Pulmonary PANCE Practice Questions for Exam Success
1. A 19 yo male college student presents with a 4 day his- A: Mycoplasma
tory of fever, headache, sore throat, myalgia, malaise and
a nonproductive cough. On exam you not an ery-
thematous pharynx without exudate. The lung exam is
unimpressive. A chest X-ray reveals a right lower lobe
patchy pneumonia. Which is the most likely cause?
A: mycoplasma
B: klebsiella
C: Strep. Pneumoniae
D: staph
2. A 40 yo female presents with a sudden onset of cough B: Strept pneumoniae
productive of blood speckled sputum, chest pain with
a cough, shaking chills, high fever, and myalgias for
, Pulmonary PANCE Practice Questions for Exam Success
the last 12 hours. On exam she appears acutely ill, is
tachypneic, and coughing. Auscultation of the chest
reveals crackles and CXR reveals unilateral lobar con-
solidation consistent with pneumonia. Which of the
following is most likely the cause?
A: Mycoplasma
B: Strept pneumoniae
C: Chlamydia
D: aspiration pneumonia
3. A 3 yo patient presents with sudden onset of cough- D: Bronchoscopy
ing and wheezing that began at the dinner table this
evening. Vital signs are pulse 120, respirations 26, tem-
perature 98.6. You evaluate the patient and determine
that the diagnosis is most likely a partial obstruction
secondary to tracheal foreign body. What is the next
step in the management of this patient?
A: Chest pysiotherapy
, Pulmonary PANCE Practice Questions for Exam Success
B: intubation
C: Tracheostomy
D: Bronchoscopy
4. What is the most effective treatment of acute bronchi- C: adequate hydration
tis in otherwise healthy adults?
A: Empiric antibiotic therapy
B: B2 agonist
C: adequate hydration
D: Steroid
5. A 32 yo patient with a 3 week history of fever, malaise, A: biopsy of mediastinal
weight loss, joint pain, and dry cough presents to your nodes
office. The CXR reveals bilateral hilar adenpathy with
no parenchynal abnormalities. You suspect and would
like to rule out sarcoidosis. How can the definitive di-
agnosis be made?
A: Biopsy of the mediastinal nodes
B: perform a bronchoalveolar lavage
C: administer an intradermal purified protein derivia-
tive
D: measure serum angiotensin converting enzyme
6. What is the most common mode of transmission of the A: aerosolized droplets
mycobacterium tuberculosis bacteria?
A: aerosolized droplets
B: blood borne
C: transplacental
D: Transdermal
7. A 65 yo alcoholic male presents with the acute onset of D: Klebsiella
fever, cough productive of purulent sputum, hemop-
tysis, chest pain and SOB. On exam, he is confused
1. A 19 yo male college student presents with a 4 day his- A: Mycoplasma
tory of fever, headache, sore throat, myalgia, malaise and
a nonproductive cough. On exam you not an ery-
thematous pharynx without exudate. The lung exam is
unimpressive. A chest X-ray reveals a right lower lobe
patchy pneumonia. Which is the most likely cause?
A: mycoplasma
B: klebsiella
C: Strep. Pneumoniae
D: staph
2. A 40 yo female presents with a sudden onset of cough B: Strept pneumoniae
productive of blood speckled sputum, chest pain with
a cough, shaking chills, high fever, and myalgias for
, Pulmonary PANCE Practice Questions for Exam Success
the last 12 hours. On exam she appears acutely ill, is
tachypneic, and coughing. Auscultation of the chest
reveals crackles and CXR reveals unilateral lobar con-
solidation consistent with pneumonia. Which of the
following is most likely the cause?
A: Mycoplasma
B: Strept pneumoniae
C: Chlamydia
D: aspiration pneumonia
3. A 3 yo patient presents with sudden onset of cough- D: Bronchoscopy
ing and wheezing that began at the dinner table this
evening. Vital signs are pulse 120, respirations 26, tem-
perature 98.6. You evaluate the patient and determine
that the diagnosis is most likely a partial obstruction
secondary to tracheal foreign body. What is the next
step in the management of this patient?
A: Chest pysiotherapy
, Pulmonary PANCE Practice Questions for Exam Success
B: intubation
C: Tracheostomy
D: Bronchoscopy
4. What is the most effective treatment of acute bronchi- C: adequate hydration
tis in otherwise healthy adults?
A: Empiric antibiotic therapy
B: B2 agonist
C: adequate hydration
D: Steroid
5. A 32 yo patient with a 3 week history of fever, malaise, A: biopsy of mediastinal
weight loss, joint pain, and dry cough presents to your nodes
office. The CXR reveals bilateral hilar adenpathy with
no parenchynal abnormalities. You suspect and would
like to rule out sarcoidosis. How can the definitive di-
agnosis be made?
A: Biopsy of the mediastinal nodes
B: perform a bronchoalveolar lavage
C: administer an intradermal purified protein derivia-
tive
D: measure serum angiotensin converting enzyme
6. What is the most common mode of transmission of the A: aerosolized droplets
mycobacterium tuberculosis bacteria?
A: aerosolized droplets
B: blood borne
C: transplacental
D: Transdermal
7. A 65 yo alcoholic male presents with the acute onset of D: Klebsiella
fever, cough productive of purulent sputum, hemop-
tysis, chest pain and SOB. On exam, he is confused
