PANCE - PREP PEARLS Questions with 100% Correct Answers Updated this Year

PANCE - PREP PEARLS Questions
with 100% Correct Answers Updated
this Year
systolicA"ejection"Acrescendo-decrescendoAharshAmurmurAatARUSBAthatAradiatesAtoAcarotidsA-
AAnswerAaorticAstenosis


harshAdiastolicArumbleAmurmurAatAapexA(low)AinALLDAthatAmayAbeAprecededAbyAOPENINGA
SNAPAandAisAMCCAbyA________A-AAnswerAmitralAStenosis


rheumaticAheartAdisease


whatAisAaAdiastolicAdecrescendoAblowingAmurmurA@ALUSBAandAisAassociatedAwithAhammerA
rumbleA-AAnswerAaorticAregurgitation


note:A
wideApulseApressure
increasesAwithAhandgrip
decreasesAwithAamylAnitrate
+/-AaustinAflintAmurmurA=Amid-lateAdiastolicArumbleAatAapex


aorticAregurgitationA+AheadAbobbingA-AAnswerADeMussets


aorticAregurgitationA+AnailbedApulsationsA-AAnswerAQuinckeApulses


blowingAholosystolicAmurmurA@AapexAthatAradiatesAtoAaxillaA-AAnswerAmitralAregurgitation


note:
increasesAwithAhandgrip
decreasesAwithAamylAnitrate


midsystolicAejectionAclickAatAapexAisAcausedAbyAwhatA-AAnswerAmitralAvalveAprolapse

,note:AreassuranceAandAgoodAprognosisAinAasymptomaticAptsAorAwithAmildAsx


systolicAejectionAcrescendo-decrescendoAflowAmurmurAatAPULMONICAAREAA-
AAnswerAatrialAseptalAdefect


note:A
ostiumAsecundumAmostAcommonA
leftAtoArightAshuntA(noncyanotic)


continuousAmachineryAmurmurAthatAisAloudestAatApulmonicAareaA-
AAnswerApatentAductusAarteriosus


note:AleftAtoArightAshuntA(noncyanotic),AcontinuedAPGE2AproductionApromotesApatency,AIVAin
domethacinAifApretermAtoAcloseAPDA


systolicAmurmurAthatAradiatesAtoAtheAback/scapula/chest
increaseABPAupperA>AlowerAextermities
delayed/weakAfemoralApulsesA-AAnswerAcoarctationAofAaorta


alongAwithAcoarctationAofAaorta,A70%AalsoAhaveA____A-AAnswerAbicuspidAaorticAvalves


coarctationAofAaorta
CXRA-AAnswerAribAnotching




note:A
"3Asign"AonAbariumAswallow
angiogramAgoldAstandard
TxAballoonAangioplasty,APGE1


tetralogyAofAfallotAisAwhatAtypeAofAshunt?


WhatAareAtheAdefects

,1.
2.
3.
4.A-AAnswerArightAtoAleftA


1.AVSD
2.ARAventricularAhypertrophy
3.AoverridingAaorta
4.ApulmonicAstenosisA(RVAoutflowAobstruction)


(photo:Aboot-shapedAheart)


anti-arrhythmicAclasses
I
II
III
IV
VA-AAnswerAI-ANa+AchannelAblockersA(slowAconductionAvelocity)
Ia-Aprocainamide,AprolongsArepolarization
Ib-Alidocaine,AshortensArepolarization


II-AbetaAblockersA(propranolol,Ametoprolol,Aesmolol)


III-AK+AchannelAblockersA(K+ApreventsAefflux)


IV-ACCBA(verapamil,Adiltiazem)


V-Aothers,Aadenosine


atropineAisAfirstAlineAtreatmentAinA_________________A-AAnswerAbradycardia


adenosineAisAusedAforAtreatmentAinA________A-AAnswerAtachycardia

, causesAtransientAheartAblockAinAAVAnode
classAV


amiodaroneAisAusedAasAtreatmentAforA___________A-
AAnswerAsupraventricularAarrhythmiasA(classAIII)


blocksASA/AVAnode


EKG:AhowAcanAweAcalculateArateA-AAnswerA300-150-100-75-60-50


EKG:AwhichAleadAtoAlookAatAforAatrialAenlargementA-AAnswerAleadAII
leftAatrialAenlargement-A"m-shaped"APAwave
rightAatrialAenlargement-AtallAP


howAdoAbundleAbranchAblocksApresentAonAEKGA-AAnswerAleadsAV1*AandAV6
leftAbundleAbranchAblock-
AdownwardAdeflection;AdeepASAinAV1...whenAyouAturnAleft,AyouApullAtheAsteeringAwheelAdo
wn


rightAbundleAbranchAblock-AupwardAdeflection;ARsR'AinAV1...
whenAyouAturnAright,AyouApullAtheAsteeringAwheel/turnAsignalAup


epinephrineAandAnorepinephrineAareA_______AhormonesAthatA__________AHRA-
AAnswerAsympathetic,Aincrease


acetylcholineA(secretedAbyAvagusAn)AisA_________AhormoneAandAcausesA______AHRA-
AAnswerAparasympathetic,Adecereased


note:AvagalAmaneuversAdoAtheAsame;AholdAbreath,AbearAdown,AcarotidAmassage


whatAisAnormalAsinusArateA-AAnswerA60-100Abpm