PANCE MASTER

Question 1

What is the primary method of screening for neural tube defects?

Answer 1

maternal serum alpha fetoprotein levels

Question 2

What anatomical location does Crohn’s disease most commonly affecft?

Answer 2

distal ileum

Question 3

main side effect of clozapine

Answer 3

agranulocytosis

Question 4

What is a normal QTC?

Answer 4

<450

Question 5

Tx for temporal arteritis

Answer 5

Begin oral prednisone immediately

Question 6

A 23 year old woman presents for routine PAP smear. She is sexually active and has been for over 6 years, she also has a history of smoking and some recreational drug use. Her PAP smear results in atypical glandular cells of undetermined significance (AGCUS). What is the next step in the evaluation of this patient?

Answer 6

Cervical Biopsy (colposcopy w/biopsy)

Question 7

Physical exam finding for chronic dry eye syndrome

Answer 7

punctate epithelial erosions stain positively with fluorescein

Question 8

occipital headaches occurring mainly in the mornings that typically resolve by mid-day

Answer 8

Essential HTN (severe)

Question 9

MC presenting symptom in diabetic gastroparesis and what is the tx?

Answer 9

vomiting several hrs after meals

tx w/ metoclopramide

Question 10

Tx of RSV in those w/ severe disease or who are intubated

Answer 10

Ribavirin

Question 11

What anti-body titer would be elevated in a patient with primary biliary cirrhosis?

Answer 11

anti mitochondrial Abs

Question 12

idiopathic autoimmune d/o of intrahepatic small bile ducts

Answer 12

Primary Biliary Cirrhosis

Question 13

Typical presentation in primary biliary cirrhosis

Answer 13

fatigue = first sx

pruritis, hepatomegaly, RUQ discomfort, jaundice

Question 14

hallmark finding of PBC

Answer 14

anti-mitochondrial antibiodies

cholestatic pattern: Increased ALP & GGT

Question 15

Tx for PBC

Answer 15

ursodeoxycholic acid - 1st line

cholestyramine & UV light for pruritis

Question 16

MC benign bone tumor

Answer 16

osteochondroma

Question 17

systemic vasculitis of medium arteries & associated with Hepatitis B

Answer 17

Polyarteritis Nodosa

Question 18

palpable purpura and mottled reticular vascular pattern on upper thighs (livedo reticularis)

Answer 18

Polyarteritis Nodosa

Question 19

HTN, fever, myalgias, arthritis, neuropathy, purpura

Answer 19

Polyarteritis Nodosa

Question 20

Dx for polyarteritis nodosa

Answer 20

Increased ESR

ANCA negative

Renal or Mesenteric angiography: microaneurysms w/abrupt cut off of arteries

Question 21

Polyarteritis Nodosa Tx

Answer 21

Corticosteroids

Question 22

MCC of acute prostatitis if <35

Answer 22

chlamydia & gonorrhea

Question 23

MCC of prostatits if >35

Answer 23

E coli

Question 24

Typical presentation of acute prostatitis

Answer 24

fever/chills, low back pain, painful urination, increased frequency, pain with ejaculation and sex

Question 25

PE in acute prostatitis would be what kind of prostate?

Answer 25

tender, hot boggy prostate

Question 26

Dx for prostatitis

Answer 26

UA & urine culture

Question 27

What do you want to avoid in a pt with acute prostatitis?

Answer 27

prostatic massage as it can lead to septicemia

Question 28

HTN + proteinuria + edema in after 20 weeks gestation

Answer 28

Preeclampsia

Question 29

What is the BP cut off for Severe Preeclampsia?

Answer 29

\>160/110

Question 30

What is the cure for severe preeclampsia?

Answer 30

prompt delivery (do not need to give steroids to mature lungs)

Question 31

philadelphia chromosome

Answer 31

CML (myelogenous leukemia)

Question 32

**ankylosiing spondylitis** typical presentation

Answer 32

**chronic low back and hip pain** due to **axial skeleton** and **sacroiliac joint** arthropathy w/progressive stiffnesss

Question 33

bamboo spine on X ray

Answer 33

ankylosing spondylitis

Question 34

chronic low back and hip pain morning stiffness with decreased ROM stiffness decreases w/exercise & activity

Answer 34

ankylosing spondylitits

Question 35

Lab markers in Ankylosing Spondylitis

Answer 35

**Increased ESR** **+ HLA-B27**

Question 36

Tx for ankylosing spondylitis

Answer 36

NSAIDS PT

Question 37

idiopathic softening/fissuring of the patellar. articular cartilage

Answer 37

Patellofemoral syndrome

Question 38

**anterior knee pain "behind" or around the patella**

Answer 38

Patellofemoral Syndrome

Question 39

Tx for patellofemoral syndrome

Answer 39

NSAIDS, rest, rehab

Question 40

blue sclera & brittle bones

Answer 40

Osteogenesis Imperfecta

Question 41

**pain/stiffness of proximal joints (shoulder, hip, neck)** in pts \> 50y/o bilateral proximal joint aching/stiffness **morning stiffness \> 30mins** of the **pelvic, neck** & **shoulder girdle**

Answer 41

polymyalgia rheumatica

Question 42

dx for polymyalgia rheumatica

Answer 42

clinical diagnosis

Question 43

polymyalgia rheumatica tx

Answer 43

low dose CS