Question 1

Pulmonary complications are associated with burns of which of the following body parts?

Accepted Answer

A) Head, chest 
B) Head, neck, and chest 
C) Neck and chest 
D) Head, neck 
A) Head, chest 
B) Head, neck, and chest 
C) Neck and chest 
D) Head, neck

Question 2

On assessment, a man diagnosed with gout has urate crystal deposits in the forearms, ears, hands, knees, feet, and Achilles tendon. Which of the following mechanisms is believed to cause gout?

Accepted Answer

A) A defect in purine metabolism causing the underproduction of uric acid 
B) Overproduction of calcium 
C) Overproduction of uric acid 
D) Increased elimination of uric acid 
A) A defect in purine metabolism causing the underproduction of uric acid 
B) Overproduction of calcium 
C) Overproduction of uric acid 
D) Increased elimination of uric acid

Question 3

A 12-year-old girl is scheduled for a series of diagnostic exams for the ear. On the Weber test, the girl says that she can hear the sound longer in the left ear than in the right ear. Based on the given information, which of the following interpretations is true?

Accepted Answer

A) The results of the patient's Weber test are normal. 
B) The term lateralization is applied to the right ear. 
C) The patient has a conductive hearing loss in the right or she can have sensorineural hearing loss in the other ear. 
D) The patient has a conductive hearing loss in the left ear or she can have a sensorineural hearing loss n the other ear. 
A) The results of the patient's Weber test are normal. 
B) The term lateralization is applied to the right ear. 
C) The patient has a conductive hearing loss in the right or she can have sensorineural hearing loss in the other ear. 
D) The patient has a conductive hearing loss in the left ear or she can have a sensorineural hearing loss n the other ear.

Question 4

The following actions demonstrate the appropriate ways of taking anti-asthma medications except:

Accepted Answer

A) Zafirlukast is used for maintenance therapy in adults and children over 12 years with asthma. 
B) Cromolyn sodium is administered by a metered-dose inhaler to prevent bronchoconstriction in response to cold air and prevent asthma attacks. 
C) Beclomethasone is inhaled after albuterol during prophylaxis. 
D) Theophylline is used to prevent nocturnal asthma in adults. 
A) Zafirlukast is used for maintenance therapy in adults and children over 12 years with asthma. 
B) Cromolyn sodium is administered by a metered-dose inhaler to prevent bronchoconstriction in response to cold air and prevent asthma attacks. 
C) Beclomethasone is inhaled after albuterol during prophylaxis. 
D) Theophylline is used to prevent nocturnal asthma in adults.

Question 5

A 34-year-old patient presents with repeated episodes of short-lived memory loss. The patient reports frequent episodes where he wakes up in a different place with no memory of traveling there. The episode is known as:

Accepted Answer

A) Fugue state 
B) Anterograde amnesia 
C) Retrograde amnesia 
D) Selective amnesia 
A) Fugue state 
B) Anterograde amnesia 
C) Retrograde amnesia 
D) Selective amnesia

Question 6

Which of the following laboratory findings support the diagnosis of hypoparathyroidism?

Accepted Answer

A) Serum calcium = 10.0 mg/dL; Serum potassium = 5.5 mg/dL 
B) Serum calcium = 8.7 mg/dL; Serum potassium = 3.0 mg/dL 
C) Serum calcium = 11.0 mg/dL; Serum phosphorus =2.0 mg/dL 
D) Serum calcium = 7.5 mg/dL; Serum phosphorus = 5.5 mg/dL 
A) Serum calcium = 10.0 mg/dL; Serum potassium = 5.5 mg/dL 
B) Serum calcium = 8.7 mg/dL; Serum potassium = 3.0 mg/dL 
C) Serum calcium = 11.0 mg/dL; Serum phosphorus =2.0 mg/dL 
D) Serum calcium = 7.5 mg/dL; Serum phosphorus = 5.5 mg/dL

Question 7

A patient is taken in the emergency vehicle due to a vehicular accident. He is in the early stage of shock. Which of the following characteristic is not true about early stages of shock?

