PANCE review flashcards
Study the cards, then practice on the patient.
Twenty PANCE-style review flashcards: classic presentations, first tests and first-line treatments across specialties.
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20 cards
- Most common cause of hypothyroidism in the US?
- Hashimoto thyroiditis.
- First-line treatment for early Lyme disease in adults?
- Doxycycline.
- Maneuver that makes the HCM murmur louder?
- Valsalva or standing up.
- ECG signs of Wolff-Parkinson-White?
- Short PR interval and a delta wave.
- First-line options for an acute gout flare?
- NSAIDs, colchicine or glucocorticoids.
- Most common cause of acute pancreatitis?
- Gallstones.
- Exam sign of acute cholecystitis?
- Murphy sign.
- Best first imaging for suspected cholecystitis?
- Right upper quadrant ultrasound.
- CSF in bacterial meningitis?
- High neutrophils, high protein, low glucose.
- Empiric antibiotics for adult bacterial meningitis?
- Ceftriaxone plus vancomycin; add ampicillin if over 50.
- Age to start cervical cancer screening?
- 21 years.
- Snuffbox tenderness after a fall suggests?
- Scaphoid fracture.
- First-line drug class for major depression?
- SSRIs.
- Signs of lithium toxicity?
- Coarse tremor, vomiting, confusion and ataxia.
- First treatment for Bell palsy?
- Oral glucocorticoids within 72 hours.
- Child with barking cough and steeple sign?
- Croup.
- Drug of choice for childhood absence seizures?
- Ethosuximide.
- Infant with projectile nonbilious vomiting and an olive mass?
- Pyloric stenosis.
- Most common cause of urinary tract infection?
- Escherichia coli.
- Pheochromocytoma: first medicine class before surgery?
- Alpha blocker, then beta blocker.