PANCE ACTUAL EXAM 2026/2027 TEST | WITH COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS | GRADED A+
Boards Tip:
If the question references "ascites" what medication should always be added? - ANSWER
Spironolactone
Boards:
What drug is MOST important drug in reducing M/M for:
a) CAD
b) CHF - ANSWER CAD = BB
CHF = ACE-inhibitor
BOARD question:
Which cholesterol lab has the GREATEST impact on M/M?
(i.e. is the most important) - ANSWER HDL ("garbage truck")
**what REMOVES all the "bad cholesterol"
BOARD QUESTION:
What is the LDL goal in a patient with METABOLIC syndrome? - ANSWER Goal LDL < 70 mg/dL
BOARD question:
What are the most common complications of HIGH TG? - ANSWER 1. Development of CAD = excess
TG contribute to production of excess LDL
2. Acute pancreatitis
BOARD question:
What dietary education should you offer someone with HIGH TG? - ANSWER OMG 3 & 6 are both
good for you, HOWEVER, adverse health effects are seen when intake OM6 >>>>> OM3
OM6 = vegetable / corn oil, beef, chicken
,OM3 = fish oil, flax seed, tuna, salmon, walnuts
BOARD question:
Which of the following is a CONSISTENT predictor of DM, CAD and mortality:
a) TG levels
b) TC levels
c) Total weight
d) Waist circumference - ANSWER WAIST CIRCUMFERENCE
(highest indicator of M/M)
BOARD question:
Which group has the HIGHEST prevalence of metabolic syndrome:
a) AA
b) Caucasians
c) Hispanics
d) Mexican Americans - ANSWER Mexican americans
BOARD question:
Which of the following is the MOST SENSITIVE predictor of CAD:
a) TC level
b) LDL levels
c) ratio of TC to HDL
d) C-reactive protein - ANSWER Ratio of TC to HDL
BOARD question:
Use of Niacin is associated with reduction in:
a) CVA
b) CABG
c) CAD
d) MI - ANSWER CAD
,BOARD question:
At what point should a patients PLTE function return to normal after stopping GP IIb/IIIa infusion? -
ANSWER 12 hours
BOARDS (ACS):
What is ALWAYS the best ANSWER on boards to treating ACS? - ANSWER PCI (if this is a ANSWER,
always pick it!)
BOARD question:
What percentage of MIs are unrecognized by clinicians:
a) 10%
b) 20%
c) 30%
d) 40% - ANSWER 30%
BOARD question:
What is the MOST COMMON MI complaint OTHER than chest pain?
a) syncope
b) epigastric pain
c) dyspnea
d) back pain - ANSWER Dyspnea (SOB)
BOARD question:
Which if the following is TRUE concerning MI in elderly patients:
a) MI is rare in people > 75
b) MI pain is more SEVERE in elderly
c) SOB is reported most commonly in elderly
d) Convulsions related to MI are common in persons > 75 - ANSWER SOB is reported most commonly
in elderly
**realize that BOTH C & D are actually true, however on the boards, when 2 ANSWERs are true, you
must ALWAYS ask yourself, which is the MORE COMMON (and that will always be the right ANSWER)
, BOARD question:
65 yo male presents to ER with CP + SOB for last 7 minutes. Initial EKG & cardiac enzymes are
negative. What is the most appropriate NEXT step in management:
a) admit for ACS and head straight to cath lab
b) discharge home with BB + ACEi
c) Admit for ACS and schedule for treadmill stress test
d) repeat EKG/enzymes in 2 hours - ANSWER Repeat tests in 2 hours
BOARD question:
Elevation of troponin is indicative of injury to what?
a) blood vessels
b) pericardium
c) myocardium
d) smooth muscle - ANSWER elevated troponin indicates = MYOCARDIAL injury
BOARD Question:
Patients with RCA (inferior MI) typcailly present with WHAT other symptoms besides chest pain:
a) visual changes
b) hypertension
c) hypotension
d) epigastric pain - ANSWER Epigastric pain
(remember inferior portion of the heart sits on diaphragm)
BOARDS:
The prevalence of AFIB increases dramatically with:
a) cardiac damage
b) age
c) ETOH intake
d) smoking - ANSWER AGE
QUESTIONS AND VERIFIED ANSWERS | GRADED A+
Boards Tip:
If the question references "ascites" what medication should always be added? - ANSWER
Spironolactone
Boards:
What drug is MOST important drug in reducing M/M for:
a) CAD
b) CHF - ANSWER CAD = BB
CHF = ACE-inhibitor
BOARD question:
Which cholesterol lab has the GREATEST impact on M/M?
