Episode 43: The Audio PANCE and PANRE Board Review Podcast

Welcome to episode 43 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover 10 PANCE and PANRE board review questions from the Academy course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will continue to take a break from topic specific board review and covering 10 general board review questions. Below you will find an interactive exam to complement the podcast. I hope you enjoy this free audio component to the examination portion of this site. The full genitourinary board review includes over 72 GU specific questions and is available to all members of the PANCE and PANRE Academy. You can download and listen to past FREE episodes here, on iTunes or Stitcher Radio. You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Quiz If you can't see the audio player click here to listen to the full episode. Episode 43 PANCE and PANRE Podcast Quiz 1. A mother brings in her five-year-old boy for his school physical. She voices some concerns about his readiness for school, saying he seems to be socially immature. She has noticed he does not interact with other children well, and that when he plays with them, he has a tendency to "place them" and then run around them as if they were statues. He rarely cries when he is hurt, and he shrugs off any attempt to hug him. He has good attention to details, and will sit and draw the same geometric shapes over and over again, but does not seem interested in learning the alphabet. He avoids eye contact with anyone. Which of the following is the most likely diagnosis? Normal 5 year-old Social phobia Autism Avoidant personality Click here to see the answer Answer: C. Autism Children with autism do not tend to make eye contact, and even avoid it. They do not accept comfort when hurt and stiffen up when hugged. They do not tend to play with others, and do not tend to imitate grown-ups in play. They approach play in a more mechanical way, using others as props rather than interacting with them. Explanations A. This behavior is not normal for a child this age. B. Social phobia is an excessive and persistent fear of social situations in which the person may be scrutinized by others. D. Avoidant personality disorder is characterized by timidity, social awkwardness, and a pervasive sense of inadequacy and fear of criticism. 2. A 3-week-old male infant presents with recurrent regurgitation after feeding that has progressed to projectile vomiting in the last few days. The mother states that the child appears hungry all of the time. She denies any diarrhea in the child. Which of the following clinical findings is most likely? Bile-stained vomitus Hemoccult positive stools Olive-sized mass in the right upper abdomen Sausage-shaped mass in the upper-mid abdomen Click here to see the answer Answer: C. Olive-sized mass in the right upper abdomen An olive-sized mass may be palpated in the right upper abdomen in pyloric stenosis and if found, is pathognomonic for pyloric stenosis. Explanations D. A sausage-shaped mass may be noted in intussusception, not pyloric stenosis. A. Gastric obstruction, such as that seen with pyloric stenosis, causes vomiting that is not bilious. B. Blood-streaked vomitus, but not hemoccult positive stools, may be seen in pyloric stenosis. 3. A 65 year-old with COPD receiving their first pneumococcal polysaccharide PPSV23 vaccination should be revaccinated in 1 year 3 years 5 years Never Click here to see the answer Answer: D. Never People who are first vaccinated with PPSV23 at age 65 years or older should receive only 1 dose, regardless of their underlying medical condition. ACIP recommendations for revaccination remain unchanged from the 1997 recommendations.