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

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 System (Male and Female) 5%
Hematologic System 5%
Infectious Diseases 6%
Musculoskeletal System 8%
Neurologic System 7%
Psychiatry/Behavioral Science 6%
Pulmonary System 10%
Renal System 5%
Reproductive System (Male and Female) 7%

 

The task categories tested and the weight each is given on the exam are as follows:

Task Categories % Allocation:

History Taking and Performing Physical
Examination 17%
Using Diagnostic and Laboratory Studies 12%
Formulating Most Likely Diagnosis 18%
Managing Patients 0%
Health Maintenance, Patient Education, and Preventive Measures 10%
Pharmaceutical Therapeutics 14%
Clinical Intervention 14%
Applying Basic Scientific Concepts 10%
Professional Practice 5%

Related: Physician Assistant (PANCE) Practice Test 1

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Physician Assistant (PANCE) Practice Test 2

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25 Questions

1. 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?

Acute lymphocytic leukemiaAcute myologenous leukemiaHodgkin’s lymphomaThrombocytopeniaPolycythemia vera

2. A 26-year-old female presents with episodes of unexplained muscle weakness and muscle fatigue that fluctuate throughout the day and are resolved with rest. She also complains of double vision and difficulty chewing. Lab work reveals elevated levels of circulating acetylcholine receptor antibodies. Physical examination reveals ptosis, normal sensation in the limbs, and no reflex changes. Based on the patient’s presentation and physical examination, which of the following is the most appropriate diagnosis?

Bell’s palsyDiabetic peripheral neuropathyMyasthenia gravisFibromyalgiaGuillain-Barré syndrome

3. Which of the following radiologic imaging modalities is required to differentiate between ischemic and hemorrhagic strokes?

AngiogramMRICT scanPET scanUltrasound

4. A 60-year-old female who is being treated for pneumonia and a history of diabetes presents with a sudden high fever, difficulty swallowing, sore throat, and drooling. You need to rule out epiglottitis, which is a potentially life-threatening infection. Which of the following diagnostic procedures would you do immediately?

CT scan of the neckBacterial cultureMRI of the neckUltrasound of the neckX-ray of the neck

5. 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?

Dilated cardiomyopathyPulmonary hypertensionHypertrophic cardiomyopathyRestrictive cardiomyopathyCongestive heart failure

6. A 6-year-old female presents with pain in the distal radius after falling on her outstretched hand. Her X-ray depicts a buckle or bulge on one side of the distal radius, about 3 cm from the end. Based on the type of injury and the radiographic evidence, which of the following types of fractures is illustrated on this girl’s X-ray?

Torus fractureGreenstick fractureColles’s fractureSmith’s fractureOpen fracture

7. A 70-year-old male presents with chest pain and shortness of breath. Physical examination and auscultation reveal low-intensity pulse in the carotid arteries. Chest X-ray shows fluid in the lungs. Echocardiogram reveals a calcified, poorly functioning aortic valve. Which of the following is the correct diagnosis?

Pulmonary embolismPericarditisMitral valve prolapseAortic stenosisCarotid stenosis

8. A 27-year-old Asian male presents to the emergency room in an unresponsive state. Blood pressure is reduced at 80/50 mmHg. Auscultation of the chest reveals a rapid, irregular heart rhythm. The patient’s electrocardiogram is illustrated below. Based on the patient’s ancestry and clinical presentation, this patient suffers from which of the following disorders?"

Hypoplastic left heart syndromeLong Q-T syndrome  Sick sinus syndromeWolff-Parkinson-White syndromeBrugada syndrome

9. Which of the following medications is the most appropriate treatment for gonorrhea for men and women?

PenicillinAcyclovirCeftriaxoneChloroquineMebendazole

10. 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?

Small bowel biopsyBarium enemaCT scan of the abdomenColonoscopyGastrointestinal bleeding study

11. Which of the following radiologic imaging modalities are useful to differentiate frontotemporal dementia from Alzheimer’s disease?

