PANCE 4

Question 1

Symptomatic relief of HYPERthyroidism

Answer 1

Beta Blocker

Question 2

Which femoral fx is likely to cause avascular necrosis

Answer 2

Femoral neck

Question 3

How long do mechanical valves need to be anticoaguhlated

Answer 3

Lifelong

Question 4

Progressive, symmetrical distal to proximal muscle weakness and paralysis

Answer 4

Guillain Barre

Increased CSF protein

Question 5

back pain and thigh pain aggravated by ambulation and relieved by sitting.

Answer 5

Spinal Stenosis

Question 6

Pertussis Tx

Answer 6

Zithromax

Question 7

TOC for inflammatory bowel dz

Answer 7

Sulfasalazine

Question 8

Variable decelerations

Answer 8

Cord compression

Change maternal position

Question 9

Mid systolic click

Answer 9

MVP

Question 10

Tibial tubercle inflammation

Answer 10

Osgood Schlatters

Question 11

test to monitor s/p testicular CA

Answer 11

AFP

Question 12

Most common pathogen in CF

Answer 12

Pseudo

Question 13

TOC urge incontinence

Answer 13

Oxybutynin (Ditropan)

Question 14

PPI causes deficiency in

Answer 14

B12

Question 15

Pituitary is best visualized with

Answer 15

MR

Question 16

TOC fibromyalgia

Answer 16

Elavil (Amitryptaline)

Question 17

Restricting what dietary element may halt the progression of CKD

Answer 17

Protein

Question 18

TOC for pneumonia in setting of warfarin

Answer 18

Ceftriaxone

Question 19

Most common site for ulcers

Answer 19

Lesser curve of stomach and duodenal bulb

Question 20

Most common cause of SBO

Answer 20

Adhesions

Question 21

Pneumonia, erythema multiforme, southwest US

Answer 21

Coccidiomycosis

Question 22

Most common cause of large bowel obs

Answer 22

Malignancy

Question 23

apple core lesion

Answer 23

Colon cancer

Question 24

duodenal ulcers from gastric ulcers is that duodenal ulcers feel better with food and gastric ulcers feel worse with food.

Answer 24

Truth

Question 25

If a patient has a first degree relative who was diagnosed with colon cancer they should begin colon cancer screening 10 years earlier than that relative’s age at time of diagnosis.

Answer 25

believe it

Question 26

TOC epiglottitis

Answer 26

IV rocephin

Question 27

Barrets is what kind of CA

Answer 27

Adenocarcinoma

Question 28

Norwalk like virus

Answer 28

Causes the winter shits

Question 29

Medication for folks in close contact with hep A

Answer 29

Immuneglobulin

Question 30

Most common presenting symptom for PBC

Answer 30

Pruritis

Question 31

Most common valve in rheumatic

Answer 31

Mitral stenosis, low pitched diastolic rumble

Question 32

Most common ASD

Answer 32

Secondum

Question 33

Tx of flu in preggers

Answer 33

Tamaflu

Question 34

Most common cause of constipation

Answer 34

intuss

Question 35

TOC coccidio

Answer 35

Fluconazole

Question 36

double bubble sign

Answer 36

duodenal atresia

Question 37

Tx for tet spell

Answer 37

Phenelephrine

Question 38

What lowers ammonia levels in the blood

Answer 38

Lactulose

Question 39

Valve INR

Answer 39

2.5 - 3.5

Question 40

Lowering malignant BP too fast

Answer 40

results in cerebral ischemia and watershed infarcts

Question 41

First heart enzyme to rise

Answer 41

Myoglobin

Question 42

Troponins rise when?

Answer 42

3-6 hrs

Question 43

PATCH 4 MD

Answer 43

Causes of asystole Pneumo, acidosis, thrombosis, cardiac tamponade 4H's: Hypo/hyperkalemia, Hypo/hyperthermia, hypoxia, hypovolemia Massive MI/PE, Drug toxicities

Question 44

Subglottic tracheal narrowing

Answer 44

Steeple sign, croup

Question 45

Definitive test for PE

Answer 45

pulmonary angio

Question 46

TOC pneumococcal pneumonia when resistance not a concern

Answer 46

Amoxacillin

Question 47

when should a f/u xray be taken to prove treatment of pneumonia

Answer 47

4-6 wks

Question 48

Vitamin C deficiency results in

Answer 48

Scurvy, poor wound healing

Question 49

Gold standard diagnostic study for celiacs

Answer 49

Small bowel biopsy via EGD

Question 50

Boerhaaves

Answer 50

Esophageal rupture. sick' | Hammans crunch on PE