In preparing for your 2019 PANRE, you need to study differently based on core content and levels of knowledge. Here are sample questions for the 2019 PANRE.
2. 62 yo F w/ hx of COPD & angina presents
with acute onset of dizziness, CP, + SOB,
HR 152 & BP 86/56. EKG = irregularly
irregular narrow complex rhythm w/o P
waves. Treatment?
A. Give IV Metoprolol then consult
B. Order IV Digoxin then consult
C. Synchronized Cardioversion then consult
D. Pacemaker then consult
3. 72 yo M from nursing home with history of dementia
presents with fever and poor eating. He is febrile with
a temp of 102.4 rectal. BP is 146/80 and pulse is 101.
Urine is negative for WBC and CXR is below.
Best initial intervention?
A. Surgical consultation
B. Nitro and start Bipap
C. Proventil/ipratropium
D. Ceftriaxone/azithromycin
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6. 44 yo diabetic male presents with acute
onset of “heartburn.” ECG from triage
is below. Initial management?
A. LBBB – locate old ECG
B. Pericarditis – start NSAIDS
C. STEMI – give aspirin and consult
D. Early Repolarization – order GI cocktail
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7. 46 yo M presents after motorcycle crash.
He has altered mental status and is
hypotensive. CXR is below. What the best
management?
A. Duonebs and Bipap
B. Duonebs and Steroids
C. Invasive procedure and consult
D. Chest CT and IV fluids
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9. 43 yo female c/o RUQ pain for 2 hours that
she describes and constant 9/10. States
she has gone “vegan” after recent foods
have given her heartburn. Pulse is 112, BP
122/82, T = 102.4 & Diagnosis?
A. Ascending choleagnitis – physician consultation
B. Acute appendicitis – CT scan
C. Choledocholithiasis - Ultrasound
D. Acute pyelonephritis – start antibiotics
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10. 42 yo male presents with intolerable,
intermittent vertigo with momement of his
head that last for ~ one minute. What is the
recommended initial management?
A. Dix-Hallpike maneuver and consult
B. MRI and consultation
C. Transcranial Doppler Ultrasound and consult
D. Orthostatic vital signs and IV fluid
administration
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