the PANCE
Exam
2026
Questions and Answers
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1. Boas Sign Right subscapular pain resulting from cholelithiasis
2. Charcot's Triad RUQ pain, fever, jaundice in cholangitis.
3. Gilberts Syndrome Genetic Disease
Presents as transient episodes of jaundice in kids
Labs show elevated free unconjugated bilirubin?
4. MCC of acute lower GI bleeds Diverticulosis
5. MC Area affected by diverticulitis sigmoid colon
6. First Line ABX for Diverticulitis Amoxicillin/clavulanate (Augmentin)
7. What should be suspected in a pa- Toxic Megacolon
tient with systemic toxicity (fever,
tachycardia, hypotension) and colon
dilation >6 cm?
8. First Line Treatment for Ulcerative 5-ASA (mesalamine)
Colitis
9. Seen on Barium Enema for Ulcera- Loss of Haustral Markings
tive Colitis
10. Colonoscopy for Crohn's Disease Skip Lesions & Cobblestone Appearance
2026
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11. MC Segment of GI tract affected by Terminal Ileum
Crohn's Disease
12. Definitive Diagnostics for Chronic CTA
Mesenteric Ischemia
13. Type of Adenomatous Colonic Polyp Villous
has highest risk of becoming cancer-
ous
14. Colon Cancer Tumor Marker CEA
15. Hallmark Clinical Presentation of Dysphagia to liquids and solids
Achalasia
16. EGD for Eosinophilic Esophagitis Stacked rings
17. Excessive ETOH & Mass in proximal Squamous Cell Carcinoma
esophagus
18. GERD & Mass in the Distal Esopha- Barrett's (Adenocarcinoma)
gus
19. Zenker Diverticulum
2026
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Clinical Presentation = halitosis, dys-
phagia, regurgitation of undigested
food
Barium enema will show what?
20. First Line treatment for esophageal CCB
spasm
21. Treatment for any type of spasm CCB
22. Plummer-Vinson Syndrome Iron Deficiency Anemia
Cervical Esophageal Webs
Dysphagia
23. First Line Rx for Esophageal Varices Octreotide
24. Prophylaxis for rebleed in BB (Nadolol & Propanolol)
esophageal varices
25. PUD that improves with food Duodenal
26. Dermatitis Herpetiformis Celiac disease
27. Quadruple Therapy PPI, bismuth, tetracycline, metronidazole
28. Triple THerapy
2026