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Smarty PANCE Exam Practice Questions and Answers |100% Pass
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Smarty PANCE Exam Practice Questions and Answers |100% Pass A 40 year-old female presents with a Pap smear abnormality revealing atypical glandular cells (AGUS). What is the most appropriate intervention? - Answer-Colposcopy and endometrial sampling (Colposcopy and endometrial sampling are impo...

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  • October 7, 2024
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  • 2024/2025
  • Exam (elaborations)
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EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




Smarty PANCE Exam Practice Questions
and Answers |100% Pass

A 40 year-old female presents with a Pap smear abnormality revealing atypical glandular cells (AGUS).

What is the most appropriate intervention? - Answer✔✔-Colposcopy and endometrial sampling




(Colposcopy and endometrial sampling are important to perform in patients with AGUS Pap results

because glandular cells are associated with squamous and glandular precursor lesions and carcinoma.)


A 75 year-old female with history of coronary artery disease and dyslipidemia presents for routine

follow-up. Physical examination reveals loss of hair on the lower extremities bilaterally with thinning of

the skin. Femoral pulses are +2/4 bilaterally, pedal pulses are diminished bilaterally. Ankle brachial index

is reduced. Which of the following signs or symptoms is this patient most likely to have? - Answer✔✔-

calf pain with walking


A 55 year-old male with history of hypertension and diabetes mellitus presents to the emergency

department. The patient's wife states that the patient developed progressive irritability and confusion

today after complaining of a headache. Physical examination reveals a BP of 230/130 mmHg and

papilledema. Which of the following is the most accurate diagnosis in this patient? - Answer✔✔-

malignant HTN




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,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


(Malignant hypertension is significantly elevated BP with progressive retinopathy, including papilledema,

encephalopathy, and headache.)


Your patient has just delivered her baby vaginally without difficulty. The patient has a laceration of the

vaginal mucosa including the perineal body. You repair it without difficulty. On the chart you document

this as what type of tear? - Answer✔✔-2*- A second degree tear involves the underlying subcutaneous

tissues, but not the rectal sphincter or rectal mucosa.




(A third degree tear extends through the rectal sphincter, but not into the rectal mucosa.)


A 9 year-old patient presents with conjunctivitis after swimming at the local pool. On examination, there

is visible lid edema with redness of the palpebral conjunctiva, copious watery discharge, and scanty

exudate. The sanitation system of the public pool is through the use of a salt water system; therefore,

the possibility of a chemical induced conjunctivitis is almost non-existent. Which of the following should

be instituted to prevent the sequalae of the condition? - Answer✔✔-Sulfacetamide opthalmic


A patient describes a history of intermittent and uncontrollable twitching of his right hand that spreads

to involve the entire arm after a few minutes. Afterward, the arm is extremely weak. There are no other

areas of involvement, sensory deficit or altered consciousness. What is the most likely seizure diagnosis?

- Answer✔✔-simple partial sz


Which of the following would be expected on physical examination of a newborn diagnosed with

Tetrology of Fallot?


- Palpable right ventricular lift


- Pulse discrepancy between arms and legs

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, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


- Mid-diastolic murmur with opening snap


- Polymorphous exanthema - Answer✔✔-Palpable right ventricular lift


You are following a patient in labor at term. You evaluate the fetal monitoring tracing and note the

presence of variable, repetitive decelerations in the heart rates. The contractions have a sharp

deceleration slope. What is the recommended treatment for these decelerations? - Answer✔✔-change

maternal position


An otherwise healthy college student presents with complaints of cough, malaise, fever, yellow-green

nasal discharge and headache for the past 3 weeks. She complains of facial pain over the cheeks and

while chewing. On examination, the nasal turbinates are erythematous and edematous nearly

obstructing the nares bilaterally. She has not been previously evaluated. What is the most appropriate

antibiotic in this patient? - Answer✔✔-Trimethoprim/sulfamethoxazole (Bactrim)




(Acute bacterial rhinosinusitis (sinusitis) is associated with S. pneumoniae, H. Influenzae, and less

commonly S. Aureus or Moraxella catarrhalis. First line therapies for bacterial sinusitis include

amoxicillin, Bactrim, or doxycycline. Second line therapy includes Augmentin, Moxifloxacin, or

Telithromy)


Which of the following complications of Crohn's disease most frequently requires surgery? - Answer✔✔-

intra-abdominal abcess


A 60 year-old male complains of progressive fatigue and dyspnea. On examination his lungs are clear to

auscultation bilaterally, heart exam reveals regular rate and rhythm without S3, S4 or murmur, and

extremities show 1+ edema bilaterally. Chest x-ray reveals cardiomegaly. electrocardiogram shows low

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