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PANCE Final Review Questions and Answers (100% Correct) Latest 2025

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PANCE Final Review Questions and Answers (100% Correct) Latest 2025

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  • September 10, 2024
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PANCE Final Review Questions and
Answers (100% Correct) Latest 2025
At what age should you order DEXA scans for male? Female? -
Correct Answer✅ 70 for males

65 for females



Give DEXA score for osteopenia? Osteoporosis? - Correct
Answer✅ Osteopenia = 1 to 2.4 standard deviations,
osteoporosis = 2.5 standard deviations or greater.



What fracture is #1 cause of compartment syndrome? -
Correct Answer✅ Tibial shaft fracture



A patient's lab work shows positive smith Ab and positive
double strand DNA ab. Most likely diagnosis is? - Correct
Answer✅ Lupus



Where are Bouchard's nodes found? - Correct Answer✅ PIP

[B = Before]



What will XRAY show in acute osteomyelitis? - Correct
Answer✅ Nothing: bone destruction in chronic osteomyelitis

,PANCE Final Review Questions and
Answers (100% Correct) Latest 2025

Best imaging to dx osteomyelitis? - Correct Answer✅ Bone
scan or MRI will provide diagnosis



A 22 year old male patient presents with what is

clearly a septic knee. You also notice lesions on his

hands and feet. What is the most likely pathogen? - Correct
Answer✅ Neisseria gonorrhoeae



What would you expect the WBC count to be in the

joint fluid of an infected knee? - Correct Answer✅ >50,000 at
a minimum and probably

much higher.



A patient presents with a painless mass in her right

wrist. What is the most likely diagnosis? - Correct Answer✅
Ganglion cyst



What is the age range for osteosarcoma? Where

,PANCE Final Review Questions and
Answers (100% Correct) Latest 2025
are they most typically found in the body? - Correct Answer✅
Osteosarcoma (cancerous) usually occur in

15-25 year old males and are most

commonly found around the knee.



You think a patient may have an osteoid osteoma

due to his complaints of severe night pain. You

set him up for an x-ray, but in the meantime what

medication do you start him on? - Correct Answer✅ If it is
truly an osteoid osteoma (benign)

ibuprofen will resolve his pain.



Clicking or locking of the knee indicates what

diagnosis? - Correct Answer✅ Meniscal tear



A 65 year old presents complaining of severe pain

in his great toe that began when he woke up this

morning. It is swollen, red and very tender. What is

the most likely diagnosis? - Correct Answer✅ 1. Gout

, PANCE Final Review Questions and
Answers (100% Correct) Latest 2025
2. Infection



What uric acid level helps to confirm dx of gout? - Correct
Answer✅ >7.5

(Normal = 3ish to 7ish?)



What is the medical treatment for gout? - Correct Answer✅
Allopurinol, colchicine



Pathology shows positive birefringent crystals. Most likely dx?
- Correct Answer✅ Pseudogout



Patient with hx of HBV presents with bilateral knee pain,
fever, weight loss. Most likely diagnosis? - Correct Answer✅
Polyarteritis nodosa



You suspect a pt has polyarteritis nodosa. What is the test for
a definitive diagnosis and what is treatment? - Correct
Answer✅ Biopsy, high dose steroids

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