PANCE: High-Yield Exam Questions and
Answers A+ Guide
Hypotensive patient + warm + flushed skin + decreased SVR? - correct
answers✅✅Septic shock
Gram positive cocci in pairs? - correct answers✅✅Streptococcus
pneumoniae
MCC of CAP (bacterial)? - correct answers✅✅Streptococcus pneumoniae
Lobar consolidation + sudden fever/chills + blood-tinged sputum? - correct
answers✅✅Streptococcus pneumoniae
Mycoplasma pneumonaie is associated with what? - correct answers✅✅1.
Blisters on the TM (bullous myringitis)
2. Positive cold agglutinin autoimmune hemolytic anemia
Staph aureus is commonly associated with PNA s/p what? - correct
answers✅✅Viral infection
What diuretic is known to cause gynecomastia? - correct
answers✅✅Spironolactone (d/t decreased androgen activity)
SE of mannitol? - correct answers✅✅Pulm edema
Kimmelstiel-Wilson nodule? - correct answers✅✅Pathognomic lesion seen
in patients w/ diabetic nephropathy
Anemia + MCV > 100 + hypersegmented neutrophils + peripheral
neuropathy? - correct answers✅✅B12 deficiency
,PANCE: High-Yield Exam Questions and
Answers A+ Guide
MCC of B12 deficiency? - correct answers✅✅Pernicious anemia
(autoimmune)
Others: CD, malabsorption, alcoholism, meds (PPIs, metformin, H2 blockers),
veganism, bariatric surgery
Where is B12 absorbed? - correct answers✅✅Terminal ileum (IF needs to
be present)
Gram negative oxidase-positive comma (S-shaped) rods? - correct
answers✅✅Campylobacter jejuni
MCC of GBS? - correct answers✅✅Campylobacter jejuni
Symmetrical ascending paralysis? - correct answers✅✅GBS
Gram positive cocci in clusters? - correct answers✅✅Staph aureus
Small, pruritic vesicles (blisters) with tapioca appearance on palms and
between digits? - correct answers✅✅Dishydrotic eczema
Multiple, dome-shaped flesh-colored pearly white, waxy papules w/ central
umbilication? - correct answers✅✅Molloscum contagiosum
What anti-depressant to NOT give for someone who has a history of OD? -
correct answers✅✅Tricyclic antidepressants
,PANCE: High-Yield Exam Questions and
Answers A+ Guide
No outer 1/3 of the eyebrows? - correct answers✅✅Hypothyroidism is a
possible cause
MCC of pleural effusions? - correct answers✅✅CHF
Lower abdominal or pelvic pain that occurs during ovulation? - correct
answers✅✅Mittelschermz
MCC of endogenous Cushing syndrome? - correct answers✅✅ACTH-
producing pituitary adenoma
Pituitary tumors can present as what vision defect? - correct
answers✅✅Bitemporal hemianopsia (can't see peripherally)
Obstructive lung diseases will show what (in regards to PFTs)? - correct
answers✅✅Decreased FEV1/FVC ratio (<0.7)
Increased RV (air-trapping) and TLC (hyperinflation)
List out SE of each TB medication. - correct answers✅✅Rifampin:
thrombocytopenia, orange-colored secretions, hepatitis
INH: hepatitis, peripheral neuropathy (take w/ B6)
Pyrazinamide: hyperuricemia, hepatitis
Ethambutol: optic neuritis, peripheral neuropathy
Pericardial knock? - correct answers✅✅Constrictive pericarditis
(restrictive defect; diastolic dysfunction)
, PANCE: High-Yield Exam Questions and
Answers A+ Guide
Anterior or posterior fat pad on x-ray near elbow in kids? - correct
answers✅✅Supracondylar fx
MC complication of supracondylar fx in kids? - correct answers✅✅Median
n. or brachial a. damage
Can't abduct or oppose thumb? - correct answers✅✅Median n. injury
Can't cross first two fingers? - correct answers✅✅Ulnar n. injury
Lambert-Eaton Syndrome: does it improve w/ repeated use? - correct
answers✅✅Yeah (unlike MG)
MG is associated w/ what structural abnormality? - correct
answers✅✅Thyoma
Sharply-defined, coin-shaped, pruritic lesions on dorsum of hand? - correct
answers✅✅Nummular eczema
Atopic triad? - correct answers✅✅1. Eczema
2. Asthma
3. ASA allergy
Painful, erythematous inflammatory nodules on anterior shins? - correct
answers✅✅Erythema nodosum (Associated w/ pregnancy, sarcoidosis, TB,
and fungal dz)
5 P's of Lichen Planus? - correct answers✅✅Purple
Answers A+ Guide
Hypotensive patient + warm + flushed skin + decreased SVR? - correct
answers✅✅Septic shock
Gram positive cocci in pairs? - correct answers✅✅Streptococcus
pneumoniae
MCC of CAP (bacterial)? - correct answers✅✅Streptococcus pneumoniae
Lobar consolidation + sudden fever/chills + blood-tinged sputum? - correct
answers✅✅Streptococcus pneumoniae
Mycoplasma pneumonaie is associated with what? - correct answers✅✅1.
