Welcome to episode 90 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast.
Join me as I cover ten PANCE, PANRE and EOR review questions from the Smarty PANCE Instagram/Facebook page and the smartypance.com board review website.
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Below you will find an interactive exam to complement today's podcast.
The Audio PANCE/PANRE and EOR PA Board Review Podcast
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Podcast Episode 90: Ten PANCE/PANRE and EOR Blueprint Questions
1. A 32-year-old male presents with acute ascending symmetrical paralysis and diminished reflexes in his bilateral lower extremities. He has a history of bloody diarrhea a few days ago. What did he likely eat that led to his symptoms?
A. Uncooked rice
B. Mayonnaise
C. Uncooked chicken
D. Soft unpasteurized cheese
E. None of the above
Click here to see the answer
C. Uncooked Chicken
This patient has Guillain-Barré Syndrome (GBS), an acute immune-mediated polyneuropathic disorder. Clinical features include ascending symmetrical paralysis, diminished tendon reflexes, and respiratory muscle weakness.
GBS is typically precipitated by an infection. Campylobacter jejuni infection is the most common precipitant of GBS. It is commonly found in uncooked poultry.
Cerebrospinal fluid analysis helps confirm the diagnosis. Treatment includes plasmapheresis and IV immune globulin.
View lesson: Guillain-Barré Syndrome
2. Which of the following disorders is characterized by a scaly, rough erythematous patch that appears on sun-exposed areas?
A. Seborrheic keratosis
B. Keratosis pilaris
C. Actinic keratosis
D. Lichen planus
E. Pityriasis rosea
Click here to see the answer
Answer: C. Actinic keratosis
Actinic keratosis (AK) is a skin lesion that results from atypical keratinocyte proliferation. Risk factors include UV radiation, fair skin, and sunburns.
AK can present in various ways, but classically you will see an erythematous, scaly macule, papule, or plaque. A shave or punch biopsy can confirm the diagnosis. However, AK is often diagnosed clinically.
Treatment depends on the location and extent of the condition. Options include cryotherapy, fluorouracil, and imiquimod. It is important to remember that AK can develop into SCC.
View Lesson: Actinic keratosis (AK)
3. A 42-year-old male is admitted for typical pneumonia. He is given IV azithromycin and ceftriaxone. His QT interval becomes prolonged and he develops a polymorphic ventricular tachycardia. Which of the following is the most appropriate pharmacological management?
A. Intravenous calcium gluconate
B. Intravenous magnesium sulfate
C. Intramuscular epinephrine
D. Oral amiodarone
E. Oral procainamide
Click here to see the answer
B. Intravenous magnesium sulfate
The patient developed torsades de pointes (Tdp), which is a specific type of polymorphic ventricular tachycardia in patients with a long QT interval. It is a ventricular dysrhythmia characterized by rapid (>100 bpm), irregular, wide QRS complexes that vary in size and shape. Diagnosis is made via EKG.
Examples of meds that prolong the QT interval include antiarrhythmics (amiodarone, sotalol), antimicrobials (fluoroquinolones, macrolides),