Episode 25 The Audio PANCE and PANRE Podcast

Welcome to episode 25of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes10 Multiple Choice PANCE and PANRE Board Review Questions in each episode. I hope you enjoy this free audio component to the examination portion of this site. The full series is available to all members of the PANCE and PANRE Academy. You can download and listen to past FREE episodes here,oniTunesor StitcherRadio. You can listen to the latest episode, download the transcript and take an interactive quiz of the questions below. Download the FREE PDF transcript for FREE here. Listen Carefully Then Take The Quiz If you can't see the audio player click here to listen to the full episode. Questions 1-10 The Audio PANCE and PANRE Episode 25 1. Which of the following conditions will produce a transudative pleural effusion? A. Kaposi's sarcoma B. Pneumonia C. Cirrhosis D. Mesothelioma Click here to see the answer Answer: C. Cirrhosis Transudative pleural effusions result from an alteration in the formation of pleural fluid, the absorption of pleural fluid, or both, by systemic factors. Local factors affecting pleural fluid absorption and/or formation produce exudative pleural effusions. 2. Which of the following pathophysiological processes is believed to initiate acute appendicitis? A. Obstruction B. Perforation C. Hemorrhage D. Vascular compromise Click here to see the answer Answer: A. Obstruction Obstruction of the appendiceal lumen by lymphoid hyperplasia, a fecalith or foreign body initiates most cases of appendicitis. 3. A 23 year-old female with a history of palpitations presents for evaluation. She admits to acute onset of rapid heart beating lasting seconds to minutes with associated shortness of breath and chest pain. The patient states she can relieve her symptoms with Valsalva. Which of the following is the most appropriate diagnostic study to establish a definitive diagnosis in this patient? A. Cardiac catheterization B. Cardiac MRI C. Chest CT scan D. Electrophysiology study Click here to see the answer Answer: D. Electrophysiology study Electrophysiology study is useful in establishing the diagnosis and pathway of complex arrhythmias such as supraventricular tachycardia. 4. A known alcoholic presents to the emergency department with altered level of consciousness and a blood glucose level of 35 mg/dL. Which of the following best explains this glucose result? A. Excess pancreatic insulin release B. Rapid carbohydrate discharge into the small bowel C. Agonist insulin receptor antibody formation D. Hepatic glycogen depletion and impaired gluconeogenesis Click here to see the answer Answer: D. Hepatic glycogen depletion and impaired gluconeogenesis Alcohol-related hypoglycemia results from hepatic glycogen depletion and impaired gluconeogenesis and not due to antibody formation, excessive insulin release from the pancreas, or rapid release of carbohydrate into the small bowel. 5. Which of the following is the chief adverse effect of thiazide diuretics? A. Hypokalemia B. Hypernatremia C. Hypocalcemia D. Hypermagnesemia Click here to see the answer Answer: A. Hypokalemia Thiazide diuretics can induce electrolyte changes. Principle among those is hypokalemia. 6. The most distinctive sign of pertussis is A. stridor without cough. B. productive cough with basilar rales. C. loose cough with coarse rhonchi. D. paroxysmal cough with crowing inspiration. Click here to see the answer Answer: D. paroxysmal cough with crowing inspiration. A paroxysmal cough with a loud inspiration (the whoop) is noted in pertussis. 7. The finding of egophony is most consistent with A. emphysema. B. atelectasis. C. pneumothorax. D. lobar pneumonia Click here to see the answer Answer D. Lobar pneumonia Egophony occurs with consolidation caused by lobar pneumonia. 8. A patient presents with edema, which is most noticeable in the hands and face. Laboratory findings include proteinuria, hypoalbuminemia, and hyperlipidemia. The most likely diagnosis is A. congestive heart failure. B. end-stage liver disease. C. nephrotic syndrome. D. malnutrition. Click here to see the answer Answer: C. nephrotic syndrome. Proteinuria, hyperlipidemia, and hypoalbuminemia are consistent with nephrotic syndrome. 