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Physician Assistant (PANCE) Practice Test 3
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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. 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?
2. Ranson’s criteria is a commonly used formula to evaluate the prognosis for which of the following conditions?
3. Which of the following disorders requires a glutenfree diet as maintenance therapy?
4. Which of the following is the proper initial treatment for the condition of strabismus?
5. Which of the following types of medication is a first-line treatment for maintenance of mild gastroesophageal reflux disease (GERD)?
6. An ultrasound examination revealing bilateral fluid-filled renal cysts is a classic diagnosis for which of the following disorders?
7. A 22-year-old female presents to the emergency room with acute onset of ipsilateral chest pain and shortness of breath. The examination and chest X-ray reveal a large pneumothorax. Which of the following is the proper course of treatment?
8. A potassium hydroxide preparation is commonly used to rule out fungal infection during the diagnosis of which of the following skin conditions?
9. 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?
10. 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?
11. Which of the following is used as an emergency treatment for the condition of disseminated intravascular coagulopathy?
12. A 67-year-old male presents with dry cough, exertional dyspnea, fatigue, and malaise. Auscultation of the chest reveals inspiratory crackles. Chest X-ray reveals fibrosis that appears to have progressed in comparison to an X-ray taken several years previously. Based on the patient’s presentation, physical examination, and test results, which of the following is the most appropriate diagnosis?
13. A 27-year-old male presents with an abnormal suspicion and distrust of other people. The patient also tends to act hostile, angry, and blame problems on other people. Based on the patient’s history, which of the following is the most appropriate diagnosis?
14. A 33-year-old woman who has never been pregnant presents with dysmenorrhea, painful sexual intercourse, painful bowel movements, and intermittent spotting. Based on the patient’s presentation and physical examination, which of the following is the most appropriate diagnosis?
15. A 27-year-old pregnant female presents with abnormal vaginal bleeding, uterine size greater than normal, nausea, vomiting, and hypertension. Bloodwork reveals a serum hCG level greater than 100,000 mU/mL. Ultrasound image has the appearance of grapelike vesicles. Based on the patient’s presentation, physical examination, and test results, which of the following is the most accurate diagnosis?
16. 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?
17. Minimizing exposure to ultraviolet radiation is suggested to decrease the risk of developing which of the following ocular disorders?
18. 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?
19. Cigarette smoking may have protective effects against which of the following gastrointestinal disorders?
20. 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?
21. Which of the following cardiac arrhythmias is most effectively treated with intravenous administration of a 6 mg dose of adenosine?
22. Which of the following glomerular filtration rate values are indicative of impaired renal function?
23. A urea breath test is commonly performed to confirm the presence of which of the following types of bacteria?
24. 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:
25. 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?

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