PANRE : Physician Assistant National Recertifying Exam

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PANRE
Physician Assistant National Recertifying Exam
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Question: 60
A patient comes to the office presenting with paroxysmal or sustained
hypertension, severe headaches, palpitations, flushing, heat intolerance, and
hyperglycemia. Further laboratory results reveal that the patient’s levels of
epinephrine and norepinephrine are excessive. Based on these findings, the patient
is most likely diagnosed with:
A. Hypothyroidism
B. Hyperthyroidism
C. Pheochromocytoma
D. Addison’s disease
Answer: C
Pheochromocytoma is a catecholamine-producing hormone, which is manifested
by the increased levels of epinephrine and norepinephrine in the system. Without
appropriate treatment, pheochromocytoma can cause hypertensive retinopathy,
nephropathy, and cardiac enlargement, resulting in congestive heart failure.
Question: 61
Which of the following laboratory findings support the diagnosis of
hypoparathyroidism?
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
Answer: D
A patient with hypoparathyroidism has hypocalcemia and hyperphosphatemia.
The other options are not correct.
Question: 62
Which of the following is not a typical sign and symptom of renal cell carcinoma?
A. Abdominal mass
B. Hematuria
C. Flank pain
D. Oliguria
Answer: D
Renal cell carcinoma is the most common malignancy of the kidney. Renal
tumors in the early stages are asymptomatic. A presentation of abdominal mass
may indicate renal cell carcinoma. The symptoms of renal cell carcinoma include
hematuria, flank pain, and palpable flank mass.
Question: 63
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?
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
Answer: D
Preparations must be done before the patient undergoes biopsy. The most
important is the suspension of anticoagulant medications at least one week before
the procedure. Anticoagulant studies should be carried out at least two weeks
before the procedure. IV line, vital signs, and fasting are also important
preparations, but ensuring that coagulation studies are normal is more significant.
Question: 64
The Bartholin gland is responsible for secreting mucus to lubricate the vagina.
Where is it specifically located?
A. Anterior wall of the vagina
B. Above the urethral and vaginal opening
C. Below and to the left and right of the vaginal opening
D. Extends from the vulva to the cervix
Answer: C
The Bartholin gland is located below and to the left and right of the vaginal
opening. Option A refers to the Skene’s gland, option B refers to the clitoris,
while option D refers to the vagina.
Question: 65
The clinical feature of interstitial cystitis includes all of the following, except:
A. Continuous bladder pain
B. Nocturia
C. Frequent urinary urgency
D. Bacterial infection
Answer: D
Interstitial cystitis is the inflammation of the bladder in the absence of bacterial
infection. It is believed to be caused by an autoimmune process that alters the
cells of the bladder lining. The disease is characterized by frequent urination,
dysuria, nocturia, and continuous perineal, vaginal, or suprapubic pain.

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