PANCE

Question 1

Bilateral intranuclear ophthalmoplegia

Answer 1

MS

Question 2

Constant PR intervals, then a QRS is dropped

Answer 2

2nd degree AV block type II (Mobitz)

Question 3

PR interval widens, then QRS is dropped

Answer 3

2nd degree AV block type I (Wenchebach)

Question 4

Facial pink or flesh colored papule with pearly, translucent quality, telangectasias, ulceration

Answer 4

Basal cell carcinoma

Question 5

Tx of choice for pinworms (any intestinal parasite)

Answer 5

Mebendazole

Question 6

Pupils in cocaine use?

Answer 6

Mydriasis (large pupils)

Question 7

Pupils in opiate use?

Answer 7

Miosis (pinpoint)

Question 8

Test for stones

Answer 8

Ct w/o contrast

Question 9

Hallmark symptom of herniated disc dz

Answer 9

Lumbosacral ridiculopathy

Question 10

TOC for cardiogenic shock

Answer 10

Dobutamine

Question 11

Tram track markings

Answer 11

Bronchiectasis

Question 12

UTI abx during pregnancy

Answer 12

Nitrofurantoin

Question 13

Most common location for osteomyelitis

Answer 13

hip, spine

Question 14

Most effective therapy for allergic rhinitis

Answer 14

Intranasal steroid

Question 15

diploplia, dysarthria, dysphagia

Answer 15

Botulism

Question 16

Boot shaped heart on cxr

Answer 16

Tet of fallot

Question 17

TOC for reynauds

Answer 17

Nifedipine

Question 18

Which maneuver will increase HCM mumur

Answer 18

Valsalva

Question 19

Do benign diastolic murmors exist

Answer 19

no

Question 20

AB=bdominal pain out of proportion to exam

Answer 20

Ischemic bowel

Question 21

crescendo-decrescendo murmur

Answer 21

Aortic stenosis

Question 22

Most common valve in endocarditis

Answer 22

tricuspid

Question 23

Criteria for orthostatic hypotension

Answer 23

Decrease in BP of 20 and increase in HR of 15

Question 24

Most common cause of restrictive cardiomyopathy

Answer 24

Amyloidosis

Question 25

TOC dilated cardiomyopathy

Answer 25

Lisinopril

Question 26

Duration of abx for endocarditis

Answer 26

6 weeks

Question 27

Post-partum dilated cardiomyopathy

Answer 27

Can present from 1 month before delivery to 5 months after. Heart failure, fatigue cardiomegaly

Question 28

TOC for printzmetal angina

Answer 28

CCB (dilt, verapamil)

Question 29

Dig OD

Answer 29

Halos around lights, yellow vision. Mustache ECG

Question 30

Type A aortic dissection

Answer 30

Ascending aorta | Surgical intervention

Question 31

Type B dissection

Answer 31

Descending aorta | More conservative mgmt

Question 32

SLE patients are at risk for which heart condition

Answer 32

Pericarditis

Question 33

Most common complication following AAA repair?

Answer 33

MI

Question 34

#1 risk factor for aortic dissection

Answer 34

HTN

Question 35

Earliest CHF symptom

Answer 35

exertional dyspnea

Question 36

most common pacemaker complication

Answer 36

infection

Question 37

VWd labs and tx

Answer 37

Prolonged bleeding time | DDAVP

Question 38

Immune mediated thrombocytopenia tx

Answer 38

Steroids

Question 39

Hemophilia A labs and tx

Answer 39

aPTT will be prolonged Normal PT INR Tx with concentrated factor VIII or Cryo

Question 40

HIV patient with ring enhancing lesions

Answer 40

Toxoplasmosis | tx with sulfadiazine and pyrimethamine

Question 41

Prophylaxis of toxoplasmosis in HIV

Answer 41

Bactrim

Question 42

Blue discoloration of cervix and vagina

Answer 42

Chadwiks sign | Pregnancy

Question 43

Melena suggests bleeding proximal to what landmark?

Answer 43

Ligament of treitz | SIgmoidoscopy would not be useful

Question 44

Do steroids have any effect of carpel tunnel?

Answer 44

No

Question 45

Azotemia

Answer 45

Elevation of BUN, Crea

Question 46

Most common cause of secondary HTN

Answer 46

Renal parenchymal dz

Question 47

How much should birth weight increase by 1 year of age?

Answer 47

It will tripple

Question 48

Most reliable sign of AOM

Answer 48

Immobility of TM

Question 49

Acutely tender, swollen staph infxn of upper or lower eyelid

Answer 49

Hordeolum (stye) | Tx with warm compresses

Question 50

Estrogen causes mammary ducts to

Answer 50

Proliferate

Question 51

Progesterone effect of breast tissue

Answer 51

Causes alveoli and lobules to grow

Question 52

Progesterone is secreted from the corpus

Answer 52

Luteum