Blisters on the TM (bullous myringitis)
2. Positive cold agglutinin autoimmune hemolytic anemia
Staph aureus is commonly associated with PNA s/p what? - correct
answers✅✅Viral infection
What diuretic is known to cause gynecomastia? - correct
answers✅✅Spironolactone (d/t decreased androgen activity)
SE of mannitol? - correct answers✅✅Pulm edema
Kimmelstiel-Wilson nodule? - correct answers✅✅Pathognomic lesion seen
in patients w/ diabetic nephropathy
Anemia + MCV > 100 + hypersegmented neutrophils + peripheral
neuropathy? - correct answers✅✅B12 deficiency
,PANCE: High-Yield Exam Questions and
Answers A+ Guide
MCC of B12 deficiency? - correct answers✅✅Pernicious anemia
(autoimmune)
Others: CD, malabsorption, alcoholism, meds (PPIs, metformin, H2 blockers),
veganism, bariatric surgery
Where is B12 absorbed? - correct answers✅✅Terminal ileum (IF needs to
be present)
Gram negative oxidase-positive comma (S-shaped) rods? - correct
answers✅✅Campylobacter jejuni
MCC of GBS? - correct answers✅✅Campylobacter jejuni
Symmetrical ascending paralysis? - correct answers✅✅GBS
Gram positive cocci in clusters? - correct answers✅✅Staph aureus
Small, pruritic vesicles (blisters) with tapioca appearance on palms and
between digits? - correct answers✅✅Dishydrotic eczema
Multiple, dome-shaped flesh-colored pearly white, waxy papules w/ central
umbilication? - correct answers✅✅Molloscum contagiosum
What anti-depressant to NOT give for someone who has a history of OD? -
correct answers✅✅Tricyclic antidepressants
,PANCE: High-Yield Exam Questions and
Answers A+ Guide
No outer 1/3 of the eyebrows? - correct answers✅✅Hypothyroidism is a
possible cause
MCC of pleural effusions? - correct answers✅✅CHF
Lower abdominal or pelvic pain that occurs during ovulation? - correct
answers✅✅Mittelschermz
MCC of endogenous Cushing syndrome? - correct answers✅✅ACTH-
producing pituitary adenoma
Pituitary tumors can present as what vision defect? - correct
answers✅✅Bitemporal hemianopsia (can't see peripherally)
Obstructive lung diseases will show what (in regards to PFTs)? - correct
answers✅✅Decreased FEV1/FVC ratio (<0.7)
Increased RV (air-trapping) and TLC (hyperinflation)
List out SE of each TB medication. - correct answers✅✅Rifampin:
thrombocytopenia, orange-colored secretions, hepatitis
INH: hepatitis, peripheral neuropathy (take w/ B6)
Pyrazinamide: hyperuricemia, hepatitis
Ethambutol: optic neuritis, peripheral neuropathy
Pericardial knock? - correct answers✅✅Constrictive pericarditis
(restrictive defect; diastolic dysfunction)
, PANCE: High-Yield Exam Questions and
Answers A+ Guide
Anterior or posterior fat pad on x-ray near elbow in kids? - correct
answers✅✅Supracondylar fx
MC complication of supracondylar fx in kids? - correct answers✅✅Median
n. or brachial a. damage
Can't abduct or oppose thumb? - correct answers✅✅Median n. injury
Can't cross first two fingers? - correct answers✅✅Ulnar n. injury
Lambert-Eaton Syndrome: does it improve w/ repeated use? - correct
answers✅✅Yeah (unlike MG)
MG is associated w/ what structural abnormality? - correct
answers✅✅Thyoma
Sharply-defined, coin-shaped, pruritic lesions on dorsum of hand? - correct
answers✅✅Nummular eczema
Atopic triad? - correct answers✅✅1. Eczema
2. Asthma
3. ASA allergy
Painful, erythematous inflammatory nodules on anterior shins? - correct
answers✅✅Erythema nodosum (Associated w/ pregnancy, sarcoidosis, TB,
and fungal dz)
5 P's of Lichen Planus? - correct answers✅✅Purple
