The Audio PANCE and PANRE Board Review Podcast Episode 15

Welcome to episode 15 of the FREE Audio PANCE and PANRE Physician Assistant Board Review Podcast. The Audio PANCE and PANRE is an audio board review series that includes 10 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, on iTunes or Stitcher Radio. You can listen to the latest episode, download the transcript and take an interactive quiz of the questions below. Download a Free PDF Transcript of the Questions and AnswersFREE  PDF Transcript or view on Scribd Listen Carefully Then Take The Quiz Questions 1-10 The Audio PANCE and PANRE Episode 15 1. A patient with prostate cancer has a nonpalpable, focal lesion, and the patient is reluctant to have surgery at this time. Which of the following would best monitor disease progression? A. Periodic rectal exams B. Transrectal ultrasonography C. Measurements of serum acid phosphatase D. Measurements of prostate-specific antigen Click here to see the answerD. Measurements of prostate-specific antigen – PSA measurement correlates well with volume and stage of disease and is the recommended examination for monitoring disease progression 2. If a woman has a normal 28-day menstrual cycle what tissue and hormonal phase occurs during the last 14 days A. Proliferative follicular phase under the influence of estrogen. B. Secretory luteal phase under the influence of estrogen and progesterone. C. Proliferative follicular phase under the influence of estrogen and progesterone. D. Secretory luteal phase under the influence of estrogen Click here to see the answerB. Secretory luteal phase under the influence of estrogen and progesterone. – The endometrial changes seen in the latter half of the cycle are under the influence of both estrogen and progesterone from the corpus luteum. During this phase, the endometrium becomes more vascularized and slightly edematous. 3. A 24 year-old male presents for routine physical examination. On physical examination, you find that the patient's upper extremity blood pressure is higher than the blood pressure in the lower extremity. Heart exam reveals a late systolic murmur heard best posteriorly. What is the most likely diagnosis in this patient? A. Hypertrophic obstructive cardiomyopathy B. Patent foramen ovale C. Coarctation of the aorta D. Patent ductus arteriosus Click here to see the answerC. Coarctation of the aorta -Coarctation of the aorta commonly presents with higher systolic pressures in the upper extremities than the lower extremities and absent or weak femoral pulses 4. A mother brings a 3 month-old infant to the office because she is concerned about a red, vascular, nodular growth on the child's back. It appears to be enlarging slightly and the vessels are slightly dilated. It seems to cause the child no discomfort. The most likely diagnosis is A. a hemangioma. B. a pigmented nevus. C. a salmon patch (stork bite). D. a malignant melanoma. Click here to see the answerA. A hemangioma – A hemangioma is a bright red to deep purple vascular nodule or plaque that often develops at birth, may enlarge, and may regress and disappear with aging. 5. A 45 year-old male with Type 1 diabetes presents with the following lipid panel: Total cholesterol 321 mg/dL; Triglycerides 225 mg/dL; HDL 30 mg/dL; LDL 155 mg/dL. The treatment of choice for this patient is A. Nicotinic acid (Niacin). B. Cholestyramine (Questran). C. Gemfibrozil (Lopid). D. Simvastatin (Zocor). Click here to see the answerD. Simvastatin – As of now, Simvastatin is still considered the drug of choice – as it will decreases triglyceride level, decrease LDL, and increase HDL. (I do foresee changes to this recommendation in the future) 6.