Question 1

A patient presents signs of flushing and pulsating of the nail beds (Quincke pulse). He was also noted to have a bounding radial pulse. These typical findings are related to which of the following cardiovascular disorders?

Accepted Answer

A)  Tricuspid regurgitation
B)  Coarctation of the aorta
C)  Thoracic aortic aneurysm
D)  Aortic regurgitation D

Question 2

A newly admitted patient presents with altered behavior and changes in mood. Upon closer inspection, the patient also has muscle rigidity which progressed to choreiform movements. What is the best diagnosis for this?

Accepted Answer

A)  Huntington's disease
B)  Syndenham's chorea
C)  Parkinson's disease
D)  Dyskinetic syndrome A

Question 3

The woman gave birth 3 days ago. Which type of lochia is expected during the assessment of the postpartum mother?

Accepted Answer

A)  Lochia rubra
B)  Lochia serosa
C)  Lochia rubra.
D)  Thick, cottage-cheeselike A

Question 4

When the pressure within the muscle compartment increases, the following symptoms are expected except:

Accepted Answer

A)  Decreased venous pressure
B)  Increased peripheral resistance
C)  Decreased arterial circulation
D)  Decreased venous circulation

Question 5

A 12-year-old is scheduled to receive a series of the hepatitis vaccine, but a history of which of the following is a contraindication to hepatitis B vaccine?

Accepted Answer

A)  Pregnancy
B)  Anaphylactic reaction to baker's yeast
C)  Hypersensitivity to eggs
D)  Anaphylactic reaction neomycin

Question 6

When the cardiac output decreases, the body compensates by which of the following mechanisms?

Accepted Answer

A)  The Frank-Starling mechanism decreases the preload to sustain cardiac performance
B)  Myocardial atrophy
C)  Epinephrine and norepinephrine cause vasoconstriction
D)  Activation of the RAAS to retain water and excrete sodium

Question 7

A bother brings in a 18-month-old child with low-grade fever, rhinorrhea, and wheezing on auscultation. The child is diagnosed to have respiratory syncytial virus, or RSV. which type of precautionary measures should you maintain?

Accepted Answer

A)  Airborne precautions
B)  Droplet precautions
C)  Standard precautions
D)  Contact precautions

Question 8

A woman with arthritis has Heberden's nodes. Which of the following statements is the most accurate statement about this deformity?

Accepted Answer

A)  Herberden's nodes occur in rheumatoid arthritis
B)  Heberden's nodes are located on the distal interphalangeal joints
C)  Heberden's nodes are located on the proximal interphalangeal joints
D)  Heberden's nodes are associated with ulnar deviation of the wrists

Question 9

The patient sustained second-degree burns on the lower left leg. On assessment, the burned area consists of large blisters with mottled base and broken skin. A wet, shiny, and weeping surface is observed. What is the burn depth of this patient?

Accepted Answer

A)  Deep full-thickness
B)  Full-thickness
C)  Partial-thickness superficial burn
D)  Superficial thickness burn

Question 10

A patient sustained Brown-Sequard's syndrome. Laboratory and diagnostic findings reveal that the lesion is located on the left side of the spinal cord. The following functions and sensations are intact in the left side of the body except:

Accepted Answer

A)  Sensations of pain
B)  Temperature
C)  Proprioception
D)  Light touch

Question 11

A patient is scheduled to undergo needle biopsy of the kidney. Which of the following is an important consideration before letting the patient undergo this procedure?

Accepted Answer

A)  Adequate fasting for at least 8 hours prior to procedure
B)  Establish an IV line for hydration
C)  Monitoring vital signs
D)  Ensure that coagulation studies have been carried out

Question 12

A patient diagnosed with a peptic ulcer is prescribed with sucralfate. Which of the following instructions should be given to the patient to ensure that the medication is taken appropriately?

Accepted Answer

A)  Sucralfate is taken with meals
B)  Sucralfate should be administered together with an antacid
C)  Sucralfate should be administered two hours apart from warfarin sodium
D)  Sucralfate can cause diarrhea; increased fiber intake is recommended

Question 13

The clinical feature of interstitial cystitis includes all of the following, except:

Accepted Answer

A)  Continuous bladder pain
B)  Nocturia
C)  Frequent urinary urgency
D)  Bacterial infection

Question 14

A patient with a history of alcoholism has been diagnosed with liver cirrhosis. Which of the following laboratory test helps in the diagnosis of this condition?

Accepted Answer

A)  Shortened prothrombin time
B)  Decreased alkaline phosphatase levels
C)  Increased lipase levels
D)  Increased bilirubin levels

Question 15

Which of the following is closely associated with rape victims?

Accepted Answer

A)  Depersonalization
B)  Sublimation
C)  Projection
D)  Depression

Question 16

A pregnant woman is scheduled for contraction stress test. The result revealed a negative contraction stress test. Which of the following statements best describes the results of the test?

Accepted Answer

A)  Good heart rate variability with no late or variable decelerations from uterine contractions
B)  Fetal heart rate tracing is not sufficient for adequate interpretation
C)  There were fetal heart rate decelerations, but with less than 50% of the contractions
D)  Late or variable fetal heart rate decelerations with 50% or more of the contractions in the absence of uterine hyperstimulation

Question 17

Spinal cord injury involving the C4 results in the following signs and symptoms except:

Accepted Answer

A)  Complete paralysis of the legs and arms
B)  Breathing is possible without a ventilator
C)  Finger, wrist, or elbow flexion and extension are possible
D)  Shoulder movement is limited

Question 18

A child diagnosed with acute epiglottiditis is prescribed with ampicillin. Which of the following side effects is expected with ampicillin therapy?

Accepted Answer

A)  Erythematous rash
B)  Epigastric pain
C)  Diarrhea
D)  Fever

Question 19

A patient presents with signs of fluid overload, changes in level of consciousness, hypertension, weight gain, and tachycardia. Which of the following is the most likely diagnosis of these symptoms?

Accepted Answer

A)  Diabetes insipidus
B)  Syndrome of inappropriate antidiuretic hormone
C)  Addison's disease
D)  Cushing's disease

Question 20

A patient was diagnosed with Diabetes Mellitus 7 years ago. The patient correctly states which of the following is not a complication of his disease?

Accepted Answer

A)  Atherosclerosis
B)  Neuropathy
C)  Glaucoma
D)  Hypotension

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

A patient presents signs of flushing and pulsating of the nail beds (Quincke pulse) . He was also noted to have a bounding radial pulse. These typical findings are related to which of the following cardiovascular disorders?