PANCE Readiness Test

10 questions, balanced across the exam's topics. Answer each one, then submit for your practice readiness estimate and per-topic breakdown. This is a practice estimate — not a prediction or guarantee of your official exam result.

Question 1

Which intervention is essential for reducing vascular risk in a patient with peripheral artery disease who smokes?

Replacing cigarettes with nicotine-free combustible tobacco Bed rest until all exertional discomfort disappears Smoking cessation support Routine prophylactic anticoagulation solely for smoking

Question 2

A cyanotic toddler squats during episodes of worsening hypoxemia. Which congenital condition is classically associated?

Tetralogy of Fallot Transposition of the great arteries Total anomalous pulmonary venous return Tricuspid atresia

Question 3

A patient has chronic leg edema, brown ankle discoloration, and a shallow ulcer near the medial malleolus. Which disorder is most likely?

Chronic venous insufficiency Peripheral arterial ulceration Neuropathic plantar ulceration Pyoderma gangrenosum

Question 4

Which electrolyte disturbance classically produces peaked T waves followed by QRS widening as severity increases?

Hyperkalemia Hypophosphatemia Hypocalcemia Hypernatremia

Question 5

A patient develops wheezing, urticaria, and hypotension minutes after an injection. Which medication is the immediate first-line treatment?

Intramuscular epinephrine Inhaled corticosteroid alone Intravenous furosemide Oral diphenhydramine alone

Question 6

An ECG shows a widened QRS with an rSR' pattern in V1 and a broad terminal S wave in I and V6. Which conduction defect is most likely?

Sinus arrest Left bundle branch block First-degree AV block Right bundle branch block

Question 7

A patient taking hydrochlorothiazide develops an acutely painful first metatarsophalangeal joint. Which drug effect may contribute?

Reduced renal urate excretion Direct inhibition of xanthine oxidase Increased urate excretion Increased urate degradation

Question 8

A patient taking a statin develops severe muscle pain, weakness, and dark urine. Which test is most directly relevant to suspected muscle injury?

Urine albumin-to-creatinine ratio Serum troponin Creatine kinase Serum creatinine

Question 9

An ECG has sawtooth flutter waves and a ventricular rate near 150/min. Which conduction pattern is most likely?

Sinus tachycardia with 1:1 conduction Atrial flutter with 4:1 AV conduction Atrial flutter with 3:1 AV conduction Atrial flutter with 2:1 AV conduction

Question 10

A school-age child has a fixed split second heart sound and a systolic flow murmur. Which congenital defect is most likely?

Pulmonary valve stenosis Small ventricular septal defect Patent ductus arteriosus Atrial septal defect

Unanswered questions count as incorrect. Your answers are graded on the server; no answer key is sent to your browser.

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