PANCE Key Words according to Rosh
Review Question and answers A+ Guide
What's your dx? How do you tx?
Trigger points/focal distant painful spots located in palpable taut bands of
muscle - correct answers✅✅Myofascial pain
Tx= Cyclobenzaprine + NSAIDs
Etiology of murmur in pregnancy - correct answers✅✅Increased cardiac
output
ID the most likely meningitis etiology
*HIV + pt*
Recent travel to Sub Sarahan Africa - correct answers✅✅Cryptococcus
ID the type of dementia
-Symptoms of Parkinson's disease
-Hallucinations
-REM sleep disorder
-Worsening of symptoms with anti-psychotics - correct answers✅✅Lewy
Body Disease
1st line for BPH - correct answers✅✅Alpha-1-adrenergic antagonists
(e.g. Terazosin, Doxazosin, Tamsulosin)
Alpha blockers work immediately
5-alpha reductase inhibitors (e.g. Finasteride) take months to work
,PANCE Key Words according to Rosh
Review Question and answers A+ Guide
-*Cysts*
-*Flagellated trophozoites*
-Watery, foul smelling diarrhea - correct answers✅✅Giardiasis
Tx= Metronidazole/Flagyl
Primary risk factor for developing osteoarthritis - correct answers✅✅Age
Non-tender bony protuberances in adolescent males - correct
answers✅✅Osteochondroma
Benign condition
- - correct answers✅✅-
-U/A is positive for blood, but no RBC are present on microscopy
-Creatinine Kinase is elevated - correct answers✅✅Rhabdomylosis
U/A will be positive for blood as it just assesses for the presence of
hemoglobin.
U/A does not differentiate between hemoglobin and myoglobin.
Myoglobin is elevated in Rhabdo.
Dx study for Scoliosis - correct answers✅✅Plain films
Assess *Cobb Angle*
,PANCE Key Words according to Rosh
Review Question and answers A+ Guide
Cobb Angle of 20-40--> Brace
> 40--> Surgery
MC fractured carpal bone - correct answers✅✅Scaphoid
Tx with Thumb spica splint
Tenderness to palpation of anatomical snuff box
Inadequate tx can lead to avascular necrosis because blood supply is distal
Mallet finger tx - correct answers✅✅Splint in *extension* x 6-8 w
Consequence of untreated *mallet finger* - correct answers✅✅Swan neck
deformity
Best test for assessing ACL injury - correct answers✅✅Lachman's
+ Anterior Drawer of the ankle - correct answers✅✅ATFL injury
Periosteal reaction/sunburst pattern - correct answers✅✅Osteosarcoma
MC primary malignancy of bone - correct answers✅✅Osteosarcoma
Ionizing radiation to tx childhood solid cancers is a risk factor for
osteosarcoma development later in life
, PANCE Key Words according to Rosh
Review Question and answers A+ Guide
When does the *nadir in neutrophil count* after chemotherapy occur? -
correct answers✅✅5-10 days after receipt of chemo
Can be tx with *Filgrastrim/Neuopgen*
What nerve should you evaluate in *proximal fibular fractures*? - correct
answers✅✅Peroneal nerve
If peroneal nerve is damaged, you will se a *foot drop* and decreased
*dorsiflexion*
Medication associated with false + screening test for primary
hyperaldosteronism - correct answers✅✅Beta Blockers
Beta blockers can reduce plasma renin activity leading to falsely elevated
aldosterone:renin ratio
Primary Hyperaldosteronism
Associated electrolyte abnormalities
Aldosterone: Renin ratio
Serum aldosterone level - correct answers✅✅Hypernatremia,
hypokalemia
Aldosterone:Renin 20:1, renin is usually not detected
Serum aldosterone >15
Note- Beta blockers can cause a falsely elevated Aldosterone:Renin ratio
Review Question and answers A+ Guide
What's your dx? How do you tx?
Trigger points/focal distant painful spots located in palpable taut bands of
muscle - correct answers✅✅Myofascial pain
Tx= Cyclobenzaprine + NSAIDs
Etiology of murmur in pregnancy - correct answers✅✅Increased cardiac
output
ID the most likely meningitis etiology
*HIV + pt*
Recent travel to Sub Sarahan Africa - correct answers✅✅Cryptococcus
ID the type of dementia
-Symptoms of Parkinson's disease
-Hallucinations
-REM sleep disorder
-Worsening of symptoms with anti-psychotics - correct answers✅✅Lewy
Body Disease
1st line for BPH - correct answers✅✅Alpha-1-adrenergic antagonists
(e.g. Terazosin, Doxazosin, Tamsulosin)
Alpha blockers work immediately
5-alpha reductase inhibitors (e.g. Finasteride) take months to work
,PANCE Key Words according to Rosh
Review Question and answers A+ Guide
-*Cysts*
-*Flagellated trophozoites*
-Watery, foul smelling diarrhea - correct answers✅✅Giardiasis
Tx= Metronidazole/Flagyl
Primary risk factor for developing osteoarthritis - correct answers✅✅Age
Non-tender bony protuberances in adolescent males - correct
answers✅✅Osteochondroma
Benign condition
- - correct answers✅✅-
-U/A is positive for blood, but no RBC are present on microscopy
-Creatinine Kinase is elevated - correct answers✅✅Rhabdomylosis
U/A will be positive for blood as it just assesses for the presence of
hemoglobin.
U/A does not differentiate between hemoglobin and myoglobin.
Myoglobin is elevated in Rhabdo.
Dx study for Scoliosis - correct answers✅✅Plain films
Assess *Cobb Angle*
,PANCE Key Words according to Rosh
Review Question and answers A+ Guide
Cobb Angle of 20-40--> Brace
> 40--> Surgery
MC fractured carpal bone - correct answers✅✅Scaphoid
Tx with Thumb spica splint
Tenderness to palpation of anatomical snuff box
Inadequate tx can lead to avascular necrosis because blood supply is distal
Mallet finger tx - correct answers✅✅Splint in *extension* x 6-8 w
Consequence of untreated *mallet finger* - correct answers✅✅Swan neck
deformity
Best test for assessing ACL injury - correct answers✅✅Lachman's
+ Anterior Drawer of the ankle - correct answers✅✅ATFL injury
Periosteal reaction/sunburst pattern - correct answers✅✅Osteosarcoma
MC primary malignancy of bone - correct answers✅✅Osteosarcoma
Ionizing radiation to tx childhood solid cancers is a risk factor for
osteosarcoma development later in life
, PANCE Key Words according to Rosh
Review Question and answers A+ Guide
When does the *nadir in neutrophil count* after chemotherapy occur? -
correct answers✅✅5-10 days after receipt of chemo
Can be tx with *Filgrastrim/Neuopgen*
What nerve should you evaluate in *proximal fibular fractures*? - correct
answers✅✅Peroneal nerve
If peroneal nerve is damaged, you will se a *foot drop* and decreased
*dorsiflexion*
Medication associated with false + screening test for primary
hyperaldosteronism - correct answers✅✅Beta Blockers
Beta blockers can reduce plasma renin activity leading to falsely elevated
aldosterone:renin ratio
Primary Hyperaldosteronism
Associated electrolyte abnormalities
Aldosterone: Renin ratio
Serum aldosterone level - correct answers✅✅Hypernatremia,
hypokalemia
Aldosterone:Renin 20:1, renin is usually not detected
Serum aldosterone >15
Note- Beta blockers can cause a falsely elevated Aldosterone:Renin ratio
