PANCE Review Questions and Answers
A+ guide
Bacteria most commonly associated with dental carries? - correct
answers✅✅Strep. mutans
Overdose of oral benzocaine (spray) can cause what disorder? What is the
clinics picture? How is it reversed? - correct
answers✅✅Methemoglobinemia
Presents as persistent O2 sats at 80%-85% despite administration of oxygen.
Can be reversed with methylene blue.
Most common cause of necrotizing (malignant) otitis media? What is the
treatment of choice in adults? - correct answers✅✅Pseudomonas
aeruginosa
Tx= Ciprofloxacin
What tests can differentiate B12 deficiency and folate deficiency? - correct
answers✅✅Methylmalonic acid and homocysteine levels: elevated levels
of HC alone are indicative of folate deficiency. Elevated levels of both (in
serum or urine) HC and MMA.
Hallmark CXR finding of PCP pneumonia? Who gets it? - correct
answers✅✅Ground glass opacifications or "bat wing" appearance.
Immunocompromised patients with a CD4 count <200
EKG findings of RBBB vs. LBBB? - correct answers✅✅
,PANCE Review Questions and Answers
A+ guide
Parkland formula? - correct answers✅✅L/24hr= 4 x wt. x %burned
Calculate the lower SBP limit and lower avg weight limit for a 3 year old. -
correct answers✅✅SBP= 70 + (2 x age)
For ages 1-10
Weight=8 +(2 x age)
What virus is responsible for the mumps? What is he hallmark symptom? -
correct answers✅✅Rubulavirus
Sx= parotitis
First line treatment for mild persistent (stable, non-life threatening) bleeds
due to vWF disease? - correct answers✅✅Desmopressin: DDAVP
Useful in type 1 vWF dz
Blood pressure goal for DM? - correct answers✅✅<140/90
Hb A1c goal for DM? - correct answers✅✅<8.0
MCC of bacterial conjunctivitis? - correct answers✅✅Staph and Strep spp.
Duputyren's contracture is associated with what disease? - correct
answers✅✅Diabetes mellitus
What drugs can cause periodic sinus arrest? - correct
answers✅✅Digitalis, procainamide, and quinidine.
,PANCE Review Questions and Answers
A+ guide
What arrhythmia is associated with tachycardia-bradycardia switching. -
correct answers✅✅Sick-sinus syndrome
Centor criteria? - correct answers✅✅
Heart valve most commonly affected by IVDU infections? - correct
answers✅✅Tricuspid
Heart valve most commonly affected by non-IVDU infective endocarditis? -
correct answers✅✅Mitral
Duke criteria? - correct answers✅✅Used as a clinical evaluation tool for
infective endocarditis
Revised Jones criteria? - correct answers✅✅Used as a clinical evaluation
tool for acute rheumatic fever
Most effective dosage of dexamethasone for treatment of croup? - correct
answers✅✅0.6mg/kg
Hallmark triad of symptoms of croup? - correct answers✅✅Barking
cough, inspiratory stridor, and hoarseness
What lumen diameters (for each segment of the LI) define the lower border
of toxic megacolon? - correct answers✅✅Cecum= 12cm
Transverse= 8cm
Sigmoid= 6cm
, PANCE Review Questions and Answers
A+ guide
What is the normal diameter of the cecum? - correct answers✅✅7.5-
8.5cm
What segment of the colon is most vulnerable to volvulus? - correct
answers✅✅Sigmoid colon; due to it's free mobility (and sometimes
redundency) compared to other semgents
Main arterial supply to different segments of the colon? - correct
answers✅✅The SMA provides blood to the cecum, ascending colon, and
proximal transverse colon (via the ileocolic, right colic, and middle colic)
The IMA provides blood to the distal transverse, descending, sigmoid, and
rectrum (via the left colic, sigmoidal arteries, and the superior rectal arteries)
What is the treatment for benzodiazepine poisoning? - correct
answers✅✅Flumazenil
What labs should be ordered for suspected Tylenol poising? When? - correct
answers✅✅Serum acetaminophen at 4 hours after ingestion
What is a Drusen body? What is it indicative of? - correct
answers✅✅Accumulation of cellular debris between the retina and the
choroid.
