#PANCE/PANRE EKG Study Card

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#PANCE/PANRE Answer of the Week 12/14/2017

A 27-year-old male patient presents with a sore throat and painful oral lesions for one week. Examination demonstrates shallow, sharply demarcated ulcers with white bases. Further examination reveals similar lesions on the penis and anus. Which of the following sexually transmitted diseases is the most important diagnosis to consider?

a. Human immunodeficiency virus
b. Human papilloma virus
c. Herpes simplex virus
d. Human metapneumovirus

Correct answer: a

Topic: HIV infection
Task: History and physical exam
This is one of the most characteristic presentations of acute HIV infection and the most important diagnosis to consider. HPV and HPS are sexually transmitted disease that can be treated. Human metapneumovirus is a respiratory illness.

#PANCE/PANRE Question of the Week 12/14/2017

A 27-year-old male patient presents with a sore throat and painful oral lesions for one week. Examination demonstrates shallow, sharply demarcated ulcers with white bases. Further examination reveals similar lesions on the penis and anus. Which of the following sexually transmitted diseases is the most important diagnosis to consider?

a. Human immunodeficiency virus
b. Human papilloma virus
c. Herpes simplex virus
d. Human metapneumovirus

#PANCE/PANRE Answer of the Week 12/07/2017

An occult abdominal aortic aneurysm was discovered during a routine physical exam. It is measured at 4.0 cm. Which of the following is the next step in management?

a. Observation
b. Annual ultrasound measurement
c. Repeat ultrasound in 6 months
d. Repeat ultrasound in 3 months

Correct answer: b

Topic: Aortic aneurysm
Task: Clinical intervention
Abdominal aortic aneurysms less than 3 cm do not need further evaluation. If they are between 3.0 to 4.4 cm an annual ultrasound is recommended. If it is between 4.5 to 5.0 cm the ultrasound should be repeated in six months and the patient referred to a vascular surgeon. If the aneurysm is greater than 5.1-5.4 cm the ultrasound should be repeated every 3 months.

#PANCE/PANRE Answer of the Week 11/30/2017

An 18-year-old African American female presents with a history of depigmented patches on her lips and eyelids. Evidence of autoimmune disease has been ruled out. Which of the following is the first treatment of choice?

a. Corticosteroids
b. Calcineurin inhibitors
c. Excimer laser
d. Ultraviolet light

Correct answer: a

Topic: Vitiligo
Task: Pharmaceutical therapeutics
This patient has vitiligo and topical corticosteroids are commonly used when vitiligo involves the face. Calcineurin inhibitors, excimer laser, and ultraviolet light are second line therapies.

Weekly PANCE/PANRE questions