PANCE practice test Questions and
Answers.
What do pirmented granular "muddy" casts indicate in the setting of oliguria? -
\Acute tubular necrosis
How can hyperphosphatemia be treated? -
\aluminum hydroxide
What is the genetic basis for a patient with disproportionately small legs and arms,
frontal bossing and mindfacial hypoplasia? -
\autosomal recessive
Besides extreme growth what other symptoms can a patient with acromegaly have? -
\headaches, visual field defects, weakness, soft doughy hands, and amenorrhea
**kids have giganticism
What is the cause of acromegaly? -
\Excess growth hormone
How should X-rays be done to diagnosis SCFE (slipped femoral epiphysis)? -
\Frog leg position
What are the personality characterisitics of schizoid personality disorder? -
\restricted range of emotion, being a loner, chosing solitary activities
What drugs are used to help treat the bradykinesia of Parkinson's? -
\amantadine, levodopa, selective MOAis
How do anticholinergics help treat Parkinson's? -
\they help treat the tremor and rigidity
What are the findings associated with intussusception? -
\presents 6-18 months of age
drawing up of the knees
currant jelly stool
sausage-shaped mass in upper abdomen
Wha tis the most common cause of subacute endocarditis -
\Strep. viridans
In adults without significant risk factors how often should fasting lipid profiles be
obtained? -
\every 5 years
, How is Raynaud's disease treated? -
\CCBs
What are Janeway's lesions? -
\small hemorrhagic lesions on the skin seen in endocarditis
What are Osler's nodes? -
\painful red, raised lesion seen in endocardititis
What are Roth's spots? -
\exudative retinal lesions seen in endocarditis
A pancytopenia with circulating blasts is characteristic of______________ -
\acute leukemia
How is acute myeloid leukemia differentiated from lymphoblastic leukemia? -
\Auer's rods or myeloid enzymes like peroxidase are seen in AML
What geene is associated with chronic myeloid leukemia? -
\bcr/abl gene and phildelphia chromosome
What are the treatments of acute-closure glaucoma? -
\IV acetazolamide, possibly mannitol if very severe, later topical pilocarpine can be used
to reverse underlying angle closure and later surgery iridotomy/iridectomy
How does IgA nephropathy present? -
\usually after URI and presents with hematuria and proteinuria
Dorsal angulation of the wrist is commonly seen in___________ -
\Colle's fracture
What drugs should be avoided in patients with G6PD deficiency? -
\sufa-containing drugs like Bactrim, nirtorfurantoin, because they can cause hemolytic
crisis
What infection is associated with Guillan Barre? -
\Campylobacter
What causes molluscum contagiosum? -
\poxvirus
Posterior cerebral artery occlusion can cause what neurological manifestation? -
\Alexia- inability to understand written words
Middle cerebral artery occlusion can cause what neurological manifestation? -
Answers.
What do pirmented granular "muddy" casts indicate in the setting of oliguria? -
\Acute tubular necrosis
How can hyperphosphatemia be treated? -
\aluminum hydroxide
What is the genetic basis for a patient with disproportionately small legs and arms,
frontal bossing and mindfacial hypoplasia? -
\autosomal recessive
Besides extreme growth what other symptoms can a patient with acromegaly have? -
\headaches, visual field defects, weakness, soft doughy hands, and amenorrhea
**kids have giganticism
What is the cause of acromegaly? -
\Excess growth hormone
How should X-rays be done to diagnosis SCFE (slipped femoral epiphysis)? -
\Frog leg position
What are the personality characterisitics of schizoid personality disorder? -
\restricted range of emotion, being a loner, chosing solitary activities
What drugs are used to help treat the bradykinesia of Parkinson's? -
\amantadine, levodopa, selective MOAis
How do anticholinergics help treat Parkinson's? -
\they help treat the tremor and rigidity
What are the findings associated with intussusception? -
\presents 6-18 months of age
drawing up of the knees
currant jelly stool
sausage-shaped mass in upper abdomen
Wha tis the most common cause of subacute endocarditis -
\Strep. viridans
In adults without significant risk factors how often should fasting lipid profiles be
obtained? -
\every 5 years
, How is Raynaud's disease treated? -
\CCBs
What are Janeway's lesions? -
\small hemorrhagic lesions on the skin seen in endocarditis
What are Osler's nodes? -
\painful red, raised lesion seen in endocardititis
What are Roth's spots? -
\exudative retinal lesions seen in endocarditis
A pancytopenia with circulating blasts is characteristic of______________ -
\acute leukemia
How is acute myeloid leukemia differentiated from lymphoblastic leukemia? -
\Auer's rods or myeloid enzymes like peroxidase are seen in AML
What geene is associated with chronic myeloid leukemia? -
\bcr/abl gene and phildelphia chromosome
What are the treatments of acute-closure glaucoma? -
\IV acetazolamide, possibly mannitol if very severe, later topical pilocarpine can be used
to reverse underlying angle closure and later surgery iridotomy/iridectomy
How does IgA nephropathy present? -
\usually after URI and presents with hematuria and proteinuria
Dorsal angulation of the wrist is commonly seen in___________ -
\Colle's fracture
What drugs should be avoided in patients with G6PD deficiency? -
\sufa-containing drugs like Bactrim, nirtorfurantoin, because they can cause hemolytic
crisis
What infection is associated with Guillan Barre? -
\Campylobacter
What causes molluscum contagiosum? -
\poxvirus
Posterior cerebral artery occlusion can cause what neurological manifestation? -
\Alexia- inability to understand written words
Middle cerebral artery occlusion can cause what neurological manifestation? -