9. The best course of action for a patient with a bothersome inflamed pinguecula (pingueculitis) is A. antibiotic drops. B. excision. C. Visine drops. D. no treatment. Click here to see the answer Answer: D. no treatment. With pingueculitis, no treatment is necessary; a short course of NSAID drops or steroids may help. 10. An immunocompromised patient presents with signs and symptoms consistent with Legionella pneumophila who has not responded to initial antibiotic therapy with a macrolide. Which of the following should be added? A. Clarithromycin (Biaxin) B. Rifampin (Rifadin) C. Levofloxacin (Levaquin) D. Amoxicillin-clavulanate (Augmentin) Click here to see the answer Answer B. Rifampin Rifampin should be used as an adjunct in patients with either a macrolide or quinolone antibiotic, who have failed therapy, are immunocompromised or have severe illness. Looking for all the episodes? This FREE series is limited to every other episode, you can download and enjoy the complete audio series by joiningThe PANCE and PANRE Exam Academy. I will be be releasing new episodes every two weeks. The Academy is currently discounted, so sign up now. Resources and Show Notes: PANCE Prep PearlsBoard Review Book My list of recommended PANCE and PANRE review books This Podcast is also available on iTunes and Stitcher Radio for Android iTunes:The Audio PANCE AND PANRE Podcast iTunes Stitcher Radio:The Audio PANCE and PANRE Podcast Stitcher While you are over there, download and subscribe to Brian Wallaces' excellentPhysician Assistant Exam Review Podcast.Follow along with Brian who covers new topics twice monthly and really does an amazing job! Cheers, Stephen Pasquini PA-C document.createElement('audio'); http://traffic.libsyn.com/pasquini/Episode_25_The_Audio_PANCE_and_PANRE_Board_Review_Podcast_The_Physciian_Assistant_Life.mp3Podcast: Download () | EmbedSubscribe: Apple Podcasts | Android | Email | Google Podcasts | Stitcher | RSS | PANCE and PANRE Podcast PlayerView all posts in this seriesThe Audio PANCE and PANRE Board Review Podcast Episode 1The Audio PANCE and PANRE Board Review Podcast Episode 3The Audio PANCE and PANRE Board Review Podcast Episode 5The Audio PANCE and PANRE Board Review Podcast Episode 7The Audio PANCE and PANRE Board Review Podcast Episode 9The Audio PANCE and PANRE Board Review Podcast Episode 11The Audio PANCE and PANRE Board Review Podcast Episode 13The Audio PANCE and PANRE Board Review Podcast Episode 15The Audio PANCE and PANRE Board Review Podcast Episode 17The Audio PANCE and PANRE Board Review Podcast Episode 19The Audio PANCE and PANRE Board Review Podcast Episode 21The Audio PANCE and PANRE Board Review Podcast Episode 23The Audio PANCE and PANRE Board Review Podcast Episode 25Cardiology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 27Pulmonology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 29Gastroenterology 1: The Audio PANCE and PANRE Podcast Topic Specific Review Episode 31EENT 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 33Genitourinary 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 35Musculoskeletal 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 37Reproductive System 1: The Audio PANCE and PANRE Board Review Podcast Topic Specific Review Episode 39Episode 41: The Audio PANCE and PANRE Board Review PodcastEpisode 43: The Audio PANCE and PANRE Board Review PodcastMurmur Madness: The Audio PANCE and PANRE Episode 45Episode 47: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 49: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio Quiz Episode 51: The Audio PANCE and PANRE Board Review Podcast Comprehensive Audio QuizEpisode 53: General Surgery End of Rotation Exam The Audio PANCE and PANRE PodcastEpisode 55: The Audio PANCE and PANRE Board Review PodcastEpisode 57: The Audio PANCE and PANRE Board Review PodcastEpisode 59: Emergency Medicine EOR The Audio PANCE and PANRE Board Review PodcastEpisode 61: The Audio PANCE and PANRE Board Review PodcastEpisode 63: The Audio PANCE and PANRE PA Board Review PodcastPodcast Episode 65: Hepatitis B Breakdown With Joe Gilboy PA-CPodcast Episode 67: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 69: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 71: Ten PANCE and PANRE Board Review Audio QuestionsPodcast Episode 73: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 75: Ten FREE PANCE and PANRE Audio Board Review QuestionsPodcast Episode 77: The Audio PANCE and PANRE Board Review Podcast You may also like -The Audio PANCE and PANRE Board Review Podcast Episode 21Welcome to episode 21of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. 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