Episode 63: The Audio PANCE and PANRE – Ten Mixed NCCPA™ Content Blueprint Multiple Choice Questions

Ten Mixed NCCPA™ PANCE Content Blueprint Multiple Choice Questions Welcome to episode 63 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. Join me as I cover ten PANCE and PANRE Board review questions from the SMARTYPANCE course content following the NCCPA™ content blueprint (download the FREE cheat sheet). This week we will be covering ten 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 board review includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and SMARTYPANCE which are now bundled together into one very low price. You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio. You can listen to the latest episode, take an interactive quiz and download your results below. Listen Carefully Then Take The Practice Exam If you can't see the audio player click here to listen to the full episode. Episode 63 - General PANCE/PANRE Podcast Quiz The following 10 questions are linked to NCCPA Content Blueprint lessons from the SMARTYPANCE and PANRE Board review website. If you are a member you will be able to log in and view this interactive video content. 1. A 24-year-old male presents complaining of a 9-month history of increasing shortness of breath, dyspnea on exertion, and a cough productive of white sputum, mostly in the mornings. He denies orthopnea, PND, peripheral edema, fever, chills, night sweats, recent changes in weight, palpitations, chest pain, food intolerances, or other complaints. Patient has a history of recurrent lung infections. He states that his father had chronic pulmonary problems and died at age 42 from unknown lung disease. The patient denies smoking, alcohol or illicit drug use. On physical examination, the respiratory rate is 22 breaths per minute, a pulse of 98 bpm, a temperature of 98.7 degrees. Pulmonary exam reveals end-expiratory wheezes bilaterally and hyperresonance to percussion. His cardiac exam is normal. Chest X-ray shows decreased lung markings. ECG is normal. Pulmonary function tests show an FEV1 63% of expected and residual capacity is 123% of expected. Which of the following is the most likely diagnosis? A. Emphysema B. Pulmonary fibrosis C. Ventricular septal defect D. Congestive heart failure Click here to see the answer Answer: A. Emphysema This person has an obstructive lung disease based on PFTs. Emphysema is the most likely diagnosis and may be related to alpha-1 antitrypsin deficiency based on family history and lack of smoking history and young age. Emphysema is covered as part of the NCCPA Pulmonary Blueprint (12%) B. The PFTs from a person with pulmonary fibrosis would be consistent with a restrictive pattern. This patient has an obstructive pattern of lung disease. C. Ventricular septal defect will have a systolic murmur associated with it. D. Congestive heart failure might explain some of the symptoms of this patient (increasing shortness of breath and DOE), he denies other common symptoms, such as orthopnea and peripheral edema. CHF should not result in changes in the PFTs. 2. A male patient complains of chronic dysuria, frequency, and urgency with associated perineal pain. The most likely diagnosis is A. cystitis B. gonococcal urethritis C. epididymitis D. prostatitis Click here to see the answer Answer: D. prostatitis Some patients are asymptomatic, but low back or perineal pain, fever, chills, and irritative urinary symptoms are common in prostatitis. Prostatitis is covered as part of the NCCPA PANCE Genitourinary Blueprint A. Cystitis is characterized by dysuria without urethral discharge. B. Initially, there is burning on urination and serous or milky ...