PANCE/PANRE Exam 684 Questions with Verified Answers
Diabetes diagnosis - CORRECT ANSWER - polydipsia, polyphagia, polyuria
- symptomatic: random >200
- asymptomatic:
--- fasting >126
--- A1c: >6.5
--- Glucose >200 after gtt
serotonin syndrome - CORRECT ANSWER rapid onset, combo of 2+ serotonin
agonists or dose changes
- mental status change
- autonomic instability
- neuromuscular abnormalities
tx: benzos, hydration, cooling
prinzmetal angina - CORRECT ANSWER - cyclical chest pain secondary to
vasospasm
- long term management with CCBs (Nifedipine)
vesicoureteral reflux - CORRECT ANSWER -retrograde passage of urine from the
urinary bladder into the ureter
- causes UTI in 30-40% of toddlers
- congenital abnormality
- complications: renal scarring
- dx: ultrasound, voiding cystourethography
multiple sclerosis - CORRECT ANSWER inflammatory disease of CNS
- symptoms occuring in different parts of the body which are intermittent,
recurrent, and separated by time and space
- eyeballs: optic neuritis, intranuclear opthalmoplegia --> diplopia
- lhermitte sign: electrical shock-type sensation radiating down the back of the
neck with flexion
,worsening symptoms with temp changes
CSF: pleocytosis (50%), elevated gamma globulin
odansetron - CORRECT ANSWER selective 5-HT3 receptor antagonist (blocks
serotonin)
- QT prolongation
- peripheral activity in the GI tract
Henoch-Schonlein Purpura - CORRECT ANSWER prodrome of HA, pharyngitis,
fever, anorexia
- US
- intussusception
- palpable purpura of lower extremities and buttocks
Myasthenia gravis - CORRECT ANSWER - muscles weaken & fatigue, which is the
hallmark
- ptosis, diplopia, blurred vision
- symptoms resolve with ice bag test
- autoantibodies block Ach binding sites
Jefferson fx - CORRECT ANSWER disruption of C1 ring
- odontoid view
hangman's fracture - CORRECT ANSWER C2 vertebral body fx with anterior
subluxation
Scheuermann's Disease - CORRECT ANSWER schmorl's nodes on x-ray
nucleus pulposus herniates into vertebral body
Straight lef raise for lumbar radiculopathy - CORRECT ANSWER Lasegue's sign:
ankle dorsiflexion worsens pain
Ligaments affected in AC separations - CORRECT ANSWER coraco-acromial
ligament and coraco-clavicular ligament
,DeQuervain's Tenosynovitis - CORRECT ANSWER -stenosing tenosynovitis in 1st
dorsal compartment
- extensor pollicus lbrevis, abductor pollicis longus
- finkelstein test
scaphoid fracture - CORRECT ANSWER retrograde flow from radial artery
- snuff box tenderness
- high rate of non-union
bugs in boxers fx - CORRECT ANSWER - eikenella corrodens
- staphylococcus
- streptococcus
inability to flex DIP - CORRECT ANSWER jersey finger
inability to extend DIP - CORRECT ANSWER mallet finger
- stax splint
- ruptured extensor tendon
inability to extend PIP - CORRECT ANSWER buotonniere
hyperextension PIP with flexed DIP - CORRECT ANSWER swan neck deformity
gamekeeper's thumb - CORRECT ANSWER - UCL injury
- thumb spica splint
compartment syndrome dx - CORRECT ANSWER Diastolic BP - compartment
pressure = delta P
- delta P > 30mmhg = fasciotomy indicated
hip dislocations - CORRECT ANSWER 90% are posterior
unhappy triad - CORRECT ANSWER ACL, mcl, medial meniscus
lisfranc - CORRECT ANSWER fx dislocation at TMT
- ecchymosis on plantar aspect
, most frequently ruptured tendon - CORRECT ANSWER achilles
- grastroc + soleus
- positive thompson test
- acute tear = pain
- chronic = weakness
mc primary malignant bone tumor - CORRECT ANSWER osteosarcom
Heberdene's nodes - CORRECT ANSWER DIP
rheumatoid spares DIPs
bouchard nodes - CORRECT ANSWER PIP
anti-ccp - CORRECT ANSWER 96% sensitive for RA
sjogrens labs - CORRECT ANSWER anti-ssa, anti-ssb
CREST serology - CORRECT ANSWER anti-centromere
MOA colchicine - CORRECT ANSWER inhibits neutrophils from entering joint in
gout
MOA allopurinol - CORRECT ANSWER blocks uric acid production
- precipitates gouty attach
erythema migrans - CORRECT ANSWER - target rash
- within 30 days of tick bite
"marginal erosions with juxta-articular demineralization" - CORRECT ANSWER
radiology for RA
CREST syndrome - CORRECT ANSWER calcinosis
raynauds
esophageal dysmotility
