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Smarty PANCE Questions and Answer | Latest Update 2024/2025

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A 40 year-old female presents with a Pap smear abnormality revealing atypical glandular cells (AGUS). What is the most appropriate intervention? ~~> Colposcopy and endometrial sampling (Colposcopy and endometrial sampling are important to perform in patients with AGUS Pap results because ...

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  • September 16, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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1 | P a g e | © copyright 2024/2025 | Grade A+




Smarty PANCE Questions and
Answer | Latest Update 2024/2025
A 40 year-old female presents with a Pap smear abnormality revealing

atypical glandular cells (AGUS). What is the most appropriate intervention?


✓ ~~> 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?


✓ ~~> 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



Master01 | September, 2024/2025 | Latest update

, 2 | P a g e | © copyright 2024/2025 | Grade 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?


✓ ~~> 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?


✓ ~~> 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



Master01 | September, 2024/2025 | Latest update

, 3 | P a g e | © copyright 2024/2025 | Grade A+


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?


✓ ~~> 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?


✓ ~~> 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


- Mid-diastolic murmur with opening snap


- Polymorphous exanthema


✓ ~~> Palpable right ventricular lift




Master01 | September, 2024/2025 | Latest update

, 4 | P a g e | © copyright 2024/2025 | Grade A+


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?


✓ ~~> 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?


✓ ~~> 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?




Master01 | September, 2024/2025 | Latest update

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