Accepted Answer

A) It is considered compensated 
B) The body is maintaining perfusion to vital organs 
C) Increased total peripheral resistance 
D) Metabolic acidosis 
A) It is considered compensated 
B) The body is maintaining perfusion to vital organs 
C) Increased total peripheral resistance 
D) Metabolic acidosis

Question 8

A woman presents with a firm, round and painless sore in the vagina. The lesion appeared 2 weeks before the consult. The most likely diagnosis is:

Accepted Answer

A) Herpes 
B) Syphillis 
C) Gonorrhea 
D) Neisseria 
A) Herpes 
B) Syphillis 
C) Gonorrhea 
D) Neisseria

Question 9

Which of the following is not a typical sign and symptom of renal cell carcinoma?

Accepted Answer

A) Abdominal mass 
B) Hematuria 
C) Flank pain 
D) Oliguria 
A) Abdominal mass 
B) Hematuria 
C) Flank pain 
D) Oliguria

Question 10

A woman presents with paralysis of one side of the face. The patient is diagnosed with Bell's palsy. A lesion in which cranial nerve results in Bell's palsy?

Accepted Answer

A) Cranial nerve V 
B) Cranial nerve VII 
C) Cranial nerve X 
D) Cranial nerve XI 
A) Cranial nerve V 
B) Cranial nerve VII 
C) Cranial nerve X 
D) Cranial nerve XI

Question 11

The CSF analysis report of a 30-year-old man with meningitis reveals the following findings:
CSF opening pressure = 100 mm H2O
WBC count = 80 per mm3
Cell differential = Predominance of lymphocytes
Protein = 75 mg/dL
CSF-to-serum glucose ratio: = normal to significantly decreased
Which type of meningitis is the most consistent with the results of the CSF analysis?

Accepted Answer

A) Bacterial meningitis 
B) Viral meningitis 
C) Fungal meningitis 
D) Tubercular meningitis 
A) Bacterial meningitis 
B) Viral meningitis 
C) Fungal meningitis 
D) Tubercular meningitis

Question 12

An 8-year-old boy is brought by the mother to the office because she suspects that her child has a problem with hearing. On examination, the child says that ringing and roaring type of constant tinnitus fill both of his ears. The boy also reported hearing loud sounds when chewing. Pinkish discoloration of the tympanic membrane is also noted. Rinne test is negative. The child is most likely diagnosed with:

Accepted Answer

A) Otosclerosis 
B) Mastoiditis 
C) Presbycusis 
D) Labyrinthitis 
A) Otosclerosis 
B) Mastoiditis 
C) Presbycusis 
D) Labyrinthitis

Question 13

The following manifestations are usually observed in patients with endocarditis except:

Accepted Answer

A) Small, whitish spots seen on the retina 
B) Small, non-tender, purplish-red, macular lesions on the palms of the hands and soles of the feet 
C) Purplish-red hemorrhagic spots on the trunk, conjunctiva, and mucus membranes 
D) Transitory pink, non-pruritic, macular lesions on trunk or inner aspect of upper arms or thighs 
A) Small, whitish spots seen on the retina 
B) Small, non-tender, purplish-red, macular lesions on the palms of the hands and soles of the feet 
C) Purplish-red hemorrhagic spots on the trunk, conjunctiva, and mucus membranes 
D) Transitory pink, non-pruritic, macular lesions on trunk or inner aspect of upper arms or thighs

Question 14

A female patient visits the office to receive a rubella vaccine. Before giving the vaccine, the nurse would instruct the patient to:

Accepted Answer

A) Use contraceptives for the next 3 months 
B) Come back to the center 72 hours later to monitor the injection site 
C) Avoid eggs 
D) Monitor for signs of encephalopathy 
A) Use contraceptives for the next 3 months 
B) Come back to the center 72 hours later to monitor the injection site 
C) Avoid eggs 
D) Monitor for signs of encephalopathy

Exam 1: The Physician Assistant National Recertifying Exam (PANRE)