PANCE 2

Question 1

Prolonged QT can lead to

Answer 1

Torsaddes
Treat with mag
Defib if in arrest

Question 2

Mid systolic click radiating to left axilla

Answer 2

Mitral valve prolapse

Question 3

Differentiating btw venous and arterial insifficiency

Answer 3

Venous = medial ankle
Arterial = lateral ankle

Question 4

Meningitic signs in immunocompromised individuals without fever

Answer 4

Most likely cryptococcus

Some may have fever

Question 5

Umbillical fundal height = ? weeks

Answer 5

20 - 22

Question 6

Drooling and hot potato voice

Answer 6

Epiglottotitis

Question 7

TOC gestational diabetes

Answer 7

Regular insulin

Question 8

Axis III DSM

Answer 8

Medical conditions

Question 9

TOC hyperthyroid pregnancy

Answer 9

PTU

Question 10

Blood pressure should be measured yearly starting at age

Answer 10

3

Question 11

Most common location for osteomyelitis

Answer 11

Spine

Question 12

Kussmaul sign =

Answer 12

Pericarditis

Question 13

Eyes should move in parallel by the age of

Answer 13

6 months

If strabismus persists, refer

Question 14

Most common indication for pancreatic surgery

Answer 14

Pain

Question 15

TOC for acute pericarditis

Answer 15

Indomethican

Question 16

Pericarditis pain is relieved by which position?

Answer 16

Sitting forward

Question 17

Facial sutures should be removed in ? days

Answer 17

5

Question 18

Most common congenital heart defect

Answer 18

VSD

Question 19

B-1 Thiamine deficiency causes ?

Answer 19

Beriberi

Question 20

Acute pancreatitis can lead to?

Answer 20

Pseudocyst

Question 21

Atypical lymphocytes are seen in

Answer 21

mono

Question 22

Hypersegmented neutrophils are seen in

Answer 22

B12 deficiency

Question 23

Tzank smear multinucleated giant cells

Answer 23

HSV

Question 24

Small grayish lesions and punched out ulcers in posterior pharynx

Answer 24

Coxackie virus

Question 25

First line prophylactic for migraines

Answer 25

Propranolol

Question 26

First line for schizophrenia

Answer 26

Olanzapine (zyprexa)

Question 27

Which hernia is most likely to extend into scrotum?

Answer 27

Indirect

Question 28

HCM Murmur

Answer 28

Hypertrophic cardiomyopathy is characterized by a medium- pitched, mid-systolic murmur that decreases with squatting and increases with straining.

Question 29

TOC gonorrhea

Answer 29

ceftriaxone

Question 30

TOC chlamydia

Answer 30

doxycycline

Question 31

Steroid eye complication

Answer 31

Glaucoma

Question 32

Screening test for SLE

Answer 32

ANA

Question 33

tx for buckle fx

Answer 33

Ace wrap, anterior splint

Question 34

Chronic bacterial prostatitis tx

Answer 34

Bactrim or levaquin can penetrate the prostate

Question 35

chronic bronchitis patho

Answer 35

enlargement of mucous glands and goblet cell hypertrophy in the large airways.

Question 36

MAOI's interfere with which protein

Answer 36

tyramine

Question 37

Which med can cause analgesia at a vertebral compression fx site in osteoporosis

Answer 37

Calcitonin nasal spray

Question 38

Pediatric sickle cell mgmt

Answer 38

PNC V starting at 2 months | Folic acid at 1 yr

Question 39

Enbrel required testing for what before initiation

Answer 39

TB

Question 40

vertebra at level of umbillicus

Answer 40

T10

Question 41

TOC for ITP refractory to steroid therapy

Answer 41

Splenectomy

Question 42

TOC for sick sinus syndrome

Answer 42

Pacemaker

Question 43

TOC insomnia elderly

Answer 43

benzos

Question 44

acquired loss of pigmentation due to the absence of epidermal melanocytes presenting on the back of hands, face, or body folds.

Answer 44

Vitalligo

Question 45

skip lesions

Answer 45

crohns dz

Question 46

TOC pregnant pyelo

Answer 46

rocephin

Question 47

Graves hyperthyroid is best treated with

Answer 47

Radioactive iodine

Question 48

Continuous machinery murmur

Answer 48

PDA

Question 49

Dental carie pathogen

Answer 49

Strep mutans

Question 50

TOC enuresis

Answer 50

DDAVP