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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 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?
2. A 66-year-old female with a history of congestive heart failure presents with nausea and leg swelling. Physical examination reveals distended neck veins, tender hepatomegaly, and pitting edema. Chest X-ray revealed cardiomegaly with bilateral pleural effusions. Based on the patient’s presentation, physical exam, and test results, which of the following is the most accurate diagnosis?
3. A prematurely-born infant begins to exhibit typical signs of respiratory distress. Chest X-ray shows air bronchograms, a “ground glass” appearance to the lungs, and a domed diaphragm. Based on the patient’s presentation and test results, which of the following is the most accurate diagnosis?
4. The condition of resting chest pain, also known as Prinzmetal’s angina, is most effectively treated with which of the following medications?
5. 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?
6. The administration of a combination of beta blockers, hydrocortisone, a thiourea drug, iodide, and symptom-specific medications constitutes the treatment for which of the following endocrine disorders?
7. Pyrantel is an effective treatment for hookworms affecting patients in which of the following age groups?
8. A 70-year-old female presents with hyperventilation, burning of the hands and feet, and lightheadedness. Saliva reveals a body pH of 7.6, indicating respiratory alkalosis. Which of the following treatment options would you suggest for this patient?
9. Clomiphene citrate is commonly prescribed for which reproductive purpose?
10. A 50-year-old African-American woman presents with chest discomfort, cough, and shortness of breath. Lab work reveals eosinophilia, elevated erythrocyte sedimentation rate, and hypercalcemia. Physical examination reveals erythema nodosa on the shins and enlarged parotid glands. Chest X-ray shows symmetric bilateral hilar adenopathy. Based on the patient’s presentation, history, and test results, which of the following is the most accurate diagnosis?
11. A temporal artery biopsy is required to confirm the diagnosis of which of the following disorders?
12. Which of the following clinical interventions is required for a patient with hypernatremia with a sodium level greater than 200 mEq/L?
13. Which of the following laboratory values are indicative of a seminomatous germ cell testicular tumor?
14. Which of the following medications is appropriate for treatment of the cardiac arrhythmia ventricular tachycardia?
15. A 48-year-old male presents with thick, crusted, golden “honey” lesions on his skin. Based on patient symptoms and physical examination, which of the following is the proper diagnosis?
16. Exenatide, an anti-diabetic medication, is contraindicated in patients with which of the following disorders?
17. Furosemide, commonly referred to as Lasix, is a member of which of the following classes of diuretic medications?
18. A 44-year-old female presents with weight loss, insomnia, exophthalmos, and a visible goiter. Chest X-ray is normal. CT scan and ultrasound exams of the abdomen both reveal abnormalities to the adrenal glands. Which is the appropriate diagnosis?
19. A 58-year-old female presents with exertional dyspnea, non-productive cough, and fatigue. Auscultation of the chest reveals basilar rales and gallops. Patient’s chest X-ray reveals cardiomegaly, bilateral pleural effusions, and perivascular edema. Based on the patient’s presentation, physical exam, and test results, which of the following is the most accurate diagnosis?
20. Which of the following conditions appears as a linear lesion on the posterior midline of the rectal wall?
21. An ultrasound of the abdomen performed on a 3-year-old child reveals an olive-shaped mass to the right of the navel. Which of the following disorders does this mass indicate?
22. A Mallory-Weiss tear occurs most commonly secondary to which of the following disorders?
23. 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?
24. A 58-year-old female presents with nasal stuffiness and rhinorrhea. She states this occurs when she is exposed to changes in temperature and humidity. Based on this patient’s history, which of the following is the most appropriate diagnosis?
25. Cervical cerclage is indicated to reduce the risk of miscarriage if the pregnant female has a history of which of the following disorders?

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