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Physician Assistant (PANCE) Practice Test 2
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Avg score: 76% • Most missed: “A 46-year-old obese male presents in the emergency room with acute myocardial in…”
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 2
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25 Questions

1. A 44-year-old male with a history of alcoholism presents with forceful vomiting and hematemesis. Endoscopy reveals an esophageal tear at the gastroesophageal junction. Based on the patient’s presentation and test results, which of the following is the most appropriate diagnosis?
2. A 46-year-old African-American female presents with a persistent non-specific headache. Physical examination reveals her blood pressure to be 230/130 mmHg. Which of the following refers to the disorder that is characterized by blood pressure readings of this range?
3. A 46-year-old obese male presents in the emergency room with acute myocardial infarction. The patient’s initial blood pressure is 140/70 mmHg. Shortly after presentation, the patient’s blood pressure drops to 80/40 mmHg, heart rate is 130 beats per minute, and he becomes agitated and confused. Based on the presentation and patient’s condition, which of the following is the best diagnosis?
4. A 53-year-old male is diagnosed with aseptic necrosis of the hip. Which of the following medications would you prescribe for maintenance therapy to avoid collapse of the femoral head?
5. A 26-year-old female is diagnosed with tinea versicolor. Which of the following treatments is required to prevent recurrence of yeast growth on the skin?
6. Which of the following signs refers to the event of minor trauma precipitating new lesions at the site of the trauma?
7. A 15-year-old female patient states during a routine physical examination that she has been experiencing pain in the left, anterior side of her chest. The pain is sharp, comes on suddenly, and resolves completely after 10 to 30 seconds. It does not radiate, and is not accompanied by tachycardia, vertigo, syncope, or other symptoms. The patient states that she remains still and takes shallow breaths until the pain resolves. Based on the patient’s symptoms, the most likely diagnosis is
8. Which of the following medications is the only drug that is FDA-approved specifically for the treatment of fibromyalgia?
9. A 40-year-old male presents with recurrent, abrupt attacks of pain and swelling in the wrists and knees. Joint aspiration reveals rhomboid-shaped crystals that are negatively birefringent. Radiographs performed on the affected areas reveal chondrocalcinosis. Based on the patient’s presentation and test results, which of the following is the most appropriate diagnosis?
10. A 6-year-old female presents with pain in the distal radius after falling on her outstretched hand. Her X-ray depicts a buckle or bulge on one side of the distal radius, about 3 cm from the end. Based on the type of injury and the radiographic evidence, which of the following types of fractures is illustrated on this girl’s X-ray?
11. A 48-year-old female health-care worker presents with a six-day history of cough, sweats, fever, chest pain, and chills. Physical examination reveals altered breath sounds, crackles, and bronchial breath sounds. Culture of respiratory secretions was positive for Eschericia coli bacteria. Based on the patient’s presentation, physical examination, and test results, which of the following is the most appropriate diagnosis?
12. A 50-year-old obese white male presents with chest pain, shortness of breath, and non-specific headache. Physical examination reveals his blood pressure to be 240/140 mmHg. Which of the following refers to the disorder that is characterized by blood pressure readings of this range?
13. Which of the following medications can be administered in order to reverse the effects of an overdose of opiates?
14. A 42-year-old female presents with increasing frequency and urgency of urination. She complains of intermittent hematuria. Urinalysis reveals bacteriemia and hematuria. Physical exam reveals suprapubic tenderness. Your diagnosis for this female is cystitis. Which of the following medications would you suggest to treat this condition?
15. A 22-year-old male presents with left lowerquadrant pain, weight loss, fever, and pus-filled diarrhea. Abdominal X-ray reveals colonic dilatation. Colonoscopy confirms the diagnosis of ulcerative colitis. Which of the following medications are indicated for the maintenance of ulcerative colitis?
16. A 22-year-old female presents with lower abdominal pain, fever, painful urination, and a foul-smelling vaginal discharge. Physical examination reveals cervicitis and salpingitis. Based on the patient’s presentation and physical examination, which of the following is the most likely diagnosis?
17. A 68-year-old diabetic female presents with unintentional urine leakage and increased frequency and urgency of urination. This is a classic case of urinary incontinence. Which of the following medications would you prescribe in order to treat this disorder?
18. Which of the following types of medication is commonly used for treatment of binge eating and obesity?
19. A 10-year-old female presents with eyelid edema, exopthalmos, conjunctivitis, and purulent discharge from both eyes. Physical examination reveals fever, decreased range of motion of the eye muscles, and sluggish pupillary response. CT scan reveals broad infiltration of the orbital soft tissue. Based on the patient’s presentation, physical examination, and test results, which of the following is the most likely diagnosis?
20. An 80-year-old female presents with unexplained neck pain, scalp tenderness, headache, and vision difficulties. Her bloodwork reveals marked elevations in erythrocyte sedimentation rate and C-reactive protein. You suspect this patient is suffering from giant cell arteritis. Which of the following exams would you perform to confirm your diagnosis?
21. A 40-year-old man presents with acute pain and swelling in the right eyelid. Examination of the right eyelid reveals a palpable, indurate area with a central area of purulence and surrounding redness. Which of the following is the proper diagnosis based on this information?
22. Which of the following laboratory tests can be used to confirm the diagnosis of diabetes insipidus?
23. A 58-year-old obese male with a history of deep venous thrombosis presents with edema in the lower extremities and an ulcer on right ankle. The skin in the lower extremities appears shiny, thin, and discolored. The patient complains of lower leg itching and pain upon standing. Based on the patient’s presentation and physical examination, which of the following is the most appropriate diagnosis?
24. A 26-year-old male presents with spontaneous, acute chest pain and shortness of breath. Auscultation of the chest reveals diminished breath sounds on the right side. Chest X-ray reveals the accumulation of air in the pleural space without mediastinal shift. Based on the patient’s presentation, history, and test results, which of the following is the most accurate diagnosis?
25. A 58-year-old male presents with progressive shortness of breath and excessive cough with sputum production. Auscultation of the chest reveals decreased breath sounds, early inspiratory crackles, and prolonged expiration. Chest X-ray reveals hyperinflation and flat diaphragm. Based on the patient’s presentation, history, and test results, which of the following is the most accurate diagnosis?

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