PANCE STUDY EXAMS GUIDE ALL QUESTIONS AND
ANSWERS SURE A+
✔✔What is the heart rate for tachycardia? How about
bradycardia? - ✔✔Tachycardia >100, bradycardia <60
✔✔On EKG there is an early but otherwise normal
PQRS complex. After that beat there is a slight
pause and then a normal rhythm continues. What
is the term for this one beat? - ✔✔Premature atrial contraction
✔✔Lead I has a QRS that is up and the AVF lead has
a QRS complex that is down. Does this represent
normal axis, left axis deviation or right axis
deviation? - ✔✔Left axis deviation
✔✔What is the best test to diagnose an aortic
dissection? - ✔✔CT
✔✔What is the first medication you should give for
atrial flutter? - ✔✔Adenosine
,✔✔An eighty two year old patient complains of
headaches and jaw claudication. What is the most
likely diagnosis? - ✔✔Giant cell (temporal) arteritis
✔✔The EKG shows irregularly irregular narrow QRS
waves. What diagnosis should you be thinking of? - ✔✔Atrial fibrillation
✔✔What is the most important complication of giant
cell arteritis? - ✔✔Blindness
✔✔What is the other term for Mobitz type I? - ✔✔Wenckebach
✔✔An EKG shows a regular rate of fifty beats per
minute. The QRS is narrow and there is no visible
P wave. What is the most likely diagnosis? - ✔✔Junctional rythm
✔✔How do you define 1st degree AV block? - ✔✔The PR interval is longer than 0.2
seconds or one block on EKG.
✔✔Tall peaked T waves should make you think of what
diagnosis? - ✔✔Hyperkalemia
✔✔Name a common cause of a junctional rhythm. - ✔✔Digitoxin toxicity
✔✔An EKG shows two premature ventricular
contractions. These two QRS waves look very
different. What is the term for this? - ✔✔Multifocal premature ventricular
contractions.
✔✔What is the most common cause of sudden cardiac
death? - ✔✔Ventricular fibrillation
✔✔A patient in the ED has no pulse, but on EKG there
are wide irregular "complexes" which are at an
irregular rate. They all appear very different from
one another. What is the treatment for this patient? - ✔✔He is in ventricular fibrillation.
The treatment is defibrillation.
✔✔What two labs do you want to monitor in a patient
on an ACEI? - ✔✔Serum creatinine and serum potassium.
✔✔The heart rate is irregular so you can't count boxes
between QRS waves to determine heart rate. What
,is another method you can use to determine rate
on an EKG? - ✔✔Count QRS waves in a six second
strip and multiply by 10 to get beats
per minute.
✔✔What is the treatment for a patient with a Mobitz II
AV block? - ✔✔Pacemaker
✔✔How do you treat polymyalgia rheumatica? - ✔✔Low dose prednisone
✔✔You see regular P waves and regular QRS
complexes, but they do not seem to have any
correlation to each other. What is the diagnosis? - ✔✔Third degree AV block
✔✔Name one aldosterone antagonist. - ✔✔Spironolactone, eplerenone
✔✔You see a short PR interval and a delta wave on
EKG. What is the most likely diagnosis? - ✔✔Wolff-Parkinson-White syndrome
✔✔What is the management of a patient in
supraventricular tachycardia? - ✔✔Vagal maneuvers, carotid massage,
adenosine
✔✔List the six P's of an ischemic limb. - ✔✔Pain, paresthesias, pallor,
pulselessness, poikilothermia,
paralysis.
✔✔A thirty year old female presents with pustules on
her face that spare the vermilion border. In her
history she has been using topical steroids. What is
the most likely diagnosis? - ✔✔Perioral dermatitis
✔✔A patient presents with flaky skin in the nasolabial
folds and in her hair. What is the most likely
diagnosis? - ✔✔Seborrheic dermatitis
✔✔How do you treat a stasis dermatitis? - ✔✔Compression stockings
✔✔Tapioca blisters should make you think of what
diagnosis? - ✔✔Dyshidrosis - these are usually on the
hands and feet.
✔✔How do you treat pityriasis rosea? - ✔✔Reassurance
, ✔✔How do you treat dyshidrosis? - ✔✔Topical steroids
✔✔A patient with a history of herpes now presents
with a target lesion. What is the most likely
diagnosis? - ✔✔Erythema multiforme
✔✔A herald patch should make you think of what
diagnosis? - ✔✔Pityriasis rosea
✔✔How do you treat lichen simplex chronicus? - ✔✔Get the patient to stop scratching
it.
✔✔Giant cells on a Tzanck smear should make you
think of what diagnosis? - ✔✔Herpes simplex virus
✔✔What two leads do you use to determine the axis
of the heart? - ✔✔Lead I and AVF
✔✔An RSR prime in leads V5 or V6 should make you
think of what diagnosis? - ✔✔Left bundle branch block
✔✔Rhinophyma should make you think of what
diagnosis? - ✔✔Acne Rosacea
✔✔On EKG there is an early wide QRS complex with
no associated P wave. After that beat there is a
slight pause and then a normal rhythm continues.
What is the term for this one beat? - ✔✔Premature ventricular contraction
✔✔Melasma is most often found in what patient
population? - ✔✔Women of childbearing age.
