Cardiology PANCE PANRE Exam with Accurate Solutions, Exams of Advanced Education

Cardiology PANCE PANRE Exam with Accurate Solutions

Typology: Exams

2025/2026

Available from 02/01/2026

Examwow
Examwow 🇺🇸

5

(2)

9.4K documents

1 / 5

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
Cardiology PANCE/PANRE Exam with
Accurate Solutions
What is the most common cause of shock - ANSWER-Gram negative sepsis
What lab test can identify and monitor sepsis? - ANSWER-Lactate
How should urine output be monitored in a patient with shock? - ANSWER-Indwelling
catheter with a urine output of 0.5mL/kg/hour
How long should it take to lower a patient with a HTN urgency? - ANSWER-Hours
How long should it take to lower a patient with HTN emergency? - ANSWER-1 hour
What are the findings of malignant HTN? - ANSWER-Papilledema, encephalopathy or
renal failure
What is the most common symptom of HTN? - ANSWER-Headache
What is recommended as the initial agent for HTN? - ANSWER-Diuretic
What diuretic should be used in patients with renal disease? - ANSWER-Loop Diuretics
In which patients are B-blockers most effective? - ANSWER-Younger/Caucasian
What is the initial drug of choice in a diabetic patient with HTN? - ANSWER-ACE
Inhibitors
What is the major side effect of an ACE Inhibitor? - ANSWER-Cough
What two acute coronary syndromes are treated the same? - ANSWER-Unstable and
NSTEMI
What is the rhythm that most people die from? - ANSWER-V. Fib
When is an AMI most likely to present? - ANSWER-Early morning
What is Dresslerís syndrome (post MI syndrome?) - ANSWER-Pericarditis, fever,
leukocytosis, pericardial or pleural effusions
pf3
pf4
pf5

Partial preview of the text

Download Cardiology PANCE PANRE Exam with Accurate Solutions and more Exams Advanced Education in PDF only on Docsity!

Cardiology PANCE/PANRE Exam with

Accurate Solutions

What is the most common cause of shock - ANSWER-Gram negative sepsis What lab test can identify and monitor sepsis? - ANSWER-Lactate How should urine output be monitored in a patient with shock? - ANSWER-Indwelling catheter with a urine output of 0.5mL/kg/hour How long should it take to lower a patient with a HTN urgency? - ANSWER-Hours How long should it take to lower a patient with HTN emergency? - ANSWER-1 hour What are the findings of malignant HTN? - ANSWER-Papilledema, encephalopathy or renal failure What is the most common symptom of HTN? - ANSWER-Headache What is recommended as the initial agent for HTN? - ANSWER-Diuretic What diuretic should be used in patients with renal disease? - ANSWER-Loop Diuretics In which patients are B-blockers most effective? - ANSWER-Younger/Caucasian What is the initial drug of choice in a diabetic patient with HTN? - ANSWER-ACE Inhibitors What is the major side effect of an ACE Inhibitor? - ANSWER-Cough What two acute coronary syndromes are treated the same? - ANSWER-Unstable and NSTEMI What is the rhythm that most people die from? - ANSWER-V. Fib When is an AMI most likely to present? - ANSWER-Early morning What is Dresslerís syndrome (post MI syndrome?) - ANSWER-Pericarditis, fever, leukocytosis, pericardial or pleural effusions

