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PANCE Topics & Review Questions & Answers 100% correct exam

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PANCE Topics & R

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PANCE Topics & R

Define the type of shock and give signs on exam: --Septic Shock correct answersAKA Distributive shock --Excess vasodilation and shunting of blood from vital organs to non-vital --Signs: Inc Cardiac Output, Inc Cap refill, warm skin and Dec SVR Define the type of shock, common causes and give ...

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Number of pages 85
Written in 2024/2025
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Contains Questions & answers

pance topics review questions

Institution PANCE Topics & R
Course PANCE Topics & R

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PANCE Topics & Review Questions

Define the type of shock and give signs on exam:

--Septic Shock correct answersAKA Distributive shock

--Excess vasodilation and shunting of blood from vital organs to non-vital

--Signs: Inc Cardiac Output, Inc Cap refill, warm skin and Dec SVR

Define the type of shock, common causes and give signs on exam:

--Obstructive Shock correct answersD/t blockage of blood flow

--Causes: PE, tamponade, tension Pneumo

--Signs: Dec CO, Inc cap wedge, Inc SVR

Define the type of shock, common causes and give signs on exam:

--Cardiogenic Shock correct answers--From pump dysfxn

--Causes: MI, valve pathology

--Signs: Dec CO (cold and clammy), Inc Pulm wedge pressure, Inc SVR

Define the type of shock, common causes and give signs on exam:

--Hemorrhagic Shock correct answers--Blood loss - dissection, bleeding out

--Signs: Dec CO, Inc SVR

Define the type of shock, common causes and give signs on exam:

--Hypovolemic Shock correct answersDec fluid status in the body

--Causes: blood loss, GI losses, dehydration

--Dec CO, Inc SVR

The only type of shock that causes inc cardiac output and pt will have warm, flushed skin and cause
vasodilation? correct answersSeptic shock!

,Name the bug that causes pneumonia based on the description:

--Gram + cocci in pairs correct answersStrep pneumo

Name the bug that causes pneumonia based on the description:

--Gram (-) rods (3 options) correct answers--Pseudomonas

--E coli

--H flu

Name the bug that causes pneumonia based on the description:

--Small, obligate intracellular bacterium correct answersMycoplasma

--MCC of "walking pna"

Name the bug that causes pneumonia based on the description:

--Gram (+) cocci in clusters correct answersStaph aureus

Name the bug that causes pneumonia based on the description:

--Intracellular aerobic bacterium gram (-) rods correct answersChlamydia

PNA with thick brown sputum, Inc IgE and Eosinophilia

--What's the cause? correct answersAspergillus fumigatus

Encapsulated yeast that can cause PNA and meningitis correct answersCryptococcus neoformans

budding yeast and hyphae that can cause esophagitis, oral thrush, intertrigo, vaginitis, fungemia and
endocarditis.

--name it! correct answersCandida albicans

Mold that is non-branching hyphae and can present as PNA + sinusitis correct answersMucor indicus

,What diuretic is most assoc with gynecomastia?

--What class of diuretic is it in? correct answersSpironolactone

--K-sparing diuretic - works as aldosterone antagonist and blocks testosterone receptor

HCTZ ADR's:

1 - 2 lytes it lowers

2 - 4 metabolic elevations

3 - Acid / base derangement MC assoc?

4 - Type of allergy to screen for? correct answers1 - a) HYPOnatremia, b) HYPOkalemia

2 - a) HYPERlipidemia, b) HYPERcalcemia, c) HYPERuricemia, d) HYPERglycemia

3 - Metabolic alkalosis

4 - Sulfa

Acetazolamide:

1 - Type of med

2 - Acid / base derangement it can cause

3 - Dec of what electrolyte

4 - Screen for what allergy correct answers1 - Diuretic

2 - Metabolic acidosis

3 - HYPOkalemia

4 - Sulfa

8 y/o boy w/ edema, proteinuria and hyperlipidemia

1 - Think what syndrome

2 - MC caused by what in kids

3 - Tx of Choice? correct answers1 - Nephrotic syndrome

2 - Minimal change disease

3 - Prednisone

, TCA overdose

1 - Signs / sxs (5)

2 - Sodium channel blocking can cause what serious ADR's? correct answers1 - a) dry skin, b) dry mouth,
c) pupillary dilation, d) dec breath sounds, e) piloerection

2 - Cardiac toxicity and Vent arrhythmias

Name the sign seen on esophagram for the GI issue:

--Achalasia correct answers--Inc LES tone that causes narrowing of the GE junction and pre-narrowing
dilation leading to the "BIRD's BEAK" appearance

Name the sign seen on esophagram for the GI issue:

--Esophageal cancer correct answers--Filling defect around the malignancy

Name the sign seen on esophagram for the GI issue:

--Diffuse esophageal spasm correct answers--Corkscrew appearance - due to strong non-peristaltic
contractions of the esophagus

Name the mechanism for each class of antiarrhythmic:

--Class I

--Class II

--Class III

--Class IV correct answers--Class I = interfere w/ Na channels

--Class II = Anti-sympathetic agents

--Class III = Affect the Efflux of K

--Class IV = Affect Ca channels and AV node

What vessel is assoc with STEMI in leads 2, 3, and aVF? correct answersR coronary

What leads will you see STEMI on if the R coronary artery is affected? correct answers2, 3 and aVF

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