Listen to Podcast Episode 105: Ten PANCE, PANRE, and Rotation Review Questions
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Welcome to episode 105 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast.
Join me today as we cover ten board review questions for your PANCE, PANRE, EOR, and EOC exams.
Links from today's episode:
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Review systemic lupus erythematosus (SLE)
Review the diabetes diagnostic guidelines
Review gestational diabetes screening guidelines
Review basal cell carcinoma and our comparison tables of the Blueprint dermatologic neoplasms
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Interactive exam to complement today's podcast
1. A 68-year-old male farmer presents with a flesh-colored papule with a rolled border located on the right side of his forehead. As you examine the lesion closely, you notice something else about the lesion. Which of the following physical exam findings would make you more suspicious of malignancy?
A. Telangiectasia
B. Nikolsky sign
C. Hypopigmentation
D. Tenderness to palpation
E. Central umbilication
Answer and topic summary
The answer is A. Telangiectasia
The patient has basal cell carcinoma, which is a skin cancer with low metastatic potential. It commonly occurs on the face (70% of the time). There are different types of BCC (nodular vs. superficial vs. infiltrative). However, nodular is the most common (80%) and typical characteristics you may see include a papule with a rolled border, pearly-like look, flesh-colored, and telangiectasia. Risk factors for BCC include UV radiation, certain genes, inherited disorders, etc.
Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Dermatology ⇒ Dermatologic Neoplasms ⇒ Basal cell carcinoma
Also covered as part of the General Surgery EOR and Family Medicine EOR topic list
2. Which of the following is the most common type of elder abuse?
A. Neglect
B. Emotional abuse
C. Physical abuse
D. Sexual abuse
E. Financial exploitation
Answer and topic summary
The answer is A. Neglect
The most common type of elder abuse is neglect, which refers to the failure of a trusted person to protect an older person from harm or provide for their needs. Self-neglect is also common, which is when an older person can’t proide their own care. Some warning signs include bruising, lacerations, skin tears, spiral fractures, malnutrition, pressure ulcers, and dehydration. If you even suspect an older adult is being neglected, you should report this immediately to adult protective services (or similar agencies) and treat the medical complications immediately.
Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Psychiatry ⇒ Abuse and Neglect ⇒ Child/elder abuse
3. Which of the following is the most common bacterial cause of a hordeolum?
A. Streptococcus pyogenes
B. Staphylococcus aureus
C. Clostridium perfringens
D. Propionibacterium species
E. Enterobacter aerogenes
Answer and topic summary
The answer is B. Staphylococcus aureus
A hordeolum (stye) is an abscess of the eyelid ...