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 66-year-old female who has recently undergone radiation therapy for breast cancer presents with shortness of breath and reduced exercise capacity. Auscultation of the chest reveals right-sided rales. Chest X-ray shows mildly enlarged cardiac silhouette. Echocardiogram reveals mildly reduced left ventricular function. Based on the patient’s presentation, physical examination, and test results, which of the following is the most appropriate diagnosis?
2. 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?
3. A 55-year-old obese African-American male presents with sudden onset of chest tightness radiating to his back and left arm, along with nausea. Chest X-ray was normal, and electrocardiogram reveals normal sinus rhythm with ST segment elevation. Troponin level was 0.4. D-dimer level was 0.24. Pulse oximetry was normal at 100% on room air. Blood pressure was 160/80. Patient was administered nitroglycerin with no resolution of chest pain. Which diagnostic study would you perform and why?
4. A 46-year-old female presents with foul smelling, purulent sputum, hemoptysis, and chronic cough. She has had recurrent bouts of pneumonia. Auscultation of the chest reveals localized chest crackles and clubbing. High-resolution CT scan reveals dilated, tortuous airways. Based on the patient’s presentation, history, and test results, which of the following is the most accurate diagnosis?
5. Which of the following gastrointestinal disorders involves the invagination of a proximal segment of the bowel into the portion just distal to it?
6. 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?
7. Which of the following diagnostic techniques is successfully used to confirm the presence of fungus and confirm a diagnosis of dermatophytosis?
8. A 40-year-old female is diagnosed with labyrinthitis. Which of the following medications would you prescribe for treatment of this disorder?
9. 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?
10. A 9-year-old female presents with cough, excess sputum, sinus pain, nasal discharge, diarrhea, and abdominal pain. Physical examination reveals clubbing and apical crackles. Thin-section CT reveals bronchiectasis. Chest X-ray reveals hyperinflation and mucous plugging. Based on the patient’s presentation, history, and test results, which of the following is the most accurate diagnosis?
11. A 40-year-old white male with a history of diabetes presents for his annual physical examination. His blood pressure is moderately elevated at 150/90 mmHg. Diuretic therapy has proven to be ineffective in controlling the patient’s blood pressure. Which of the following is the class of medication you would prescribe to this patient to control his blood pressure?
12. A 26-year-old female presents with diarrhea, weight loss, weakness, and abdominal distention. You suspect Celiac disease. Which of the following clinical procedures would you perform to confirm the diagnosis?
13. Which of the following treatment options is indicated for a patient who was diagnosed with squamous cell carcinoma?
14. 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?
15. A 69-year-old male with a history of diabetes and hypertension presents for a routine annual physical exam. As part of a thorough physical exam, which lab test would you order to evaluate for kidney damage secondary to diabetes and hypertension?
16. Which of the following medications is indicated for long-term maintenance therapy of cardiogenic transient ischemic attacks?
17. Which of the following medications is indicated to reduce systemic arterial pressure for patients who have been diagnosed with pulmonary hypertension?
18. 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?
19. A 68-year-old African-American female presents with generalized weakness and fatigue, persistent low-grade fever, and shortness of breath. Lab work and radiographic exams lead to a diagnosis of sarcoidois. Which of the following is the proper course of treatment for this disorder?
20. 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?
21. A 37-year-old male construction worker presents with penetrating trauma to the left eye. Which of the following is the correct course of treatment?
22. Which of the following medications is the most appropriate treatment for gonorrhea for men and women?
23. A 61-year-old female presents with bleeding from the gums, epistaxis, menorrhagia, lethargy, and shortness of breath. Lab work reveals decreased white cells, decreased red cells, and 22% blasts. Urinalysis reveals hyperuricemia. Based on the patient’s presentation and lab results, which of the following is the most likely diagnosis?
24. A 68-year-old male presents with abdominal pain, bloating, belching, weight loss, and intermittent gastrointestinal bleeding. Bloodwork reveals irondeficiency anemia and elevated liver enzymes. Endoscopy reveals a neoplasm near the pylorus. Based on the patient’s presentation and test results, which of the following is the most appropriate diagnosis?
25. A 40-year-old HIV-positive male is diagnosed with pneumocystis pneumonia. Which of the following medications is appropriate for treatment of this disorder?