PANCE Quick Hitters

Question 1

Orthopnea, paroxysmal nocturnal dyspnea, JVD, S3

Answer 1

CHF

Question 2

Sudden death in athlete

Answer 2

HOCM

Question 3

Fixed wide splitting of S2

Answer 3

Atrial septal defect

Question 4

X-ray, rib notching, 3-sign

Answer 4

Coarction of aorta

Question 5

Machine like murmur

Answer 5

PDA

Question 6

Cyanosis with crying or feeding

Answer 6

Tetralogy of fallot

Question 7

Holosystolic murmur

Answer 7

VSD

Question 8

Hypotensive, cool, clammy skin and MI

Answer 8

Cardiogenic shock

Question 9

Irregularly irregular rhythm

Answer 9

Atrial fibrillation

Question 10

Saw tooth pattern

Answer 10

Atrial flutter

Question 11

Long PR interval

Answer 11

AV block

Question 12

Progressively legnthing PR interval

Answer 12

Mobitz 1

Question 13

Dropped QRS without lengthening

Answer 13

Mobitz 2

Question 14

Independent P wave and QRS complex

Answer 14

Third degree block

Question 15

Narrow complex tachycardia

Answer 15

Paroxysmal Supraventricular tachycardia

Question 16

Chest pain relieved with rest

Answer 16

Stable angina

Question 17

Diffuse ST segment elevations, cornary artery spasm

Answer 17

Prinzmetal angina

Question 18

UA, STEMI, NSTEMI, morphine, nitrates, loading dose of P2y12

Answer 18

ACS

Question 19

NO BB, give Benzodiazepines

Answer 19

Cocaine induced MI

Question 20

Tobacco-US >65

Answer 20

Aortic aneurysm

Question 21

Marfan syndrome, ehlers danlos syndrome, tearing chest pain, wide mediastinum

Answer 21

Aortic dissection

Question 22

Jaw claudication, visual disturbance, >50 of age, elevated ESR

Answer 22

GCA

Question 23

Leg pain relieved with Nitro

Answer 23

PAD

Question 24

Palpable cord

Answer 24

Superficial thrombophlebitis

Question 25

Virchows triad, unilateral LE swelling and erythema, Homan sign

Answer 25

DVT

Question 26

Squatting/leg raise/ handgrip increases the sound of all except HOCM and MVP

Answer 26

Murmurs

Question 27

Systolic, 2nd right intercostal space, radiates to neck

Answer 27

Aortic stenosis

Question 28

Holosystolic murmur

Answer 28

Mitral regurgitation

Question 29

Women, anxiety, mid-systolic click

Answer 29

MVP

Question 30

Wide pulse pressure, water hammer pulse

Answer 30

Aortic regurgitation

Question 31

New murmur, Fever, injection drug use, streptococcus viridans, Jane way lesions, Osler nodes, Roth spots

Answer 31

Endocarditis

Question 32

Pleurtic chest pain. Worse upon laying. Improved with sitting, ST segment elevation, PR depression

Answer 32

Pericarditis

Question 33

Wheezing, reversible airway, Samters triad, reduced FEV1 to FVC ratio

Answer 33

Asthma

Question 34

Viral, cough, negative CXR

Answer 34

Acute bronchitis

Question 35

RSV

Answer 35

Bronchiolitis

Question 36

HIB. Hot potato voice, sniffing position, drooling. XR- thumb sign

Answer 36

Epiglottis

Question 37

Barking cough. XR- steeple sign

Answer 37

Croup

Question 38

Inspiratory whoop

Answer 38

Pertussis

Question 39

Productive cough, pleuritic chest pain, fever. Lobar consolidation = bacteria Bilateral interstitial infiltrate: viral/pneumocystis

Answer 39

Pneumonia

Question 40

Fever, night sweats, hemoptysis, AFB/culture x 3 days. RIPE. Screen with TNF inhibitors, immigration

Answer 40

TB

Question 41

Diarrhea, flushing, bronchospasm

Answer 41

Carcinoid syndrome

Question 42

Cystic fibrosis. Tram lines. Obstructive pattern

Answer 42

Bronchiectasis

Question 43

Smoking, alpha 1 antitrypsin deficiency, barrel chest, decreased DLCO and FEV1

Answer 43

Emphysema

Question 44

Smoking. Decreased FEV1

Answer 44

Chronic bronchitis

Question 45

Autosomal recessive, infertility, sweat chloride test

Answer 45

Cystic fibrosis

Question 46

Viechows triad. Sinus tachycardia, pleuritic chest pain, S1Q3T3, Westermark sign, Hampton hump

Answer 46

PE

Question 47

Insulation, ship building

Answer 47

Asbestosis

Question 48

Sandblasting, mines, egg shell calcification

Answer 48

Silicosis

Question 49

Coal

Answer 49

Coal workers pneumoconiosis

Question 50

Aerospace, electrical plants

Answer 50

Beryllium

Question 51

Non caseating granulomas, erythema nodosum, bilateral hilar adenopathy, elevated ACE

Answer 51

Sarcoidosis

Question 52

Smoking, family history, males, tall/skinny, pleuritic Chest pain

Answer 52

Pneumothorax