It's a hallmark finding in "dry" age related macular degeneration
Viral infection commonly associated with intussusception? - correct
answers✅✅Adenovirus
A+ guide
Bacteria most commonly associated with dental carries? - correct
answers✅✅Strep. mutans
Overdose of oral benzocaine (spray) can cause what disorder? What is the
clinics picture? How is it reversed? - correct
answers✅✅Methemoglobinemia
Presents as persistent O2 sats at 80%-85% despite administration of oxygen.
Can be reversed with methylene blue.
Most common cause of necrotizing (malignant) otitis media? What is the
treatment of choice in adults? - correct answers✅✅Pseudomonas
aeruginosa
Tx= Ciprofloxacin
What tests can differentiate B12 deficiency and folate deficiency? - correct
answers✅✅Methylmalonic acid and homocysteine levels: elevated levels
of HC alone are indicative of folate deficiency. Elevated levels of both (in
serum or urine) HC and MMA.
Hallmark CXR finding of PCP pneumonia? Who gets it? - correct
answers✅✅Ground glass opacifications or "bat wing" appearance.
Immunocompromised patients with a CD4 count <200
EKG findings of RBBB vs. LBBB? - correct answers✅✅
,PANCE Review Questions and Answers
A+ guide
Parkland formula? - correct answers✅✅L/24hr= 4 x wt. x %burned
Calculate the lower SBP limit and lower avg weight limit for a 3 year old. -
correct answers✅✅SBP= 70 + (2 x age)
For ages 1-10
Weight=8 +(2 x age)
What virus is responsible for the mumps? What is he hallmark symptom? -
correct answers✅✅Rubulavirus
Sx= parotitis
First line treatment for mild persistent (stable, non-life threatening) bleeds
due to vWF disease? - correct answers✅✅Desmopressin: DDAVP
Useful in type 1 vWF dz
Blood pressure goal for DM? - correct answers✅✅<140/90
Hb A1c goal for DM? - correct answers✅✅<8.0
MCC of bacterial conjunctivitis? - correct answers✅✅Staph and Strep spp.
Duputyren's contracture is associated with what disease? - correct
answers✅✅Diabetes mellitus
What drugs can cause periodic sinus arrest? - correct
answers✅✅Digitalis, procainamide, and quinidine.
,PANCE Review Questions and Answers
A+ guide
What arrhythmia is associated with tachycardia-bradycardia switching. -
correct answers✅✅Sick-sinus syndrome
Centor criteria? - correct answers✅✅
Heart valve most commonly affected by IVDU infections? - correct
answers✅✅Tricuspid
Heart valve most commonly affected by non-IVDU infective endocarditis? -
correct answers✅✅Mitral
Duke criteria? - correct answers✅✅Used as a clinical evaluation tool for
infective endocarditis
Revised Jones criteria? - correct answers✅✅Used as a clinical evaluation
tool for acute rheumatic fever
Most effective dosage of dexamethasone for treatment of croup? - correct
answers✅✅0.6mg/kg
Hallmark triad of symptoms of croup? - correct answers✅✅Barking
cough, inspiratory stridor, and hoarseness
What lumen diameters (for each segment of the LI) define the lower border
of toxic megacolon? - correct answers✅✅Cecum= 12cm
Transverse= 8cm
Sigmoid= 6cm
, PANCE Review Questions and Answers
A+ guide
What is the normal diameter of the cecum? - correct answers✅✅7.5-
8.5cm
What segment of the colon is most vulnerable to volvulus? - correct
answers✅✅Sigmoid colon; due to it's free mobility (and sometimes
redundency) compared to other semgents
Main arterial supply to different segments of the colon? - correct
answers✅✅The SMA provides blood to the cecum, ascending colon, and
proximal transverse colon (via the ileocolic, right colic, and middle colic)
The IMA provides blood to the distal transverse, descending, sigmoid, and
rectrum (via the left colic, sigmoidal arteries, and the superior rectal arteries)
What is the treatment for benzodiazepine poisoning? - correct
answers✅✅Flumazenil
What labs should be ordered for suspected Tylenol poising? When? - correct
answers✅✅Serum acetaminophen at 4 hours after ingestion
What is a Drusen body? What is it indicative of? - correct
answers✅✅Accumulation of cellular debris between the retina and the
choroid.
It's a hallmark finding in "dry" age related macular degeneration
Viral infection commonly associated with intussusception? - correct
answers✅✅Adenovirus
