PANCE Practice Questions and Answers
(lates Update 2024) 240 Questions
A 58 year-old male presents complaining of weakness of his
grip. Your examination reveals that the problem is bilateral.
During the next few office visits, you note the development of
hyperactivity of his DTRs, extensor plantar reflexes and
dysarthria. The patient's sensory system remains normal and
he denies any urinary symptomatology. Which of the
following is the most likely diagnosis?
A. multiple sclerosis
B. Alzheimer's disease
C. Huntington's chorea
D. ALS
E. myasthenia gravis - Correct Answer ✅ D. ALS
Which of the following is NOT a risk factor for the
development of osteoporosis?
A. low testosterone levels in men
B. low levels of physical activity
C. inadequate dietary protein
D. cigarette smoking
E. chronic corticosteroid use - Correct Answer ✅ C.
inadequate dietary protein
,PANCE Practice Questions and Answers
(lates Update 2024) 240 Questions
Low dietary Calcium, not protein, is a risk factor for
osteoporosis. All of the others are risk factors.
Question 1 CORRECT
A patient presents complaining of severe pain and "burning"
in an extremity. You note that the extremity is pale and cool
to the touch. You cannot appreciate a palpable pulsation.
Which of the following diagnostic modalities will identify the
source of this patient's problem in approximately 95% of
cases?
A chest x-ray
B echocardiogram
aortic angiogram
D abdominal flat plate
E aortic ultrasound
Question 1 Explanation: Angiogram is the "gold standard" for
occlusion of an arterial vessel.
Question 2 CORRECT
A 31 year-old pharmacist complaining of rectal pain. He
describes the pain as "a severe tightness that awakens him
,PANCE Practice Questions and Answers
(lates Update 2024) 240 Questions
from sleep." His bowel activity is normal. He denies rectal
bleeding and seepage. He adds that sleep interruption is
problematic, because with the number of hours he works,
every minute of sleep is important. What is the most likely
diagnosis?
A anal abseess
B perianal fistula
proctal - Correct Answer ✅ B. metoprolol
Of these Beta-blockers (which are usually AVOIDED) in
reactive airway disease - metoprolol is the most
"cardioselective", so theoretically could be used....although,
on an exam, I would avoid beta-blockers in general.
Which of the following is NOT a characteristic feature of
multiple myeloma?
A. elevated serum calcium
B. osteoporosis
C. "punched out" osseous lesions
D. plasma cell infiltration of bone marrow
, PANCE Practice Questions and Answers
(lates Update 2024) 240 Questions
E. hypogammaglobulinemia - Correct Answer ✅ E.
hypogammaglobulinemia
MM is a HYPERgammaglobulinemia - all of the other findings
occur in MM
A 65-year-old female on her routine examina- tion was noted
to have a pulsatile abdominal mass. She has been otherwise
healthy with history of hypertension with no other history,
except family history of father dying of rup-tured AAA. What
are the acceptable reasons to operate on abdominal aortic
aneurysms in 65-year-old female with 5-cm infrarenal
aneurysm?
(A) Presence of aneurysm
(B) Aneurysm with intramural thrombus
(C) Asymptomatic aneurysm 5.5 cm
(D) Associated 2-cm iliac aneurysm
(E) Patient with splenic artery aneurysm 1.5 cm - Correct
Answer ✅ (C) Asymptomatic aneurysm 5.5 cm
(lates Update 2024) 240 Questions
A 58 year-old male presents complaining of weakness of his
grip. Your examination reveals that the problem is bilateral.
During the next few office visits, you note the development of
hyperactivity of his DTRs, extensor plantar reflexes and
dysarthria. The patient's sensory system remains normal and
he denies any urinary symptomatology. Which of the
following is the most likely diagnosis?
A. multiple sclerosis
B. Alzheimer's disease
C. Huntington's chorea
D. ALS
E. myasthenia gravis - Correct Answer ✅ D. ALS
Which of the following is NOT a risk factor for the
development of osteoporosis?
A. low testosterone levels in men
B. low levels of physical activity
C. inadequate dietary protein
D. cigarette smoking
E. chronic corticosteroid use - Correct Answer ✅ C.
inadequate dietary protein
,PANCE Practice Questions and Answers
(lates Update 2024) 240 Questions
Low dietary Calcium, not protein, is a risk factor for
osteoporosis. All of the others are risk factors.
Question 1 CORRECT
A patient presents complaining of severe pain and "burning"
in an extremity. You note that the extremity is pale and cool
to the touch. You cannot appreciate a palpable pulsation.
Which of the following diagnostic modalities will identify the
source of this patient's problem in approximately 95% of
cases?
A chest x-ray
B echocardiogram
aortic angiogram
D abdominal flat plate
E aortic ultrasound
Question 1 Explanation: Angiogram is the "gold standard" for
occlusion of an arterial vessel.
Question 2 CORRECT
A 31 year-old pharmacist complaining of rectal pain. He
describes the pain as "a severe tightness that awakens him
,PANCE Practice Questions and Answers
(lates Update 2024) 240 Questions
from sleep." His bowel activity is normal. He denies rectal
bleeding and seepage. He adds that sleep interruption is
problematic, because with the number of hours he works,
every minute of sleep is important. What is the most likely
diagnosis?
A anal abseess
B perianal fistula
proctal - Correct Answer ✅ B. metoprolol
Of these Beta-blockers (which are usually AVOIDED) in
reactive airway disease - metoprolol is the most
"cardioselective", so theoretically could be used....although,
on an exam, I would avoid beta-blockers in general.
Which of the following is NOT a characteristic feature of
multiple myeloma?
A. elevated serum calcium
B. osteoporosis
C. "punched out" osseous lesions
D. plasma cell infiltration of bone marrow
, PANCE Practice Questions and Answers
(lates Update 2024) 240 Questions
E. hypogammaglobulinemia - Correct Answer ✅ E.
hypogammaglobulinemia
MM is a HYPERgammaglobulinemia - all of the other findings
occur in MM
A 65-year-old female on her routine examina- tion was noted
to have a pulsatile abdominal mass. She has been otherwise
healthy with history of hypertension with no other history,
except family history of father dying of rup-tured AAA. What
are the acceptable reasons to operate on abdominal aortic
aneurysms in 65-year-old female with 5-cm infrarenal
aneurysm?
(A) Presence of aneurysm
(B) Aneurysm with intramural thrombus
(C) Asymptomatic aneurysm 5.5 cm
(D) Associated 2-cm iliac aneurysm
(E) Patient with splenic artery aneurysm 1.5 cm - Correct
Answer ✅ (C) Asymptomatic aneurysm 5.5 cm
