The Audio PANCE and PANRE Board Review Podcast Episode 21

Welcome to episode 21 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 the FREE PDF transcript for FREE here or on  Scribd. 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 21 1. A 28-year-old female, who has experienced occasional painful migratory arthralgias, complains now of a tender, swollen, and hot left ankle. The joint was aspirated and the synovial fluid showed 55,000 WBCs, 75% polymorphonuclear lymphocytes, low glucose level, and no crystals. Which of the following would be the most likely diagnosis? A. Rheumatoid arthritis B. Septic arthritis C. Gouty arthritis D. Osteoarthritis Click here to see the answer Answer: B. Cyanosis Cyanosis is very common in tetralogy of Fallot. 2. When the diagnosis of gonococcal urethritis is confirmed, which of the following is the treatment of choice? A. Ceftriaxone (Rocephin) B. Azithromycin 1g orally in a single dose C. Ceftriaxone 250 mg IM in a single dose PLUS Azithromycin 1g orally in a single dose D. Doxycycline (Vibramycin) Click here to see the answer Answer: C. Ceftriaxone 250 mg IM in a single dose PLUS Azithromycin 1g orally in a single dose. Because of resistance, the CDC now recommends dual therapy with Ceftriaxone 250 mg IM in a single dose PLUS Azithromycin 1g orally in a single dose Alertnative regimens if ceftriaxone is not available include Cefixime 400 mg orally in a single dose PLUS Azithromycin 1 g orally in a single dose 3. Erythema nodosum is characterized by A. subcutaneous red tender nodules. B. brown pigmentation on the lower extremities. C. tender lymph nodes in the groin. D. scaling red macules. Click here to see the answer Answer: A, subcutaneous red tender nodules. Erythema nodosum produces erythematous red tender nodules, especially on the shins. 4. Use of systemic corticosteroids can cause which of the following adverse effects in the eye? A. Cortical blindness B. Optic atrophy C. Glaucoma D. Papilledema Click here to see the answer Answer: C. Glaucoma Glaucoma can be caused by the long-term use of steroids. 5. It is determined that a woman has a nonexistent rubella titer level during her first trimester of pregnancy. When should she receive the rubella vaccine? A. During the first trimester of pregnancy B. During the second trimester of pregnancy C. During the third trimester of pregnancy D. After delivery of the infant Click here to see the answer Answer: D. After delivery of the infant The patient should not receive the rubella vaccine during the course of her pregnancy as the possibility of transmission of the rubella virus does exist. During the time that the patient is without protective titer she should avoid anyone with active rubella infection. The proper time to receive the vaccine is after delivery of the infant. 6. A patient with which of the following is at highest risk for coronary artery disease? A. Congenital heart disease B. Polycystic ovary syndrome C. Acute renal failure D. Diabetes mellitus Click here to see the answer Answer: D. Diabetes mellitus Patients with diabetes mellitus are in the same risk category for coronary artery disease as those patients with established atherosclerotic disease. 7.