How to Answer The Hardest PANCE/PANRE Test Questions: Podcast Episode 82

Welcome to episode 82 of the Audio PANCE and PANRE PA Board Review Podcast

Join me as we welcome Joe Gilboy PA-C back again to cover best practices that make answering even the toughest PANCE and PANRE Board review questions (and EOR exam questions) a breeze!

Below you will find interactive audio breaking down each question. It’s a perfect companion to the podcast.

Special from today’s episode:

Listen to Joe’s previous podcast episodes:
- How to Study for Your PANCE: Podcast Episode 79
- Podcast Episode 65: Hepatitis B Breakdown
Start with high-quality questions in tutor mode (untimed with hints on we have a TON on Smarty PANCE)
Poem “lockdown“ by Brother Richard Hendrick
Content Blueprint Review Course and EOR Courses

The Audio PANCE and PANRE Board Review Podcast Episode 82: How to Answer The Hardest PANCE/PANRE Test Questions

I hope you enjoy this free audio component to the examination portion of this site. The full board review course includes over 2,000 interactive board review questions and is available to all members of the PANCE and PANRE Academy and Smarty PANCE.

You can download and listen to past FREE episodes here, on iTunes, on Google Play Music or Stitcher Radio.
You can listen to the latest episode, take an interactive quiz, and download more resources below.

If you can’t see the audio player click here to listen to the full episode.

Questions we break down in this episode:

The following questions are linked to NCCPA Content Blueprint lessons from the Smarty PANCE and PANRE Board Review Website

Question 1: Developing good test-taking habits

1. 10-year-old boy presents to the emergency department complaining of sudden onset lightheadedness and chest discomfort, vital signs, 98.6, heart rate of 205, respiratory rate of 30 and 98% oxygen saturation, his EKG demonstrated sinus tachycardia with no p waves. What is the most likely diagnosis?

A-fib
A-flutter
Atrioventricular reentry tachycardia
V-tach

Steps to answering this question

Question 2: Choosing between two good answers

2. A 60-year-old woman with a history of hypertension, dyslipidemia, and coronary heart disease was sent to the emergency room from her primary care physician’s office for a heart rate of 40. She has no complaints, except for mild fatigue. Medications include metoprolol, atorvastatin, lisinopril, and baby aspirin. Her EKG reveals sinus bradycardia and her physical exam is normal. Which of the following is the most appropriate next step and management?

Atropine
Make a medication adjustment
Schedule for a temporary pacemaker
Watchful waiting

Steps to answering this question

Question 3: The long test question

3. A 32-year-old previously healthy man comes to ER with a four-hour history of palpitations. He denies chest pain, shortness of breath or history of similar palpitations. He does admit to heavy alcohol use in the past week drinking one pint of vodka and 24 packs of beer each day in the ED his vital signs of blood pressure 135/75, heart rate of 115, respiratory rate of 14, and oxygen saturation of 98% on room air. He’s got an irregularly irregular rhythm heard on auscultation and EKG shows atrial fibrillation. What is the next step in management?

Chemical conversion
Observation
Rate control
Synchronized cardioversion

Steps to answering this question:

Question 4: The short question with long answer choices

4. Which of the following patients should be classified as having unstable angina?

A 51-year-old woman who has chest pain three days ago, but is now chest pain-free, is found to have a positive troponin with q waves in II, III, and aVF without ST-segment elevation
A 55-year-old woman with a history of hypertension, but no prior cardiac disease who complains of one episode of chest pain that began while pushing her grocery cart and lasted 30 minutes
A 65-year-old male with a known history of coronary artery disease who gets chest pain and shortness of breath every time he climbs the steps to his bedroom
A 71-year-old man who underwent a coronary cardiac catheterization one month ago for early morning chest pain but shows minimal coronary artery disease with no fixed lesions presents with recurrent early morning chest pain that is relieved with nitroglycerin

Steps to answering this question:

Looking for all the podcast episodes?

This FREE podcast series is often limited to every other episode, you can download and enjoy the complete audio series by becoming a Smarty PANCE member.

Print it up and start crossing out the topics you understand, marking the ones you don’t, and making notes of key terms you should remember. The PDF version is interactive and linked directly to the individual lessons on Smarty PANCE.

Download for PANCE Download for PANRE

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How to Answer The Hardest PANCE/PANRE Test Questions: Podcast Episode 82