What is the EKG findings of a STEMI? - ANSWER-1 MM ST segment elevation in two contiguous leads What EKG finding is highly suspicious for STEMI? - ANSWER-LBBB What are the contraindications to a B-blocker? - ANSWER-Slow hearts, weak hearts (CHF) or bad pulmonary patients When should aspirin or clopidogrel be used in a patient with a STEMI? - ANSWER- Immediately Name the 4 cyanotic heart anomalies - ANSWER-Tetralogy of fallot, pulmonary atresia, hypoplastic left heart syndrome, and Transposition of the great vessels Name the non-cyanotic heart anomalies - ANSWER-ASD, VSD, PDA, AV septal defect (seen in Downís syndrome) & Coarctation of aorta What is the most common ASD? - ANSWER-Ostium Secundum What is the most common congential heart anomaly? - ANSWER-VSD How do we treat PDA pharmacologically? - ANSWER-Indomethacin How do we keep the ductus arteriosus open? - ANSWER-IV prostaglandins E What is the most common valvular disease? - ANSWER-Aortic Stenosis What is the most common presentation of valvular heart disease? - ANSWER-Dyspnea on exertion/exercise intolerance What is the definitive method to identify heart structure and functional abnormalities? - ANSWER-Echocardiogram or TEE How is the murmur of Tetralogy of Fallot identified? - ANSWER-Crescendo/decrescendo holosystolic at left sternal border that radiates to back What heart defect gives a ìmachinery murmur? - ANSWER-PDA How are all regurgitation murmurs identified? - ANSWER-Blowing and higher pitch What valvular pathology has an Austin Flint murmur? - ANSWER-Aortic regurgitation What is the most common arrhythmia? - ANSWER-A.Fib

What agent is preferred for HTN in blacks and elderly? - ANSWER-Calcium Channel Blocker What medications are recommended for BP control in aortic dissection? - ANSWER- Nitroprusside and a B-blocker What is the anti-HTN medication of choice in a pregnant patient? - ANSWER- Hydralazine What are the cardiac signs of CHF? - ANSWER-Enlarged heart, diminished first heart sound and S What is the most useful image with CHF? - ANSWER-Echocardiogram What two medications prolong life in a patient with CHF? - ANSWER-ACE Inhibitor and B-Blockers When is an implantable cardio-defibrillator indicated in a patient with CHF? - ANSWER- EF<35% What is the most common cause of cardiovascular death and disability? - ANSWER- Atherosclerosis What are the risk factors for arterial disease? - ANSWER-Smoking, Age (M > 55 and F > 65,) DM, Cholesterol, HTN and family history Name the three kinds of angina - ANSWER-Stable (predictable,) unstable (unpredictable) and Prinzmetal What is the most common presentation of unstable angina? - ANSWER-Resting chest pain What is Levine sign? - ANSWER-Clenched fist and teeth to describe angina pain How long does stable angina last? - ANSWER-Less than 3 minutes What is the most sensitive clinical sign of angina on an EKG? - ANSWER-Horizontal or down sloping ST segment depression What percent of patients with unstable angina will have a normal EKG? - ANSWER- 25% What is the most useful and cost effective noninvasive test for angina? - ANSWER- Exercise stress testing

What is the definitive diagnosis for angina? - ANSWER-Coronary angiogram What is the primary pharmacotherapy for angina? - ANSWER-Sublingual nitroglycerine What is the first line therapy for chronic angina? - ANSWER-B-Blockers What medication prolongs exercise duration and time to angina? - ANSWER- Ranolazine What disease encompass acute coronary syndrome? - ANSWER-Unstable angina, Non-STEMI and STEMI What is our primary decision point for patient with chest pain? - ANSWER-EKG What is the drug of choice for endocarditis prophylaxis - ANSWER-Amoxicillin What valve is most commonly affected in Rheumatic heart disease? - ANSWER-Mitral Name the major criteria for rheumatic heart disease? (AKA Jones Criteria) - ANSWER- Carditis, erythema marginatum, Subcutaneous nodules, chorea, polyarthritis What medication can provide symptoms relief with PVD? - ANSWER-Cilostazol What is recommended to prevent travel associated DVT? - ANSWER-Frequent ambulation, leg exercises and compression hose What are the key demographics of temporal arteritis? - ANSWER-Age greater than 50 and a history of polymyalgia rheumatic What are the signs and symptoms of giant cell arteritis - ANSWER-Unilateral temporal HA, scalp tenderness, jaw claudication, elevated ESR What is the most common cause of aortic aneurysms? - ANSWER-Atherosclerosis Who is the classic patient with aortic dissection? - ANSWER-Elderly male smoker with COPD, CAD and renal insufficiency What is the diagnostic test of choice for AAA? - ANSWER-Ultrasound What is the diagnostic test of choice for thoracic aneurysms? - ANSWER-Aortagram