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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 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?
2. A 56-year-old male presents with chest pain radiating down left arm and shortness of breath. Electrocardiogram is abnormal but inconclusive for myocardial infarction. Which of the following lab tests would you perform in order to confirm or rule out the diagnosis of myocardial infarction?
3. Which of the following diagnostic modalities is the most definitive for evaluating transient ischemic attacks?
4. Miglitol is a member of the class of anti-diabetic medications called alpha-glucosidase inhibitors. This class of medications lowers blood glucose by which of the following mechanisms?
5. Cigarette smoking may have protective effects against which of the following gastrointestinal disorders?
6. Which of the following clinical interventions is required for kidney stones measuring over 10 mm and in cases where kidney function is jeopardized?
7. A 45-year-old white male presents with sudden onset of crushing sub-sternal chest pain and shortness of breath. Electrocardiogram reveals normal sinus rhythm at 78 beats per minute with no S-T segment abnormality. Pulse oximetry reveals a level of 89% on room air. Blood test results are as follows: Contact eczema > 0.1
Discoid eczema 0.59
Neurodermatitis 38
Seborrheic eczema 2.2
Stasis dermatitis 52
Lung VQ scan showed normal ventilation and multiple perfusion defects. Based on the patient’s presentation and test results, which of the following is the most appropriate diagnosis?
8. A 49-year-old patient presents with weight loss, malaise, fever, tenesmus, and pus-filled diarrhea. Sigmoidoscopy reveals colonic dilatation, confirming the diagnosis of ulcerative colitis. Which of the following interventions is most successful for treatment of ulcerative colitis?
9. Which of the following preventative measures would you advise the staff of a nursing home to perform in order to avoid the occurrence of decubitus ulcers?
10. Recombinant tissue plasminogen activators, such as alteplase and reteplase, are commonly used to break down which of the following substances?
11. Deficiency of vitamin D is the cause of which of the following disorders?
12. 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?
13. Which of the following medications is most effective for the treatment of chronic thrombocytopenia secondary to systemic lupus erythematosus?
14. Which of the following treatments for stroke victims is required if the internal or common carotid artery proves to have 70%-99% stenosis?
15. Exenatide is an example of an anti-diabetic medication. By which of the following mechanisms does exenatide function to decrease blood glucose?
16. A 50-year-old female presents with dull pain, swelling, redness, and tenderness of the left leg. Which of the following disorders can adequately be ruled out with an ultrasound examination?
17. A 36-year-old male presents for routine examination. His blood pressure was noticed to be mildly elevated. He is very compliant with doctors’ advice. Which of the following treatment options would you suggest to manage newly diagnosed, mild hypertension?
18. 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?
19. Which of the following types of seizures are commonly treated with valproic acid?
20. Which of the following pneumonia vaccines is indicated for individuals over the age of 65 who suffer from chronic illness and are at increased risk for community-acquired pneumonia?
21. Which of the following treatments are essential for protection of areas of hyperpigmented skin due to melasma?
22. 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?
23. Body dysmorphic disorder is an example of a somatoform psychological disorder. Fluoxetine and clomipramine have been proven effective in the treatment of body dysmorphic disorder. Fluoxetine and clomipramine are what type of medications?
24. 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?
25. Hypercalcemia is a classic marker for which of the following endocrine disorders?