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MOCK PANCE EXAM- Block 3 (ROSH) 2023 WITH 100% CORRECT ANSWERS PANCE - Cardiology exam 2023 with 100% complete solutions
[Show more]MOCK PANCE EXAM- Block 3 (ROSH) 2023 WITH 100% CORRECT ANSWERS PANCE - Cardiology exam 2023 with 100% complete solutions
[Show more]1. A 52 year-old male presents complaining of urinary frequency, with hesitancy, and nocturia for the past few months. During his physical examination, you note a nontender, non-enlarged prostate with an isolated right posterior lobe nodule. Which of the following options is most appropriate? 
A. or...
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Add to cart1. A 52 year-old male presents complaining of urinary frequency, with hesitancy, and nocturia for the past few months. During his physical examination, you note a nontender, non-enlarged prostate with an isolated right posterior lobe nodule. Which of the following options is most appropriate? 
A. or...
A 52 year-old male presents complaining of urinary frequency, with hesitancy, and nocturia for the past few months. During his physical examination, you note a nontender, non-enlarged prostate with an isolated right posterior lobe nodule. Which of the following options is most appropriate? 
 
*A.* ...
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Add to cartA 52 year-old male presents complaining of urinary frequency, with hesitancy, and nocturia for the past few months. During his physical examination, you note a nontender, non-enlarged prostate with an isolated right posterior lobe nodule. Which of the following options is most appropriate? 
 
*A.* ...
What do pirmented granular "muddy" casts indicate in the setting of oliguria? correct answersAcute tubular necrosis 
 
How can hyperphosphatemia be treated? correct answersaluminum hydroxide 
 
What is the genetic basis for a patient with disproportionately small legs and arms, frontal bossing and...
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Add to cartWhat do pirmented granular "muddy" casts indicate in the setting of oliguria? correct answersAcute tubular necrosis 
 
How can hyperphosphatemia be treated? correct answersaluminum hydroxide 
 
What is the genetic basis for a patient with disproportionately small legs and arms, frontal bossing and...
What do pirmented granular "muddy" casts indicate in the setting of oliguria? correct answersAcute tubular necrosis 
 
How can hyperphosphatemia be treated? correct answersaluminum hydroxide 
 
What is the genetic basis for a patient with disproportionately small legs and arms, frontal bossing and...
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Add to cartWhat do pirmented granular "muddy" casts indicate in the setting of oliguria? correct answersAcute tubular necrosis 
 
How can hyperphosphatemia be treated? correct answersaluminum hydroxide 
 
What is the genetic basis for a patient with disproportionately small legs and arms, frontal bossing and...
At what age should you order DEXA scans for male? Female? correct answers70 for males 
65 for females 
 
Give DEXA score for osteopenia? Osteoporosis? correct answersOsteopenia = 1 to 2.4 standard deviations, osteoporosis = 2.5 standard deviations or greater. 
 
What fracture is #1 cause of compartm...
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Add to cartAt what age should you order DEXA scans for male? Female? correct answers70 for males 
65 for females 
 
Give DEXA score for osteopenia? Osteoporosis? correct answersOsteopenia = 1 to 2.4 standard deviations, osteoporosis = 2.5 standard deviations or greater. 
 
