PANCE AND PANRE PEARLS (HIGH
FREQUENCY MATERIAL) EXAM REVIEW
QUESTIONS &TEST
"Barrett's esophagus refers to an abnormal change (______) in the cells of the inferior portion of the
esophagus."
(correct answers)"Metaplasia"
"The medical significance of Barrett's esophagus is its strong association with esophageal ________."
(correct answers)"adenocarcinoma"
"What is the BEST marker for Iron Deficiency anemia?"
(correct answers)"Ferritin"
"What is the first and second diagnostic test in pts with dysphagia?"
(correct answers)1- barium swallow
2- endoscopy
"Before taking a pt to surgery what must you have?"
(correct answers)"Tissue bx!"
,"Abdominal cancer mets is typically seen in the left supraclavicular node (called ________) via the
thoracic duct."
(correct answers)"Virchow's node"
"______ angina is typically brought on by exercise relieved with rest and nitro.", (correct
answers)"Stable"
"______ angina typically has pain at rest increased frequency, and change from previous angina."
(correct answers)"Unstable"
"Silent ischemia/atypical symptoms are seen in which populations?" (correct answers)"women, elderly,
diabetics"
"What is the treatment of angina?" (correct answers)MONA -->
Morphine
Oxygen
Nitro
ASA
,"What is the standard of care for CAD?" (correct answers)"PCI" --> Percutaneous coronary intervention
(PCI) is a non-surgical, invasive procedure with a goal to relieve the narrowing or occlusion of the
coronary artery and improve blood supply to the ischemic tissue
"_______ is caused by coxsackie B virus and is typically seen post-MI." (correct answers)"Pericarditis" is
swelling and irritation of the thin saclike membrane surrounding the heart (pericardium).
Pericarditis may be caused by a viral infection or heart attack. In many cases, the cause is unknown.
The most common symptom is sharp, stabbing chest pain that may travel to the left shoulder and neck.
Pericarditis usually begins suddenly but doesn't last long.
Most cases are mild and usually improve on their own. Treatment for more severe cases may include
medications and, rarely, surgery.
"Describe the characteristics of a pericardial friction rub."
*tip: Think of 2 material rubbing against each other in a certain position, may increase or decrease in
severity according to positions, what are they? (correct answers)"Sharp, stabbing pain relieved by sitting
up/leaning forward, worse with movement"
"Describe pleuritic pain." ?
**tips to help you think: pain at the level of the pleural tissues that line up the lungs and the chest due
to inflammation b/c of some type of causative agents such as:
"Coxsackieviruses, respiratory syncytial virus, influenza, parainfluenza, mumps, adenovirus,
cytomegalovirus, and Epstein-Barr virus are likely pathogens." (correct answers)"Sharp & severe pain
worse with deep inspiration and chest wall movement." may worsen with cough or sneeze and relieved
with shallow breathing
, "_______ has shearing pain often radiating to the back."
*tip to help you think:
age: average 70 y
M>F
assoc with long term smoking
deadly !! (correct answers)"Aortic dissection"
A tear in the inner layer of the large blood vessel branching off the heart (aorta).
An aortic dissection is a medical emergency in which the inner layer of the large blood vessel branching
off the heart (aorta) tears. It's most common in men in their 60s and 70s.
Symptoms include sudden, severe chest or upper back pain that radiates to the neck or down the back,
loss of consciousness, and shortness of breath.
*Treatment may include surgery and medication, such as beta blockers
"______ typically presents with burning retrosternal chest pain." (correct answers)"PUD"
"Acute _______ presents with sharp RUQ pain that comes and goes." (correct answers)"cholecystitis"
"The pain of _______ is relieved by leaning forward and pulling knees to chest. May radiate to the back
and be associated with N/V." (correct answers)"pancreatitis"
FREQUENCY MATERIAL) EXAM REVIEW
QUESTIONS &TEST
"Barrett's esophagus refers to an abnormal change (______) in the cells of the inferior portion of the
esophagus."
(correct answers)"Metaplasia"
"The medical significance of Barrett's esophagus is its strong association with esophageal ________."
(correct answers)"adenocarcinoma"
"What is the BEST marker for Iron Deficiency anemia?"
(correct answers)"Ferritin"
"What is the first and second diagnostic test in pts with dysphagia?"
(correct answers)1- barium swallow
2- endoscopy
"Before taking a pt to surgery what must you have?"
(correct answers)"Tissue bx!"
,"Abdominal cancer mets is typically seen in the left supraclavicular node (called ________) via the
thoracic duct."
(correct answers)"Virchow's node"
"______ angina is typically brought on by exercise relieved with rest and nitro.", (correct
answers)"Stable"
"______ angina typically has pain at rest increased frequency, and change from previous angina."
(correct answers)"Unstable"
"Silent ischemia/atypical symptoms are seen in which populations?" (correct answers)"women, elderly,
diabetics"
"What is the treatment of angina?" (correct answers)MONA -->
Morphine
Oxygen
Nitro
ASA
,"What is the standard of care for CAD?" (correct answers)"PCI" --> Percutaneous coronary intervention
(PCI) is a non-surgical, invasive procedure with a goal to relieve the narrowing or occlusion of the
coronary artery and improve blood supply to the ischemic tissue
"_______ is caused by coxsackie B virus and is typically seen post-MI." (correct answers)"Pericarditis" is
swelling and irritation of the thin saclike membrane surrounding the heart (pericardium).
Pericarditis may be caused by a viral infection or heart attack. In many cases, the cause is unknown.
The most common symptom is sharp, stabbing chest pain that may travel to the left shoulder and neck.
Pericarditis usually begins suddenly but doesn't last long.
Most cases are mild and usually improve on their own. Treatment for more severe cases may include
medications and, rarely, surgery.
"Describe the characteristics of a pericardial friction rub."
*tip: Think of 2 material rubbing against each other in a certain position, may increase or decrease in
severity according to positions, what are they? (correct answers)"Sharp, stabbing pain relieved by sitting
up/leaning forward, worse with movement"
"Describe pleuritic pain." ?
**tips to help you think: pain at the level of the pleural tissues that line up the lungs and the chest due
to inflammation b/c of some type of causative agents such as:
"Coxsackieviruses, respiratory syncytial virus, influenza, parainfluenza, mumps, adenovirus,
cytomegalovirus, and Epstein-Barr virus are likely pathogens." (correct answers)"Sharp & severe pain
worse with deep inspiration and chest wall movement." may worsen with cough or sneeze and relieved
with shallow breathing
, "_______ has shearing pain often radiating to the back."
*tip to help you think:
age: average 70 y
M>F
assoc with long term smoking
deadly !! (correct answers)"Aortic dissection"
A tear in the inner layer of the large blood vessel branching off the heart (aorta).
An aortic dissection is a medical emergency in which the inner layer of the large blood vessel branching
off the heart (aorta) tears. It's most common in men in their 60s and 70s.
Symptoms include sudden, severe chest or upper back pain that radiates to the neck or down the back,
loss of consciousness, and shortness of breath.
*Treatment may include surgery and medication, such as beta blockers
"______ typically presents with burning retrosternal chest pain." (correct answers)"PUD"
"Acute _______ presents with sharp RUQ pain that comes and goes." (correct answers)"cholecystitis"
"The pain of _______ is relieved by leaning forward and pulling knees to chest. May radiate to the back
and be associated with N/V." (correct answers)"pancreatitis"
