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PANRE Sample Questions

Welcome to your Board Vitals PANRE Sample Questions

Question 1A 30-year-old woman presents with a painful red swollen left leg that has worsened over the past two days. She denies any trauma, travel, insect bites, or systemic symptoms such as fevers or chills. She has a history of insulin-controlled diabetes mellitus, and her average postprandial blood glucose is 126-136 mg/dL. She also has a history of Leiden factor V heterozygosity. She had an episode of cellulitis in the past. On physical examination, her vital signs reveal heart rate 82 beats/minute, respiratory rate 16 breaths/minute, blood pressure 142/86 mm Hg, temperature 100.2 F, and oxygen saturation 98% on room air. On palpation, there is swelling and tenderness in her left leg compared to her right. Upon measurement, her left calf is 2 cm in diameter larger than her right calf. Duplex doppler examination of the left lower extremity reveals a deep vein thrombosis. Which of the following treatment regimens should be initiated in this patient?
Question 2A mother and father bring their 3-year old son to your office with a complaint of drainage from his right ear for 7 weeks. The child has no complaint of pain and no fever. You have seen the child on several previous visits during the past 18 months with a diagnosis of acute otitis media. Examination reveals no nystagmus. Examination of the right ear reveals an edematous external auditory canal with a purulent discharge. The mucosa of the middle ear is pale. Using a 512-Hz tuning fork you note a conductive hearing loss in the right ear. Which of the following is the most likely diagnosis?
Question 3A 40-year-old man patient presents with concern because he noticed bright red blood in his emesis after vomiting forcefully during a bout of gastroenteritis. He has otherwise been in good health and takes no regular medications. His examination is unremarkable. Endoscopy reveals longitudinal lacerations in the mucosa of the distal esophagus. Bleeding has resolved. Which of the following is the most likely diagnosis?
Question 4A 91-year-old male patient presents with fecal impaction. Which of the following types of enemas should be administered before disimpaction?
Question 5A PA is reviewing the admission data for a patient who reports weight gain with concentration in the abdominal area. The patient's laboratory findings indicate elevated blood glucose and triglycerides. These findings are manifestations of which of the following condition?

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