✔✔Are lesions from psoriasis typically found on flexor
or extensor surfaces? - ✔✔Extensor
✔✔What are the two most common organisms
responsible for cellulitis? - ✔✔Strep and Staph
✔✔What is the first line treatment for tinea corporis? - ✔✔Topical azoles
✔✔Extremely pruritic lesions with burrows in runs
should make you think of what diagnosis? - ✔✔Scabies
ANSWERS SURE A+
✔✔What is the heart rate for tachycardia? How about
bradycardia? - ✔✔Tachycardia >100, bradycardia <60
✔✔On EKG there is an early but otherwise normal
PQRS complex. After that beat there is a slight
pause and then a normal rhythm continues. What
is the term for this one beat? - ✔✔Premature atrial contraction
✔✔Lead I has a QRS that is up and the AVF lead has
a QRS complex that is down. Does this represent
normal axis, left axis deviation or right axis
deviation? - ✔✔Left axis deviation
✔✔What is the best test to diagnose an aortic
dissection? - ✔✔CT
✔✔What is the first medication you should give for
atrial flutter? - ✔✔Adenosine
,✔✔An eighty two year old patient complains of
headaches and jaw claudication. What is the most
likely diagnosis? - ✔✔Giant cell (temporal) arteritis
✔✔The EKG shows irregularly irregular narrow QRS
waves. What diagnosis should you be thinking of? - ✔✔Atrial fibrillation
✔✔What is the most important complication of giant
cell arteritis? - ✔✔Blindness
✔✔What is the other term for Mobitz type I? - ✔✔Wenckebach
✔✔An EKG shows a regular rate of fifty beats per
minute. The QRS is narrow and there is no visible
P wave. What is the most likely diagnosis? - ✔✔Junctional rythm
✔✔How do you define 1st degree AV block? - ✔✔The PR interval is longer than 0.2
seconds or one block on EKG.
✔✔Tall peaked T waves should make you think of what
diagnosis? - ✔✔Hyperkalemia
✔✔Name a common cause of a junctional rhythm. - ✔✔Digitoxin toxicity
✔✔An EKG shows two premature ventricular
contractions. These two QRS waves look very
different. What is the term for this? - ✔✔Multifocal premature ventricular
contractions.
✔✔What is the most common cause of sudden cardiac
death? - ✔✔Ventricular fibrillation
✔✔A patient in the ED has no pulse, but on EKG there
are wide irregular "complexes" which are at an
irregular rate. They all appear very different from
one another. What is the treatment for this patient? - ✔✔He is in ventricular fibrillation.
The treatment is defibrillation.
✔✔What two labs do you want to monitor in a patient
on an ACEI? - ✔✔Serum creatinine and serum potassium.
✔✔The heart rate is irregular so you can't count boxes
between QRS waves to determine heart rate. What
,is another method you can use to determine rate
on an EKG? - ✔✔Count QRS waves in a six second
strip and multiply by 10 to get beats
per minute.
✔✔What is the treatment for a patient with a Mobitz II
AV block? - ✔✔Pacemaker
✔✔How do you treat polymyalgia rheumatica? - ✔✔Low dose prednisone
✔✔You see regular P waves and regular QRS
complexes, but they do not seem to have any
correlation to each other. What is the diagnosis? - ✔✔Third degree AV block
✔✔Name one aldosterone antagonist. - ✔✔Spironolactone, eplerenone
✔✔You see a short PR interval and a delta wave on
EKG. What is the most likely diagnosis? - ✔✔Wolff-Parkinson-White syndrome
✔✔What is the management of a patient in
supraventricular tachycardia? - ✔✔Vagal maneuvers, carotid massage,
adenosine
✔✔List the six P's of an ischemic limb. - ✔✔Pain, paresthesias, pallor,
pulselessness, poikilothermia,
paralysis.
✔✔A thirty year old female presents with pustules on
her face that spare the vermilion border. In her
history she has been using topical steroids. What is
the most likely diagnosis? - ✔✔Perioral dermatitis
✔✔A patient presents with flaky skin in the nasolabial
folds and in her hair. What is the most likely
diagnosis? - ✔✔Seborrheic dermatitis
✔✔How do you treat a stasis dermatitis? - ✔✔Compression stockings
✔✔Tapioca blisters should make you think of what
diagnosis? - ✔✔Dyshidrosis - these are usually on the
hands and feet.
✔✔How do you treat pityriasis rosea? - ✔✔Reassurance
, ✔✔How do you treat dyshidrosis? - ✔✔Topical steroids
✔✔A patient with a history of herpes now presents
with a target lesion. What is the most likely
diagnosis? - ✔✔Erythema multiforme
✔✔A herald patch should make you think of what
diagnosis? - ✔✔Pityriasis rosea
✔✔How do you treat lichen simplex chronicus? - ✔✔Get the patient to stop scratching
it.
✔✔Giant cells on a Tzanck smear should make you
think of what diagnosis? - ✔✔Herpes simplex virus
✔✔What two leads do you use to determine the axis
of the heart? - ✔✔Lead I and AVF
✔✔An RSR prime in leads V5 or V6 should make you
think of what diagnosis? - ✔✔Left bundle branch block
✔✔Rhinophyma should make you think of what
diagnosis? - ✔✔Acne Rosacea
✔✔On EKG there is an early wide QRS complex with
no associated P wave. After that beat there is a
slight pause and then a normal rhythm continues.
What is the term for this one beat? - ✔✔Premature ventricular contraction
✔✔Melasma is most often found in what patient
population? - ✔✔Women of childbearing age.
✔✔Are lesions from psoriasis typically found on flexor
or extensor surfaces? - ✔✔Extensor
✔✔What are the two most common organisms
responsible for cellulitis? - ✔✔Strep and Staph
✔✔What is the first line treatment for tinea corporis? - ✔✔Topical azoles
✔✔Extremely pruritic lesions with burrows in runs
should make you think of what diagnosis? - ✔✔Scabies
