PANCE

On Monday, May 21 at 7pm in the  Ernest N. Morial Convention Center in New Orleans, LA, more than 200 physician assistant students from seventy programs across the country will compete for the rights to claim the 2018 AAPA Challenge Bowl trophy. We are proud to announce, for the first time, Rosh Review will provide all of the content for this premiere high-energy medical game show. This high-energy medical competition has been a tradition for 28 years where the country’s best PA students answer the most difficult medical questions until a champion is crowned. To continue our support for physician assistant students around the country, we’ve provided free access to our 2,500 question PANCE Qbank for 1 month.

Last week the NCCPA released their updated Content Blueprint guidelines for the 2019 PANCE. Many of the organ systems were updated along with the task areas. In addition to changes in the core content topics, 5% (from 2%) of the PANCE will now cover Professional Practice (formerly legal and ethical questions) issues. We analyzed the new guidelines for 2019 and made the following comparison

Today we added 300 new questions, 300 new comprehensive, high-yield explanations, 300 new custom teaching images, 300 new One Step Further questions and answers, 300 new Rapid Reviews, and 300 new opportunities to get prepared to take your PANCE or PANRE.

Ottawa Foot and Ankle Rules X-rays required if Patient cannot bear weight for 4 steps Distal 6 cm tibia/fibula tenderness Medial/lateral malleolus tenderness 5th metatarsal tenderness Navicular tenderness Sample question: A 16-year-old boy presents complaining of right ankle pain after injuring himself while playing basketball. He states that he “twisted his ankle” when he landed on read more…

Sample question: A 17-year-old boy presents to the clinic with right-hand pain after punching a wall. Physical examination reveals swelling over the dorsum of the right hand with bony tenderness noted with palpation of the fifth metacarpal. What is the most likely diagnosis?

Sample question: You are called to the nursery to examine a newborn boy. He was born at 36 weeks via C section to a 32-year-old G3, P3 mother. APGAR scores were 7 and 9. After six hours, the neonate developed respiratory distress. On examination, respiratory rate is 70, with nasal flaring, expiratory grunting, intercostal retractions, decreased breath sounds, and diminished read more…

At the end of 2016, I had a PA student reach out to me after having failed her PANCE four times. The fifth time she took the PANCE, she crushed it and easily passed. These are the techniques we employed for her that you can use to prepare for your exam. 

Transient Tachypnea of the Newborn Patient will be a child shortly after birth Sudden onset of difficulty breathing PE will show tachypnea, nasal flaring, retractions, and hypoxia CXR will show parenchymal infiltrates and fluid in the pulmonary fissures Most commonly caused by residual pulmonary fluid Treatment is supportive, self-resolving within 72 hours Comments: Most common cause of neonatal respiratory distress Sample question: A full-term male infant read more…

Over the course of the last few years, we compiled real world scores from thousands of individuals who took the PANCE and PANRE exams. Using this data to aid learners in self-assessment of their preparedness for the PANCE and PANRE exams, we developed a proprietary algorithm using a regression model and standard correction factor to convert your Rosh Review performance to a projected PANCE and PANRE exam performance.

Septic Arthritis Patient will be complaining of fever, monoarticular pain with decreased ROM Labs will show WBC > 50,000 with > 75% PMNs Diagnosis is made by arthrocentesis Most commonly caused by: Age < 35: N. gonorrhea, S. aureus overall Treatment is IV ABX, surgical washout Sample question: A 23-year-old man with a history of intravenous heroin use presents to the emergency department with a read more…

Sample question: Which muscle is most commonly involved with rotator cuff injuries?

Megaloblastic Anemia Patient will be a vegan or alcoholic Complaining of fatigue, weakness PE will show pallor, glossitis Labs will show MCV > 100 and hypersegmented neutrophils Most commonly caused by vitamin B12 (Cobalamin) or folate deficiency Comments: only vitamin B12 deficiency results in neurological symptoms Sample question: A middle-aged patient in the ED has a hemoglobin of 8.1 g/dL with an MCV of 112 fL. Which of read more…

As we mentioned at the end of episode 38, this won’t be a regular old RoshCast. Instead of our regularly scheduled content, we put together an interview with Dr. Adam Rosh – the namesake of the Rosh Review, former program director, and most importantly an emergency physician who has dedicated the last 20 years of his life to education. This episode provides a gold mine of actionable information, tools, strategies, and tactics that you can use not only for your upcoming Shelf exam, In-Training exam, or ABEM Certification exam, but any high stakes endeavor. 

Coarctation of the Aorta PE will show higher blood pressure in the arms than in the legs EKG will show LVH CXR will show notching of ribs Diagnosis is made by echo Treatment is balloon angioplasty with stent placement or surgical correction Comments: associated with Turner syndrome Sample question: A 5-year-old girl with Turner syndrome is found to have systolic hypertension. Further examination read more…

Sample question: A 71-year-old man presents to the emergency department after falling on ice outside his home. He complains of neck pain. He has an abrasion to his chin and decreased strength in his bilateral upper extremities. Strength is intact in his lower extremities. Which mechanism of trauma is most consistent with the suspected diagnosis?

I am hosting a free 1-hour live video discussion on study strategies for your PANCE. The event is limited to the first 25 PA students who sign up. The goal is to leave the event with tactical and actionable material to prepare for your PANCE.

Sample question: In children under 8 years of age, which of the following is the most common fracture involving the elbow?

Scabies Patient will be complaining of severe pruritus that is worse at night PE will show small papules, vesicles and burrows in the webbed spaces of the fingers and toes Diagnosis is made by microscopic visualization Most commonly caused by Sarcoptes scabiei hominis Treatment is permethrin 5% Sample question: A 15-year-old boy presents with an itchy rash on his hands and wrists. read more…