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Smarty PANCE Exam Questions with Correct Answers (2025)
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Smarty PANCE Exam Questions withCorrect Answers (2025)
A 40 year-old female presents with a Pap smear abnormality
revealing atypical glandular cells (AGUS). What is the most
appropriate intervention? - Correct 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? - Correct
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
,Smarty PANCE Exam Questions with
Correct Answers (2025)
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? - Correct Answer ✅
malignant HTN
(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? - Correct
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.)
,Smarty PANCE Exam Questions with
Correct Answers (2025)
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? - Correct
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? - Correct 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
, Smarty PANCE Exam Questions with
Correct Answers (2025)
- Mid-diastolic murmur with opening snap
- Polymorphous exanthema - Correct 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? - Correct 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? - Correct Answer ✅
Trimethoprim/sulfamethoxazole (Bactrim)
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