PANCE Board Review & CME 2026 – Practice Questions and Study
Guide
which antiHTN class frequently causes constipation &/or peripheral edema? - ANS✔✔ CCBs
[-dipine]
what would you see on the EKG in prinzmetal [aka vasospasm] angina? - ANS✔✔ ST elevation
50y/o woman w/ CP & ST elevation w/o infarction when she went to the cath lab - ANS✔✔
*coronary vasospasm*
- BB: not a tx for this form of CAD
acute coronary syndrome = - ANS✔✔ unstable angina = nonSTEMI
JNC 9
JNC 8 - ANS✔✔ 130/80
140/90
a patient w/ a significant lateral MI should have ST elevation in which leads - ANS✔✔
which abx is best to use against infections by anaerobic organisms? - ANS✔✔ - erythromycin
- penicillin
- ceftriaxone
- *clindamycin*
which, in high doses is assoc w/ loss of red-green color & optic neuritis - ANS✔✔ ethambutol
,which abx should NOT be used in pregnancy - ANS✔✔ - aminoglycosides & clindamycin
which is an andipseudomonal penicillin - ANS✔✔ - nafcillin *[AE = interstitial nephritis]*
- oxacillin
- dicloxacillin
- *piperacillin* [IV?]
listeria abx tx = - ANS✔✔ ampicillin
which antiviral is th most effective for tx of CMV? - ANS✔✔ Ganicyclovir
which thyroid carcinoma is most common? - ANS✔✔ - medullary
- follicular
- *papillary*
- anapestic
which best explains the Somogyi effect - ANS✔✔ - d/t relative insulin excess in the morning
- d/t deficiency @ midnight
- *d/t rebound nocturnal hypoglycemia*
which serologic test should be initially ordered if you suspect PRIMARY hypOthyroidism? -
ANS✔✔ - serum T4
- serum T3
- free T4
- *TSH*
, glucocorticoids are known to do all the following EXCEPT - ANS✔✔ - cause hyperglycemia
- cause euphoria
- decrease TST & LH
- *decreased IOP--> [it INCREASES IOP]*
a schiz. pt is taking geodon. which late abnormality is most worrisome in this patient? - ANS✔✔
hypOcalcemia bc geodon has a risk for long QT
which lab value is assoc. w/ Cushing's? - ANS✔✔ elevated ACTH
22 y/o college student complains of persistent bilateral rhinorrhea & nasal congestion for the
past month. she's been using OTC Afrin that initially seemed to help. diagnosis? - ANS✔✔
rhinitis medica
a pt w/ episodic vertigo, HL, tinnitus, & sensation of aural pressure has the dx of ___ - ANS✔✔ -
BPPV
- menneires dz
-
-
Ramsey-Hunt syndrome is an otitis externa w/ which CN palsy? - ANS✔✔ facial- CN VII
college student comes to ER w/ severe throat pain & dysphagia. on initial exam- *fever truisms
& muffled voice*. before looking at his pharynx, you already suspect ___ - ANS✔✔ -
*peritonsilar abscess*
Guide
which antiHTN class frequently causes constipation &/or peripheral edema? - ANS✔✔ CCBs
[-dipine]
what would you see on the EKG in prinzmetal [aka vasospasm] angina? - ANS✔✔ ST elevation
50y/o woman w/ CP & ST elevation w/o infarction when she went to the cath lab - ANS✔✔
*coronary vasospasm*
- BB: not a tx for this form of CAD
acute coronary syndrome = - ANS✔✔ unstable angina = nonSTEMI
JNC 9
JNC 8 - ANS✔✔ 130/80
140/90
a patient w/ a significant lateral MI should have ST elevation in which leads - ANS✔✔
which abx is best to use against infections by anaerobic organisms? - ANS✔✔ - erythromycin
- penicillin
- ceftriaxone
- *clindamycin*
which, in high doses is assoc w/ loss of red-green color & optic neuritis - ANS✔✔ ethambutol
,which abx should NOT be used in pregnancy - ANS✔✔ - aminoglycosides & clindamycin
which is an andipseudomonal penicillin - ANS✔✔ - nafcillin *[AE = interstitial nephritis]*
- oxacillin
- dicloxacillin
- *piperacillin* [IV?]
listeria abx tx = - ANS✔✔ ampicillin
which antiviral is th most effective for tx of CMV? - ANS✔✔ Ganicyclovir
which thyroid carcinoma is most common? - ANS✔✔ - medullary
- follicular
- *papillary*
- anapestic
which best explains the Somogyi effect - ANS✔✔ - d/t relative insulin excess in the morning
- d/t deficiency @ midnight
- *d/t rebound nocturnal hypoglycemia*
which serologic test should be initially ordered if you suspect PRIMARY hypOthyroidism? -
ANS✔✔ - serum T4
- serum T3
- free T4
- *TSH*
, glucocorticoids are known to do all the following EXCEPT - ANS✔✔ - cause hyperglycemia
- cause euphoria
- decrease TST & LH
- *decreased IOP--> [it INCREASES IOP]*
a schiz. pt is taking geodon. which late abnormality is most worrisome in this patient? - ANS✔✔
hypOcalcemia bc geodon has a risk for long QT
which lab value is assoc. w/ Cushing's? - ANS✔✔ elevated ACTH
22 y/o college student complains of persistent bilateral rhinorrhea & nasal congestion for the
past month. she's been using OTC Afrin that initially seemed to help. diagnosis? - ANS✔✔
rhinitis medica
a pt w/ episodic vertigo, HL, tinnitus, & sensation of aural pressure has the dx of ___ - ANS✔✔ -
BPPV
- menneires dz
-
-
Ramsey-Hunt syndrome is an otitis externa w/ which CN palsy? - ANS✔✔ facial- CN VII
college student comes to ER w/ severe throat pain & dysphagia. on initial exam- *fever truisms
& muffled voice*. before looking at his pharynx, you already suspect ___ - ANS✔✔ -
*peritonsilar abscess*
