Exam (elaborations)
Full NCCPA PANCE Board Questions and Answers.
- Course
- Institution
Full NCCPA PANCE Board Questions and Answers
[Show more]
Seller
Follow
JayGracey
Content preview
Full NCCPA PANCE Board Questionsand Answers.
Boards Tip:
If the question references "ascites" what medication should always be added? -
\Spironolactone
Boards:
What drug is MOST important drug in reducing M/M for:
a) CAD
b) CHF -
\CAD = BB
CHF = ACE-inhibitor
BOARD question:
Which cholesterol lab has the GREATEST impact on M/M?
(i.e. is the most important) -
\HDL ("garbage truck")
**what REMOVES all the "bad cholesterol"
BOARD QUESTION:
What is the LDL goal in a patient with METABOLIC syndrome? -
\Goal LDL < 70 mg/dL
BOARD question:
What are the most common complications of HIGH TG? -
\1. Development of CAD = excess TG contribute to production of excess LDL
2. Acute pancreatitis
BOARD question:
What dietary education should you offer someone with HIGH TG? -
\OMG 3 & 6 are both good for you, HOWEVER, adverse health effects are seen when
intake OM6 >>>>> OM3
OM6 = vegetable / corn oil, beef, chicken
OM3 = fish oil, flax seed, tuna, salmon, walnuts
BOARD question:
Which of the following is a CONSISTENT predictor of DM, CAD and mortality:
a) TG levels
b) TC levels
c) Total weight
d) Waist circumference -
,\WAIST CIRCUMFERENCE
(highest indicator of M/M)
BOARD question:
Which group has the HIGHEST prevalence of metabolic syndrome:
a) AA
b) Caucasians
c) Hispanics
d) Mexican Americans -
\Mexican americans
BOARD question:
Which of the following is the MOST SENSITIVE predictor of CAD:
a) TC level
b) LDL levels
c) ratio of TC to HDL
d) C-reactive protein -
\Ratio of TC to HDL
BOARD question:
Use of Niacin is associated with reduction in:
a) CVA
b) CABG
c) CAD
d) MI -
\CAD
BOARD question:
At what point should a patients PLTE function return to normal after stopping GP IIb/IIIa
infusion? -
\12 hours
BOARDS (ACS):
What is ALWAYS the best answer on boards to treating ACS? -
\PCI (if this is a answer, always pick it!)
BOARD question:
What percentage of MIs are unrecognized by clinicians:
a) 10%
b) 20%
c) 30%
d) 40% -
\30%
BOARD question:
What is the MOST COMMON MI complaint OTHER than chest pain?
,a) syncope
b) epigastric pain
c) dyspnea
d) back pain -
\Dyspnea (SOB)
BOARD question:
Which if the following is TRUE concerning MI in elderly patients:
a) MI is rare in people > 75
b) MI pain is more SEVERE in elderly
c) SOB is reported most commonly in elderly
d) Convulsions related to MI are common in persons > 75 -
\SOB is reported most commonly in elderly
**realize that BOTH C & D are actually true, however on the boards, when 2 answers
are true, you must ALWAYS ask yourself, which is the MORE COMMON (and that will
always be the right answer)
BOARD question:
65 yo male presents to ER with CP + SOB for last 7 minutes. Initial EKG & cardiac
enzymes are negative. What is the most appropriate NEXT step in management:
a) admit for ACS and head straight to cath lab
b) discharge home with BB + ACEi
c) Admit for ACS and schedule for treadmill stress test
d) repeat EKG/enzymes in 2 hours -
\Repeat tests in 2 hours
BOARD question:
Elevation of troponin is indicative of injury to what?
a) blood vessels
b) pericardium
c) myocardium
d) smooth muscle -
\elevated troponin indicates = MYOCARDIAL injury
BOARD Question:
Patients with RCA (inferior MI) typcailly present with WHAT other symptoms besides
chest pain:
a) visual changes
b) hypertension
c) hypotension
d) epigastric pain -
\Epigastric pain
(remember inferior portion of the heart sits on diaphragm)
BOARDS:
, The prevalence of AFIB increases dramatically with:
a) cardiac damage
b) age
c) ETOH intake
d) smoking -
\AGE
BOARDS (true or false):
The natural tendency of AFIB is to become a CHRONIC condition.... -
\TRUE
BOARDS:
What is the MOST IMPORTANT diagnostic test to order in a newly diagnosed AFIB
patient:
a) EKG
b) TSH
c) ECHO
d) Angiogram -
\TSH
BOARDS:
What is the most appropriate initial test to order in AFIB:
a) TEE
b) TTE
c) CXR
d) angiography -
\BUZZ word is INITAL (answer) = TTE
Initial = TTE
BEST = TEE
BOARDS:
What agent is the most appropriate to use in a patient with AFIB + RVR secondary to
hyperthyroidism:
a) CCB
b) BB
c) Digoxin -
\BB (answer)
**remember that:
a) AFIB d/t cardiac issue = CCB
b) AFIB d/t non-cardiac issue = BB
c) AFIB + HF = digoxin
BOARDS:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller JayGracey. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82191 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now