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
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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