sclerodactyly
telangiectasias
Diabetes diagnosis - CORRECT ANSWER - polydipsia, polyphagia, polyuria
- symptomatic: random >200
- asymptomatic:
--- fasting >126
--- A1c: >6.5
--- Glucose >200 after gtt
serotonin syndrome - CORRECT ANSWER rapid onset, combo of 2+ serotonin
agonists or dose changes
- mental status change
- autonomic instability
- neuromuscular abnormalities
tx: benzos, hydration, cooling
prinzmetal angina - CORRECT ANSWER - cyclical chest pain secondary to
vasospasm
- long term management with CCBs (Nifedipine)
vesicoureteral reflux - CORRECT ANSWER -retrograde passage of urine from the
urinary bladder into the ureter
- causes UTI in 30-40% of toddlers
- congenital abnormality
- complications: renal scarring
- dx: ultrasound, voiding cystourethography
multiple sclerosis - CORRECT ANSWER inflammatory disease of CNS
- symptoms occuring in different parts of the body which are intermittent,
recurrent, and separated by time and space
- eyeballs: optic neuritis, intranuclear opthalmoplegia --> diplopia
- lhermitte sign: electrical shock-type sensation radiating down the back of the
neck with flexion
,worsening symptoms with temp changes
CSF: pleocytosis (50%), elevated gamma globulin
odansetron - CORRECT ANSWER selective 5-HT3 receptor antagonist (blocks
serotonin)
- QT prolongation
- peripheral activity in the GI tract
Henoch-Schonlein Purpura - CORRECT ANSWER prodrome of HA, pharyngitis,
fever, anorexia
- US
- intussusception
- palpable purpura of lower extremities and buttocks
Myasthenia gravis - CORRECT ANSWER - muscles weaken & fatigue, which is the
hallmark
- ptosis, diplopia, blurred vision
- symptoms resolve with ice bag test
- autoantibodies block Ach binding sites
Jefferson fx - CORRECT ANSWER disruption of C1 ring
- odontoid view
hangman's fracture - CORRECT ANSWER C2 vertebral body fx with anterior
subluxation
Scheuermann's Disease - CORRECT ANSWER schmorl's nodes on x-ray
nucleus pulposus herniates into vertebral body
Straight lef raise for lumbar radiculopathy - CORRECT ANSWER Lasegue's sign:
ankle dorsiflexion worsens pain
Ligaments affected in AC separations - CORRECT ANSWER coraco-acromial
ligament and coraco-clavicular ligament
,DeQuervain's Tenosynovitis - CORRECT ANSWER -stenosing tenosynovitis in 1st
dorsal compartment
- extensor pollicus lbrevis, abductor pollicis longus
- finkelstein test
scaphoid fracture - CORRECT ANSWER retrograde flow from radial artery
- snuff box tenderness
- high rate of non-union
bugs in boxers fx - CORRECT ANSWER - eikenella corrodens
- staphylococcus
- streptococcus
inability to flex DIP - CORRECT ANSWER jersey finger
inability to extend DIP - CORRECT ANSWER mallet finger
- stax splint
- ruptured extensor tendon
inability to extend PIP - CORRECT ANSWER buotonniere
hyperextension PIP with flexed DIP - CORRECT ANSWER swan neck deformity
gamekeeper's thumb - CORRECT ANSWER - UCL injury
- thumb spica splint
compartment syndrome dx - CORRECT ANSWER Diastolic BP - compartment
pressure = delta P
- delta P > 30mmhg = fasciotomy indicated
hip dislocations - CORRECT ANSWER 90% are posterior
unhappy triad - CORRECT ANSWER ACL, mcl, medial meniscus
lisfranc - CORRECT ANSWER fx dislocation at TMT
- ecchymosis on plantar aspect
, most frequently ruptured tendon - CORRECT ANSWER achilles
- grastroc + soleus
- positive thompson test
- acute tear = pain
- chronic = weakness
mc primary malignant bone tumor - CORRECT ANSWER osteosarcom
Heberdene's nodes - CORRECT ANSWER DIP
rheumatoid spares DIPs
bouchard nodes - CORRECT ANSWER PIP
anti-ccp - CORRECT ANSWER 96% sensitive for RA
sjogrens labs - CORRECT ANSWER anti-ssa, anti-ssb
CREST serology - CORRECT ANSWER anti-centromere
MOA colchicine - CORRECT ANSWER inhibits neutrophils from entering joint in
gout
MOA allopurinol - CORRECT ANSWER blocks uric acid production
- precipitates gouty attach
erythema migrans - CORRECT ANSWER - target rash
- within 30 days of tick bite
"marginal erosions with juxta-articular demineralization" - CORRECT ANSWER
radiology for RA
CREST syndrome - CORRECT ANSWER calcinosis
raynauds
esophageal dysmotility
sclerodactyly
telangiectasias
