

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