PANCE flashcards I.txt

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PANCE flashcards I.txt
2013-05-04 20:38:31

Some questions that I came across on practice PANCE exams
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  1. A rash in the antecubital fossa with lesions on elbows and knees that are silvery with fine scale and positive auspitz sign
  2. 42 y.o. healthy male with acute cough right sided CP with inspiration, a fever and history of single shaking chill. Localized rales in the right lung base what is the eitiology of his pneumonia?
    Strep Pneumo
  3. Microscopic hematuria with abdominal ultrasound that demonstrates multiple bilateral fluid collections within the kidneys
    Polycystic Kidney disease
  4. Drug of choice for Mycoplasma pneumonia in pregnancy is
  5. According to the parkland formula for burns of the total fluid requirements during the first 24 hrs after a burn, one half (50%) of the fluid should be administered in the first ___ hrs
  6. A pt with congenital notching of the maxillary incisiors most likely had a history of ___ congenitally
  7. A 21 y.o. F w/ triangular fold f tissue extending from the medialconjunctiva to the cornea
  8. 5 y.o. F is brought to you b/c parents have noticed increasing ataxia over the past 2wks and an MRI of the brain demonstrates a mass arising from the roof of the fourth ventricle what is the most likely diagnosis?
  9. What arrhythmia is commonly associated with adam-stokes syncope?
    AV block- third degree
  10. Which is the most common childhood malignancy?
    Acute lymphoblastic leukemia (ALL)
  11. Bluish cervix from vaginal/cervical cyanosis in early pregnancy is called __
    Chadwicks sign
  12. Brushfield spots are associated with what congenital condition?
    Downs syndrome
  13. A 5 y.o. w/ large forehead, broad nasal bridge, wide-spaced eyes, small low-set ears and broad protruding tounge. Short broad hands with curvature of the fifth finger. On ophthalmic exam you notice brushfield spots what is the most likely diagnosis?
    Downs Syndrome
  14. Electrical alternans occurs with what condition
    Pericardial effusion
  15. A pt driving through middle America decides to sleep in a farmhouse. During the night he experiences abrupt onset of fever, cough, SOB. Two days after leaving he is much better but presents for evaluation anyway. CXR is normal pt is asymptomatic on presentation what is the likely pathogen?
  16. 2 wks after prescribing a course of beta-lactam abx, your pt returns complaining of severe and diffuse arthralgias what type of hypersensitivity reaction is this?
    Type III
  17. What is the pathognomonic feature of MAT on EKG?
    Greater than three different P waves with varying PR intervals
  18. A newborn infant demonstrates hypoplasia of the distal phalanges, small nails, and a flat nasal bridge with cleft palate what drug during pregnancy could be responsible?
  19. Heberdens nodes are found with what condition?
  20. Rubber industry workers are at risk for what type of carcinoma?
    Bladder carcinoma
  21. A newborn infant begins vomiting within hours after birth. You note progressive distention of the abdomen. An abdominal X-ray demonstrates a double-bubble gas shadow. What is the most likely diagnosis?
    Duodenal atresia
  22. In a classic case what is the earliest manifestation of mitral valve stenosis?
    Dyspnea on exertion
  23. What two valves are most commonly involved in cases of rheumatic heart disease?
    Aortic and mitral
  24. Auer rods are indicative of
    Acute myelogenous leukemia (AML)
  25. The most common arrhythmia of myocardial ischemia, observed in approximately 90% of pts suffering an acute MI is ____
    Premature ventricular complexes
  26. A 42 y.o. rt hadn dominant female presents c/o 2 wk hx of progressive pain in her rt thumb and wrist. She has recently started crocheting, denies fall, pain is markedly exacerbated when she places her right thumb into the palm of her hand and passively moves her hand in the ulnar direction. Her most likely diagnosis is ___
    DeQuervains tenosynovitis
  27. A basal cell carcinoma most commonly presents as a ___
    Papule with rolled boarders and telangetasia
  28. What is first line tx for an 11 yo w/ acute sinusitis and no allergies>?
  29. A patient notes a sudden painful loss of vision in one eye. Opthalmic examination reveals flame shaped hemorrhages what is the dx?
    Central retinal vein occlusion
  30. Pretibial myxedema is most commonly associated with ____
  31. An apical presystolic murmur is auscultated in a pt. His echo reveals vibration of his mitral valve secondary to massive aortic regurgitation what is the name of the condition?
    Ventricular gallop
  32. Fracture of the distal third of the humerus results in a pt who cannot extend their wrist what nerve was damaged?
    Radial nerve
  33. A 17 y.o. M presents complaining of SOB after being hit on sternum by helmet during football. On exam his BP at end expiration is 142/89 and at end inspiration is 107/86. What condition does he most likely have?
    Acute pericardial effusion
  34. The Somogyi effect is ___
    Early morning hyperglycemia in an insulin dependent diabetic that is secondary to reactive hypoglycemia.
  35. What class of antihypertensive drugs is least likely to cause impotence?
    Calcium antagonists
  36. Two days after receiving the antimalarial drug primaquine, a 27 y.o. black M develops sudden intravascular hemolysis resulting in decreased hematocrit, hemoglobinemia, and hemoglobinuria. Examination of the peripheral blood reveals erythrocytes with membrane defect forming bite cells; when crystal violet stain was applied, many Heinz bodies were seen. The most likely diagnosis is ___
    Glucose 6-phosphate dehydrogenase deficiency
  37. __ is a vasculitis also called pulseless disease, which occurs most commonly in young, Asian women, with involvement of the aortic arch and abdominal aorta
    Takyasus arteritis
  38. A triad which includes severe rheumatoid arthritis, cytopenia and splenomegaly is termed ___
    Feltys syndrome