(i.e. is the most important) - ANSWER HDL ("garbage truck")
**what REMOVES all the "bad cholesterol"
BOARD QUESTION:
What is the LDL goal in a patient with METABOLIC syndrome? - ANSWER Goal LDL < 70 mg/dL
BOARD question:
What are the most common complications of HIGH TG? - ANSWER 1. Development of CAD = excess
TG contribute to production of excess LDL
2. Acute pancreatitis
BOARD question:
What dietary education should you offer someone with HIGH TG? - ANSWER OMG 3 & 6 are both
good for you, HOWEVER, adverse health effects are seen when intake OM6 >>>>> OM3
OM6 = vegetable / corn oil, beef, chicken
,OM3 = fish oil, flax seed, tuna, salmon, walnuts
BOARD question:
Which of the following is a CONSISTENT predictor of DM, CAD and mortality:
a) TG levels
b) TC levels
c) Total weight
d) Waist circumference - ANSWER WAIST CIRCUMFERENCE
(highest indicator of M/M)
BOARD question:
Which group has the HIGHEST prevalence of metabolic syndrome:
a) AA
b) Caucasians
c) Hispanics
d) Mexican Americans - ANSWER Mexican americans
BOARD question:
Which of the following is the MOST SENSITIVE predictor of CAD:
a) TC level
b) LDL levels
c) ratio of TC to HDL
d) C-reactive protein - ANSWER Ratio of TC to HDL
BOARD question:
Use of Niacin is associated with reduction in:
a) CVA
b) CABG
c) CAD
d) MI - ANSWER CAD
,BOARD question:
At what point should a patients PLTE function return to normal after stopping GP IIb/IIIa infusion? -
ANSWER 12 hours
BOARDS (ACS):
What is ALWAYS the best ANSWER on boards to treating ACS? - ANSWER PCI (if this is a ANSWER,
always pick it!)
BOARD question:
What percentage of MIs are unrecognized by clinicians:
a) 10%
b) 20%
c) 30%
d) 40% - ANSWER 30%
BOARD question:
What is the MOST COMMON MI complaint OTHER than chest pain?
a) syncope
b) epigastric pain
c) dyspnea
d) back pain - ANSWER Dyspnea (SOB)
BOARD question:
Which if the following is TRUE concerning MI in elderly patients:
a) MI is rare in people > 75
b) MI pain is more SEVERE in elderly
c) SOB is reported most commonly in elderly
d) Convulsions related to MI are common in persons > 75 - ANSWER SOB is reported most commonly
in elderly
**realize that BOTH C & D are actually true, however on the boards, when 2 ANSWERs are true, you
must ALWAYS ask yourself, which is the MORE COMMON (and that will always be the right ANSWER)
, BOARD question:
65 yo male presents to ER with CP + SOB for last 7 minutes. Initial EKG & cardiac enzymes are
negative. What is the most appropriate NEXT step in management:
a) admit for ACS and head straight to cath lab
b) discharge home with BB + ACEi
c) Admit for ACS and schedule for treadmill stress test
d) repeat EKG/enzymes in 2 hours - ANSWER Repeat tests in 2 hours
BOARD question:
Elevation of troponin is indicative of injury to what?
a) blood vessels
b) pericardium
c) myocardium
d) smooth muscle - ANSWER elevated troponin indicates = MYOCARDIAL injury
BOARD Question:
Patients with RCA (inferior MI) typcailly present with WHAT other symptoms besides chest pain:
a) visual changes
b) hypertension
c) hypotension
d) epigastric pain - ANSWER Epigastric pain
(remember inferior portion of the heart sits on diaphragm)
BOARDS:
The prevalence of AFIB increases dramatically with:
a) cardiac damage
b) age
c) ETOH intake
d) smoking - ANSWER AGE
