, PANCE Exam Prep: 60 Practice Questions to Study Smarter
1.
, PANCE Exam Prep: 60 Practice Questions to Study Smarter
2. A 52 year-old male presents complaining *Answer: C*
of urinary frequency, with hesitancy, and
nocturia for the past few months. Dur- This patient has an isolated nodule of the
ing his physical examination, you note prostate gland — cancer until proven other-
a nontender, non-enlarged prostate with wise. You should order an ultrasound and a PSA.
an isolated right posterior lobe nodule. BPH will present as dittuse enlargement, and
Which of the following options is most not a discrete nodule.
appropriate?
*A.* order a serum acid phosphatase
level
*B.* initiate prazosin and schedule a fol-
low-up appointment in 6 weeks
*C.* refer the patient for an ultrasound
of the prostate and order a PSA level
*D.* reassure the patient and schedule a
follow-up appointment in six months
*E.* initiate norfloxacin therapy for 7
days and schedule follow-up in two
weeks
3. You are educating a patient that has just Answer: E, The majority of colonic polyps are >
been advised that he has "polyps" in his C. The greater the number
colon. Which of the following statements of concomi-
is FALSE?
A. The larger the colonic polyp, the
greater the risk of malignant transfor-
mation
B. Villous adenomas have a 30-70% risk
of malignant transformation.
, PANCE Exam Prep: 60 Practice Questions to Study Smarter
3 cm in size.
Most polyps are, in fact, quite small. All the rest of these
statements are true