Pance ear practice questions11/3/2022 If the biopsy reveals squamous cell cancer of the vulva, a vulvectomy would be appropriate management. This patient currently has longstanding pruritis of unknown etiology. To perform a vulvectomy (choice E) on this patient would not be indicated at this point. Perhaps more important, to delay a biopsy for a year could result in progression of a possible malignancy. This patient has suffered with pruritis for 2 years and therefore needs to have her problem addressed as soon as possible. To schedule the patient for re-examination in 1 year (choice C) would not be correct. She therefore does not have bacterial vaginosis, and metronidazole gel would not be the most appropriate next step in management. This patient has no significant vaginal discharge and no clue cells on the normal saline wet prep. To prescribe metronidazole gel (choice B) would be appropriate if the patient had bacterial vaginosis. This patient, however, who has no significant vaginal discharge and no pseudohyphae, does not have evidence of candidiasis (i.e., a yeast infection). To prescribe clotrimazole cream (choice A) would be appropriate if the patient had candidiasis. The proper management of a postmenopausal patient who has persistent pruritis unresponsive to treatment is a biopsy. This patient has no evidence for infection on her speculum examination or wet prep. Patients who have persistent genital pruritus are often treated for candidiasis or are treated with steroids, with no real diagnosis being made. Other risk factors for the development of squamous cell carcinoma include multiple sexual partners, history of abnormal Pap smear, smoking, immunosuppression, and poor hygiene. In a postmenopausal patient this is even more essential, as squamous cell carcinoma of the vulva is more common in this age group. In any woman who has persistent vulvar pruritis that is unresponsive to treatment, biopsy should be considered. #PANCE EAR PRACTICE QUESTIONS TRIAL#Looking for more PANCE/PANRE practice questions ? Sign up for a free trial today.The correct answer is D. To help you “kill two birds with one stone”, you can now earn up to 45 AMA PRA Category 1™ Credit(s) towards your certification maintenance requirements while you study for the PANCE/PANRE by adding the CME Certificate option to your purchase. To maintain your PA-C license, you are required to log 100 CME hours within a 10-year cycle. Earn Physician Assistant CME While You StudyĪs a physician assistant, you know all too well that studying for board exams can be stressful especially when you also have to set time aside for work, family, friends and earning your required CME hours. This gives you a comprehensive understanding of the topic covered in that question. The PANRE requires a passing score of 379.Īccording to the NCCPA Content Blueprint for the PANRE, the following topics are covered:īoardVitals PANCE/PANRE Exam Review Question BankĮach question is written and reviewed by physician assistants who scored in the 99th percentile of their PA board exams and comes with detailed explanations and rationales for correct and incorrect responses. The PANRE is designed to assess basic medical and surgical knowledge. The PANRE is a four-hour exam made up of 240 multiple choice questions spread out over four sections of 60 items with 60 minutes to complete each section. How did you do? Whether you answered them all correctly or stumbled over several of the questions, you’re on the right track with studying.
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