• Podcast Episode 103: Ten PANRE & PANRE-LA Intervention Complex Practice Questions

  • Mar 8 2023
  • Duración: 35 m
  • Podcast

Podcast Episode 103: Ten PANRE & PANRE-LA Intervention Complex Practice Questions

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  • Listen to Podcast Episode 103: Ten PANRE & PANRE-LA Intervention Complex Practice Question If you can't see the audio player, click here to listen to the full episode. Welcome to episode 103 of the Audio PANCE and PANRE Physician Assistant/Associate Board Review Podcast. Join me today as we cover ten NCCPA-style board review questions for your PANRE and PANRE-LA exams. Special from today's episode: Take the new PANRE & PANRE-LA (Intervention Complex) Practice Exam: Covers all the topics tested within the new PANRE (Intervention Complex) performance expectation with links to Smarty PANCE lessons. PANRE & PANRE-LA Blueprint 8-Week Schedule and Study Planner Read The New 2023 PANRE and PANRE-LA: Everything you Need to Know Members can try out the newly updated PANRE-LA Smart Search Tool (you must log in to access the search bar) Sign up for the Entire Blueprint Email Series to get daily questions for the next 478 days! Follow Smarty PANCE and The Daily PANCE Blueprint on Instagram Follow Smarty PANCE and The Daily PANCE Blueprint on Facebook Join the Smarty PANCE Member's Community, then sign up for a study group to get updates about upcoming webinars I hope you enjoy this free audio component of the examination portion of this site. Smarty PANCE includes over 2,000 interactive board review questions, along with flashcards, ReelDx cases, integrated Picmonics, and lessons covering every blueprint topic available to all Smarty PANCE members. You can download and listen to past FREE episodes here, on iTunes, Spotify, Google Podcasts, Stitcher, and most podcasting apps. You can listen to all the latest episodes, take interactive quizzes, and download more resources on each episode page. Here is an interactive exam to complement today's podcast 1. A 65-year-old man presents to your office with complaints of constipation for the past six months. He says that he has difficulty passing stools, which are hard and dry. He also reports occasional abdominal pain and bloating. He denies any weight loss, blood in stools, fever, or night sweats. His medical history is significant for hypertension and type 2 diabetes mellitus. His medications include metformin, lisinopril, and aspirin. He does not smoke or drink alcohol. On physical examination, his vital signs are normal. His abdomen is soft and nontender, with normal bowel sounds. There are no masses or organomegaly palpable. Which of the following is the most appropriate next step in evaluating this patient? A) Colonoscopy B) Barium enema C) Thyroid function tests D) Stool osmolarity E) Dietary modification Answer and topic summary The correct answer is A) Colonoscopy Colonoscopy is a procedure that involves inserting a flexible tube with a camera into the colon to visualize the mucosa and detect any abnormalities such as polyps, tumors, inflammation, or bleeding. It is indicated for patients with chronic constipation who are older than 50 years or have any red flag features for colorectal malignancy, such as weight loss, blood in stools, anemia, or a family history of colon cancer. This patient meets the age criterion and should undergo colonoscopy to rule out any serious causes of his constipation. Answer explanations: Barium enema is an imaging test that involves injecting a contrast agent (barium sulfate) into the rectum and taking X-rays of the colon. It can show structural abnormalities such as diverticula, strictures, masses, or volvulus. However, it is less sensitive and specific than colonoscopy for detecting colorectal malignancy. Therefore, it is not the preferred test for this patient. Thyroid function tests are blood tests that measure the levels of thyroid hormones (T3, T4) and thyroid-stimulating hormone (TSH). They can help diagnose thyroid disorders such as hypothyroidism or hyperthyroidism. Hypothyroidism can cause constipation due to decreased gastrointestinal motility. However,
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