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Question 1
A 58-year-old male presents with crushing chest pain radiating to his left arm and jaw. The pain started 45 minutes ago while he was at rest. He is diaphoretic and nauseated. ECG shows ST elevation in leads V1-V4. Which of the following is the most appropriate immediate management?
Correct Answer:
Emergency cardiac catheterization within 90 minutes
Question 2
A 67-year-old woman with hypertension presents with dyspnea on exertion, orthopnea, and lower extremity edema. On examination, an S3 gallop is heard. Which of the following is the most likely diagnosis?
Correct Answer:
Congestive heart failure
Question 3
A 55-year-old man with a history of atrial fibrillation presents with sudden onset of right-sided weakness and aphasia. He is not anticoagulated. CT scan shows no hemorrhage. What is the most appropriate immediate management?
Correct Answer:
Immediate thrombolysis if within 4.5 hours of symptom onset
Question 4
On cardiac examination, a patient has a harsh, crescendo-decrescendo systolic murmur heard best at the right upper sternal border that radiates to the carotid arteries. What is the most likely diagnosis?
Correct Answer:
Aortic stenosis
Question 5
A 45-year-old patient with newly diagnosed hypertension has blood pressure readings averaging 158/96 mmHg on three separate occasions. There are no other cardiovascular risk factors. According to JNC 8 guidelines, what is the target blood pressure for this patient?
Correct Answer:
Less than 140/90 mmHg
Question 1
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About this Exam

Prepare with the Physician Assistant National Certifying Exam (PANCE) practice quiz. This question bank includes 23 questions covering conditions, pediatric, cardiovascular, employed, and diseases. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Physician Assistant National Certifying Exam (PANCE)

This practice set contains 23 questions from the matching question bank and focuses on conditions, pediatric, cardiovascular, employed, and diseases. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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