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PANCE · PANCE · Healthcare and Nursing

PANCE Internal Medicine

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.

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Which drug class is first-line for symptomatic relief in chronic stable angina?
Show answerBeta blockers
In acute pericarditis, the ECG classically shows diffuse ST elevation with ____.
Show answerPR segment depression
What is Kussmaul sign?
Show answerA 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?
Show answerB-type natriuretic peptide (BNP)
Which medication class reduces mortality in heart failure with reduced ejection fraction?
Show answerACE inhibitors
Aortic stenosis produces what type of murmur?
Show answerCrescendo-decrescendo systolic murmur radiating to the carotids
Mitral regurgitation produces what type of murmur?
Show answerHolosystolic murmur radiating to the axilla
What is the purpose of the CHA2DS2-VASc score?
Show answerTo estimate stroke risk in atrial fibrillation and guide anticoagulation decisions
Which two drug classes are used for acute rate control in atrial fibrillation?
Show answerBeta blockers and non-dihydropyridine calcium channel blockers
On ECG, severe hyperkalemia classically produces ____.
Show answerpeaked T waves
What is the first-line treatment to stabilize the cardiac membrane in severe hyperkalemia?
Show answerIV calcium gluconate
What spirometry finding confirms a diagnosis of COPD?
Show answerPost-bronchodilator FEV1/FVC ratio less than 0.70
Which intervention most improves long-term survival in COPD patients who smoke?
Show answerSmoking cessation
A chest x-ray shows a visible pleural line with no lung markings beyond it. What is the diagnosis?
Show answerPneumothorax
What clinical tool estimates the pretest probability of pulmonary embolism?
Show answerWells criteria

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