What fracture is #1 cause of compartm...
D. ALS correct answersA 58 year-old male presents complaining of weakness of his grip. Your examination reveals that the problem is bilateral. During the next few office visits, you note the development of hyperactivity of his DTRs, extensor plantar reflexes and dysarthria. The patient's sensory sy...
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Add to cartD. ALS correct answersA 58 year-old male presents complaining of weakness of his grip. Your examination reveals that the problem is bilateral. During the next few office visits, you note the development of hyperactivity of his DTRs, extensor plantar reflexes and dysarthria. The patient's sensory sy...
What lab tests would you monitor in a patient with medullary thyroid cancer after treatment? correct answersCalcitonin. 
Patients with medullary thyroid cancer secrets calcitonin and CEA. After complete treatment, the labs should show low levels of calcitoin or CEA 
Testing for calcitonin and CEA c...
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Add to cartWhat lab tests would you monitor in a patient with medullary thyroid cancer after treatment? correct answersCalcitonin. 
Patients with medullary thyroid cancer secrets calcitonin and CEA. After complete treatment, the labs should show low levels of calcitoin or CEA 
Testing for calcitonin and CEA c...
A female in her third trimester of pregnancy developed hypertension, diffuse edema, proteinuria and hyperreflexia. She was treated with intravenous magnesium sulfate and is now hyporeflexic and drowsy. What do you prescribe now? 
 
A. calcium 
B. diazepam 
C. an amphetamine 
D. additional magnesium ...
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Add to cartA female in her third trimester of pregnancy developed hypertension, diffuse edema, proteinuria and hyperreflexia. She was treated with intravenous magnesium sulfate and is now hyporeflexic and drowsy. What do you prescribe now? 
 
A. calcium 
B. diazepam 
C. an amphetamine 
D. additional magnesium ...
Outside of the serotonin selective reuptake inhibitors (SSRIs), which of the following medications is an option for someone diagnosed with obsessive-compulsive disorder (OCD)? 
a. bupropion (wellbutrin) 
faxine (effexor) 
c. Olanzapine (zyprexa) 
d. clomipramine (anafranil) 
e. amitriptyline (evivil...
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Add to cartOutside of the serotonin selective reuptake inhibitors (SSRIs), which of the following medications is an option for someone diagnosed with obsessive-compulsive disorder (OCD)? 
a. bupropion (wellbutrin) 
faxine (effexor) 
c. Olanzapine (zyprexa) 
d. clomipramine (anafranil) 
e. amitriptyline (evivil...
A 26-year-old obese female complains of a 3-4 month history of discrete erythematous plaques on the pretibial areas of her legs. The lesions have increased in size, become darker, and are painful. She is concerned because the centers of the lesions have become ulcerated. This patient should be scree...
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Add to cartA 26-year-old obese female complains of a 3-4 month history of discrete erythematous plaques on the pretibial areas of her legs. The lesions have increased in size, become darker, and are painful. She is concerned because the centers of the lesions have become ulcerated. This patient should be scree...
Physical exam of a 60-year-old male reveals perioral cyanosis with a normal respiratory rate and no use of accessory mus- cles. Chest percussion is resonant; auscultation demonstrates wheezes and coarse rhonchi that change in location and inten- sity after a cough. What is the most likely diagnosis?...
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Add to cartPhysical exam of a 60-year-old male reveals perioral cyanosis with a normal respiratory rate and no use of accessory mus- cles. Chest percussion is resonant; auscultation demonstrates wheezes and coarse rhonchi that change in location and inten- sity after a cough. What is the most likely diagnosis?...
Cytomegalovirus correct answerspresents similarly to infectious mono in immunocompromised hosts--mono in older people 
 
Advanced HIV (CD4 <50) 
DX: serology, PCR +/- biopsy 
TX: ganciclovir 
 
Pneumocytosis correct answerspneumocytosis jiroveci (PCP) 
Common in AIDS (CD4 <200) 
Most common op...
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Add to cartCytomegalovirus correct answerspresents similarly to infectious mono in immunocompromised hosts--mono in older people 
 
Advanced HIV (CD4 <50) 
DX: serology, PCR +/- biopsy 
TX: ganciclovir 
 
Pneumocytosis correct answerspneumocytosis jiroveci (PCP) 
Common in AIDS (CD4 <200) 
Most common op...
27 year old pregnant female presents to the OB/GYN complaining of grey-like vaginal discharge with fishy odor and itchy labia major with inflammation for the past month. The patient states she has been douching once a week for the last 3 weeks to get rid of the fishy odor with no resolution. Results...
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Add to cart27 year old pregnant female presents to the OB/GYN complaining of grey-like vaginal discharge with fishy odor and itchy labia major with inflammation for the past month. The patient states she has been douching once a week for the last 3 weeks to get rid of the fishy odor with no resolution. Results...
A patient presents with a rash, characterized by red macules and edematous papules with a clearing center. This best describes which of the following? 
A erythema marginatum 
B erythema multiforme 
C varicella 
D impetigo correct answersB 
 
