Core internal medicine presentations and management as tested on the PANCE, written as original scenario cards.
About this set
49 mixed cards for PANCE PANCE. It opens with "Which drug class is first-line for symptomatic relief in chronic stable angina?" and "In acute pericarditis, the ECG classically shows diffuse ST elevation with ____". More Healthcare and Nursing decks are listed below.
49 cards · mixed cards · AI-written, checked twice. Edit anything.
- Which drug class is first-line for symptomatic relief in chronic stable angina?
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Beta blockers
- In acute pericarditis, the ECG classically shows diffuse ST elevation with ____.
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PR segment depression
- What is Kussmaul sign?
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A paradoxical rise in jugular venous pressure during inspiration
- Which lab test is most useful to help distinguish dyspnea due to heart failure from a pulmonary cause?
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B-type natriuretic peptide (BNP)
- Which medication class reduces mortality in heart failure with reduced ejection fraction?
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ACE inhibitors
- Aortic stenosis produces what type of murmur?
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Crescendo-decrescendo systolic murmur radiating to the carotids
- Mitral regurgitation produces what type of murmur?
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Holosystolic murmur radiating to the axilla
- What is the purpose of the CHA2DS2-VASc score?
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To estimate stroke risk in atrial fibrillation and guide anticoagulation decisions
- Which two drug classes are used for acute rate control in atrial fibrillation?
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Beta blockers and non-dihydropyridine calcium channel blockers
- On ECG, severe hyperkalemia classically produces ____.
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peaked T waves
- What is the first-line treatment to stabilize the cardiac membrane in severe hyperkalemia?
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IV calcium gluconate
- What spirometry finding confirms a diagnosis of COPD?
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Post-bronchodilator FEV1/FVC ratio less than 0.70
- Which intervention most improves long-term survival in COPD patients who smoke?
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Smoking cessation
- A chest x-ray shows a visible pleural line with no lung markings beyond it. What is the diagnosis?
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Pneumothorax
- What clinical tool estimates the pretest probability of pulmonary embolism?
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Wells criteria