AngiographyCT scanPET scanUltrasoundMRI

12. Patients who are treated with monoamine oxidase inhibitors (MAOIs) are advised to stay away from foods that contain which of the following compounds?

ArginineQuercetinHistamineTyramineGlutamine

13. Which of the following courses of treatment would you prescribe for treatment of a buckle fracture of the distal radius?

Pinning in situClosed reductionImmobilization in a castOsteotomyOpen-reduction internal fixation

14. A 28-year-old male presents with bright red, raspberry-like nodules on the forearm after removal of a cast to heal a fracture of the ulna. You diagnose these nodules as pyogenic granulomas. Which of the following treatment options would you suggest for treatment of this disorder?

Cauterization with silver nitrateExcisionInjection of vasoconstricting agentsCryosurgeryTopical steroids

15. A healthy 28-year-old male presents with severe itching on the palms of the hands and the soles of the feet. Upon examination, the patient exhibits a very deep, blistering “tapioca pudding” rash on these areas. What is the appropriate diagnosis from this examination?

Stasis dermatitisContact eczemaDyshidrotic eczemaNeurodermatitisSeborrheic eczema

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?

Fever of greater than 100.4°F, tender anterior cervical adenopathy, productive cough, and pharyngotonsillar exudatesLack of fever, tender anterior cervical adenopathy, lack of cough, and pharyngotonsillar exudatesLack of fever, tender anterior cervical adenopathy, productive cough, and pharyngotonsillar exudatesFever of greater than 100.4°F, tender anterior cervical adenopathy, lack of cough, and pharyngotonsillar exudatesFever greater than 100.4°F, dry non-productive cough, sinus pain, and pharyngotonsillar exudates

17. 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?

Treat with anti-immunoglobulinTreat with corticosteroidsTreat with antibioticsTreat with anti-inflammatoriesTreat with diuretics

18. A 50-year-old obese white male presents with chest pain, shortness of breath, and non-specific headache. Physical examination reveals his blood pressure to be 240/140 mmHg. Which of the following refers to the disorder that is characterized by blood pressure readings of this range?

Primary hypertensionEssential hypertensionHypertensive urgencyHypertensive emergencyMalignant hypertension

19. A 59-year-old female presents with persistent nausea and an excessively full feeling after meals. The patient was prescribed prokinetic medications, which partially relieved her symptoms. Based on the patient’s presentation and response to medication, which of the following is the most appropriate diagnosis?

Peptic ulcer diseaseDelayed gastric emptyingGastroesophageal reflux diseaseGastritisDuodenal ulcer

20. A 40-year-old HIV-positive male is diagnosed with pneumocystis pneumonia. Which of the following medications is appropriate for treatment of this disorder?

CefadroxilBactrimDoxycyclineClarithromycinErythromycin

21. 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?

CeftriaxoneACE inhibitorsCiprofloxacinAmoxicillinTolterodine

22. Which of the following medications is used as treatment for generalized nonconvulsive, or absence, seizures?

FelbamateValproic AcidGabapentinClonazepamPhenytoin

23. 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?

Urinalysis for hematuriaUrinalysis for proteinuriaBlood urea nitrogenUrinalysis for pyuriaGlomerular filtration rate

24. A 36-year-old female presents with progressive hearing loss, tinnitus, and dizziness. You diagnose this patient with Meniere’s disease. Which of the following treatment options would you prescribe for treatment of this disorder?

Diuretics and salt restrictionVasopressin analogOtic antibacterial dropsOral antibioticsIntravenous antibiotics

25. A 26-year-old female is diagnosed with tinea versicolor. Which of the following treatments is required to prevent recurrence of yeast growth on the skin?

Head-to-waist application of 1% lindane lotionHead-to-waist application of topical corticosteroidsHead-to-waist application of isopropyl alcoholHead-to-waist application of selenium sulfide shampooHead-to-waist application of topical insecticides