Target lesions, also termed iris lesions, are characterist...
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Add to cartA patient presents with a rash, characterized by red macules and edematous papules with a clearing center. This best describes which of the following? 
A erythema marginatum 
B erythema multiforme 
C varicella 
D impetigo correct answersB 
 
Target lesions, also termed iris lesions, are characterist...
A 75-year-old man presents to his primary physician with excessive fatigue over the past three months and swollen lymph nodes in his neck. Upon further questioning, he also admits to night sweats and early satiety. On physical exam, there are two palpable lymph nodes, one along the cervical neck and...
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Add to cartA 75-year-old man presents to his primary physician with excessive fatigue over the past three months and swollen lymph nodes in his neck. Upon further questioning, he also admits to night sweats and early satiety. On physical exam, there are two palpable lymph nodes, one along the cervical neck and...
What are the "Big 6" in regards to risk factors for CAD? correct answers*FSH DAD* 
F - Family Hx of premature CAD/MI (M < 45; F < 55) 
S - Smoking (Cigarettes) 
H - HTN, Homocysteine levels elevated 
 
D - DM/Metabolic syndrome 
A - Age (M: > 45; F: > 55) 
D - Dyslipidemia - Elevated L...
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Add to cartWhat are the "Big 6" in regards to risk factors for CAD? correct answers*FSH DAD* 
F - Family Hx of premature CAD/MI (M < 45; F < 55) 
S - Smoking (Cigarettes) 
H - HTN, Homocysteine levels elevated 
 
D - DM/Metabolic syndrome 
A - Age (M: > 45; F: > 55) 
D - Dyslipidemia - Elevated L...
A 50yo male presents to the ER with 10/10 chest pain that is ripping and knife-like. On cardiac exam there are no murmurs present. On peripheral vascular exam, there is a decreased L-sided femoral pulse compared to the R side. BP is 160/120 in the R arm and 110/90 in the L arm. Which of the followin...
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Add to cartA 50yo male presents to the ER with 10/10 chest pain that is ripping and knife-like. On cardiac exam there are no murmurs present. On peripheral vascular exam, there is a decreased L-sided femoral pulse compared to the R side. BP is 160/120 in the R arm and 110/90 in the L arm. Which of the followin...
cornea steamy, and the pupil moderately dilated and nonreactive to light. correct answersacute bacterial conjunctivitis 
 
A 3-week-old male infant is brought in by his mother due to his vomiting. The mother notes that a few days ago her son started vomiting after feeding, and it has become projecti...
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Add to cartcornea steamy, and the pupil moderately dilated and nonreactive to light. correct answersacute bacterial conjunctivitis 
 
A 3-week-old male infant is brought in by his mother due to his vomiting. The mother notes that a few days ago her son started vomiting after feeding, and it has become projecti...
What is vasopressin? correct answerssimilar to ADH, treatment for DI 
 
Which of the following medications inhibits prostaglandin synthesis in a patient with rheumatoid arthritis? correct answersASA 
 
What is the MOA of methotrexate? correct answersinhibits the enzyme dihydrofolate reductase 
 
The...
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Add to cartWhat is vasopressin? correct answerssimilar to ADH, treatment for DI 
 
Which of the following medications inhibits prostaglandin synthesis in a patient with rheumatoid arthritis? correct answersASA 
 
What is the MOA of methotrexate? correct answersinhibits the enzyme dihydrofolate reductase 
 
The...
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