Episode 47: The Audio PANCE and PANRE Podcast – Mixed Content Blueprint Board Review

Welcome to episode 47 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 be covering 10 general board review questions based on the NCCPA PANCE and PANRE Content Blueprint.  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 and SmartyPANCE 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 47 PANCE and PANRE Podcast Quiz The following 10 questions are linked to NCCPA Content Blueprint lessons from the SmartyPANCE PANCE and PANRE board review website. If you are a member and login you will be able to view this content. 1. To relieve dependent edema in a pregnant patient, which of the following should be instituted as treatment? Limit fluid intake Elevate the legs Prescribe thiazide diuretics Strict avoidance of sodium Uncomplicated pregnancy is part of the NCCPA Content Blueprint Reproductive System which is 8% of the exam Click here to see the answer Answer: B. Elevate the legs. Dependent edema is a common and rarely serious complication of pregnancy due to impedance of venous return. Leg elevation improves circulation A. Limitation of fluid is not indicated and may be harmful. C. Thiazide diuretics are contraindicated and could be harmful. D. Edema due to impedance of venous return will not respond to sodium restriction. 2. To further assess ascites in a patient, the physician assistant instructs the patient to turn onto one side while performing percussion. Which of the following is the reason for this maneuver? Testing for shifting of dullness on percussion Shifting of internal organs making percussion easier Trying to elicit any pain while moving Trying to produce a caput medusae Ascites is a common complication of liver disease. Disorders of the liver is part of the NCCPA GI and Nutrition Content Blueprint and represents 10% of the exam Click here to see the answer Answer:  A. Testing for shifting of dullness on percussion. In ascites, dullness shifts to the more dependent side as the fluid relocates into dependent space, while tympany shifts to the top as the gas-filled organs float to the top of the ascitic fluid C. Pain with movement is associated with peritonitis and not ascites. D. Caput medusae is the dilation of the superficial abdominal veins due to increased intra abdominal fluid accumulation. It is visible with the patient standing and does not need a special maneuver for identification. 3.  A 7-year-old child with a history of type 1 diabetes mellitus for 3 years presents for routine follow-up. The mother states that the child has been having nightmares and night sweats. Additionally, his average morning glucose readings have risen from an average of 100 mg/dL to 145 mg/dL over the past week. This child is most likely experiencing a growth spurt emotional problems the Somogyi effect the dawn phenomenon Diabetes mellitus type 1 is part of the NCCPA Content Blueprint Endocrinology which represents 6% of your exam Click here to see the answer Answer: C. the Somogyi effect. This refers to nocturnal hypoglycemia, which stimulates counterregulatory hormone release resulting in rebound hyperglycemia A. Nightmares and night sweats are not associated with growth spurts. B.