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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. Which of the following laboratory values are indicative of a seminomatous germ cell testicular tumor?
2. A 41-year-old pregnant female, with 6 previous childbirths and a history of cigarette smoking, presents at 32 weeks with painless vaginal bleeding. Ultrasound reveals the placenta is covering the cervical os. Based on the patient’s history, presentation, and test results, which of the following is the most likely diagnosis?
3. A normally healthy 42-year-old male presents with hemoptysis, cough, focal wheezing, and recurrent pneumonia. Bronchoscopy reveals a pink to purple well-vascularized central lesion. You diagnose this patient with a carcinoid tumor. Which of the following is the most appropriate treatment for this disorder?
4. 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?
5. Nonseminomatous testicular tumors are resistant to which form of therapy?
6. Which of the following types of medication is required for maintenance therapy for ulcerative colitis if the disease does not respond to aminosalicylates?
7. Furosemide, commonly referred to as Lasix, is a member of which of the following classes of diuretic medications?
8. 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?
9. Magnesium sulfate effectively treats pre-term contractions through which of the following mechanisms?
10. Which of the following is the name of the sign that results in a facial muscle contraction after tapping a facial nerve, a common sign associated with hypoparathyroidism?
11. Which of the following is the name of the clinical sign that results in a carpal spasm in response to inflation of a blood pressure cuff, a common sign associated with hypoparathyroidism?
12. A 46-year-old male with a history of atrial fibrillation presents with pleuritic chest pain, dyspnea, and hemoptysis. Electrocardiogram reveals tachycardia and non-specific ST-T wave changes. Chest X-ray reveals “Hampton’s hump.” Auscultation of the chest reveals accentuation of the pulmonary component of the second heart sound. Based on the patient’s presentation, history, and test results, which of the following is the most accurate diagnosis?
13. Which of the following medications is appropriate for treatment of the cardiac arrhythmia ventricular tachycardia?
14. Which of the following forms of contraception is characterized by the implantation of a single flexible rod, about the size of a matchstick, that releases about 40 mcg/day of etonorgestrel?
15. A 32-year-old male with a respiratory tract infection presents with a “herald patch” on the abdomen with an associated rash. Based on the patient’s presentation, which of the following is the most appropriate diagnosis?
16. Administration of 325 mg of ferrous sulfate 3 times per day is appropriate maintenance therapy for which of the following forms of anemia?
17. Metformin, an anti-diabetic medication, is contraindicated for individuals with which of the following disorders?
18. A 37-year-old female presents with itchy, bleeding, non-healing lesions on the lips, mouth and tongue. Biopsy of affected areas reveals the presence of squamous cell carcinoma. Which of the following courses of treatment would you prescribe for this disorder?
19. 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?
20. Which of the following clinical interventions is recommended for a kidney stone measuring less than 5 mm?
21. Exenatide, an anti-diabetic medication, is contraindicated in patients with which of the following disorders?
22. A 6-year-old female presents with sudden high fever, difficulty swallowing, sore throat, and drooling. A lateral X-ray of the neck was obtained and a thumb sign was noted. The best diagnosis for this child is:
23. For which of the following disorders is Meclizine the most effective treatment?
24. Cervical cerclage is indicated to reduce the risk of miscarriage if the pregnant female has a history of which of the following disorders?
25. Mesalamine is an anti-inflammatory agent that is also an effective maintenance therapy for which of the following gastrointestinal disorders?

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