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. Which of the following refers to the gastrointestinal condition that is characterized by a painful, fluctuant area at the sacrococcygeal cleft?
2. A 42-year-old male presents with abnormal bleeding in the nasal sinus and GI mucous membranes. Bloodwork reveals normal PT and PTT. The bloodwork also reveals a reduced level of factor VIII antigen, which is characteristic of von Willebrand disease. Which of the following medications would you prescribe for treatment of this disorder?
3. A patient currently taking an antidepressant complains of diminished sex drive and expresses an interest in switching or adding an antidepressant that will not cause this side effect. Which of the following types of antidepressant is least likely to cause diminished sexual function?
4. A 58-year-old female with a known history of sinusitis presents with severe congestion and pain without significant discharge. History obtained from the patient reveals she is a prior cocaine abuser who has been continuously using the nasal sprays prescribed to treat her sinusitis. Physical examination did not reveal opacification of the sinuses with transillumination. Based on the symptoms, history, and examination, which of the following is the appropriate diagnosis?
5. A 27-year-old female presents with periodic episodes of moody, erratic, impulsive, and violent behavior. The patients states these episodes have been occurring for the past several years with associated symptom-free periods that last greater than two months. Based on the patient’s history, which of the following is the most appropriate diagnosis?
6. Which of the following pneumonia vaccines is indicated for children between 2 to 5 years of age who have not previously been immunized?
7. Which of the following types of tumors of the genitourinary system is resistant to radiation therapy?
8. A 44-year-old male presents with headache, purulent drainage, fever, malaise, and pain in the face when bending over. Physical examination reveals tenderness to palpation of the sinuses and opacification of the sinuses with transillumination. Based on the patient’s presentation and physical examination, which of the following is the most appropriate diagnosis?
9. A newborn male infant presents with extreme cyanosis, hyperpnea, and agitation. Physical examination reveals clubbing of the fingers. Auscultation of the chest reveals increased right ventricle impulse at lower left sternal border and a loud S2. Based on the presentation and physical examination, which of the following is the proper diagnosis?
10. A 55-year-old male presents with headache, dizziness, weakness, fatigue, and blurred vision. Physical examination reveals systolic hypertension, engorged retinal veins, and splenomegaly. Bloodwork reveals hematocrit of 57%, elevated red cell mass, neutrophilic leukocytosis, increased basophils and eosinophils, and increased numbers of large, bizarre platelets. Based on the patient’s presentation, physical examination, and lab results, which of the following is the most appropriate diagnosis?
11. A 70-year-old female with a history of portal hypertension from chronic viral hepatitis presents with hematamesis. Endoscopy reveals dilatation of the veins of the esophagus. Based on the patient’s presentation and test results, which of the following is the most appropriate diagnosis?
12. Which of the following refers to the gastrointestinal disorder that is characterized by increased volume and frequency of stool?
13. A 9-year-old boy presents with sudden onset of severe testicular pain on the right side. Physical exam reveals a swollen scrotum. You suspect testicular torsion. Which of the following is the best diagnostic procedure in order to confirm this diagnosis?
14. A 16-year-old Asian male presents with chest pain and shortness of breath. Auscultation of the chest reveals loud S4 gallop, variable systolic murmur, and jugular venous pulsations with a prominent “a” wave. Chest X-ray is essentially normal. Echocardiogram reveals left ventricular hypertrophy, asymmetric septal hypertrophy, and a small left ventricle. Based on the patient’s presentation, physical examination, and test results, which of the following is the most appropriate diagnosis?
15. Which of the following vaccines is given as a series of four doses and is recommended for children aged 6 weeks to 15 months?
16. Centor Criteria were established in order to quickly diagnose the presence of streptococcal pharyngitis in adult patients who presented to an urban emergency room complaining of a sore throat. Which of the following accurately describe Centor Criteria indicating streptococcal infection?
17. A 33-year-old male presents with low-grade fever, anorexia, and malaise. He complains of back pain in the morning that lasts for more than 30 minutes. He states that long periods of inactivity make his pain worse and that his pain is relieved with exercise. Bloodwork is positive for HLA-B27 and lateral spine X-rays have a “bamboo” appearance of the vertebral spine and sacroiliac region. Which of the following is the most appropriate diagnosis?
18. 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?
19. A 26-year-old female presents to the Intensive Care Unit after developing hemorrhaging during childbirth. Bloodwork reveals an extremely elevated d-dimer level and prolonged PT. You diagnose this patient with disseminated intravascular coagulopathy. Which of the following substances is most important for treatment of this disorder?
20. A 44-year-old female presents with dizziness and syncopal episodes when transferring from a sitting to a standing position. Blood pressure in the sitting position is 130/80 mmHg. Blood pressure in the standing position is noted to be 90/50 mmHg. It is noticed that her pulse rate in the sitting position is 80 beats per minute, while it is 105 beats per minute when standing. Based on this information, which of the following is the cause of the patient’s postural hypotension?
21. Diseases involving defective bone mineralization, such as osteomalacia and rickets, are most often caused by a deficiency of which of the following vitamins?
22. 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?
23. A 68-year-old male presents with dull, aching discomfort in the hemiscrotum. Physical exam reveals a markedly swollen, very tender scrotal mass. Ultrasound exam confirms a diagnosis of epididymitis. Which of the following medications would you prescribe to treat this condition?
24. A 10-year-old boy presents with poor appetite, abdominal pain, nausea, and vomiting. Physical exam reveals hypertension and a palpable abdominal mass. Bloodwork reveals an elevated renin level. Ultrasound of the kidneys reveals a mass in the left kidney. Based on the patient’s presentation, physical exam, and test results, which of the following is the proper diagnosis?
25. The leading cause of blindness in adults is retinopathy. Which of the following lifestyle habits is most critical in preventing progression of retinopathy?

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