PANCE — Reproductive, Pediatrics and EENT flashcards
10 of 74 cards free to study here · 5 topics · the whole deck is built into Willys
Board-style vignettes on skin disease and skin cancer, eye, ear, nose and throat emergencies, scrotal and prostate disease, prenatal care and pregnancy complications, gynecology, breast and gynecologic cancer, and pediatrics.
Learn deck · part of PANCE (Physician Assistant boards) · written against: NCCPA PANCE content blueprint, effective January 2025 (organ systems); no dosing. Updated 2026-10-10.
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A patient has a sharply demarcated, raised, bright red plaque on the cheek with fever. How does this differ from cellulitis?Erysipelas stays shallow, in the top layer of the dermis and its lymph channels, which is why its edge is raised and sharply marked off from normal skin; streptococci are the usual cause. Cellulitis spreads through the deeper dermis and fat, so its edges blur into the surrounding skin.Dermatologic › Inflammatory and Infectious Skin Disease
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A patient has well-demarcated silvery-scaled plaques on the elbows and knees, nail pitting, and pinpoint bleeding when scale is removed. What is the diagnosis?Plaque psoriasis; the pinpoint bleeding is the Auspitz sign, and new plaques at sites of trauma are the Koebner phenomenon.Dermatologic › Inflammatory and Infectious Skin Disease
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A woman has a painful red eye, halos around lights, nausea and a fixed mid-dilated pupil after entering a dark theater. What is the diagnosis, and which drugs must be avoided?Acute angle-closure glaucoma, an ophthalmologic emergency; tonometry shows very high pressure. Avoid mydriatics and anticholinergics, which worsen the closure.EENT › Eye
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A patient has sudden, painless loss of vision in one eye, and the fundus shows a pale retina with a cherry-red spot. What is the diagnosis?Central retinal artery occlusion, usually embolic. It is a stroke equivalent that needs immediate evaluation.EENT › Eye
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A 15-year-old wakes with sudden severe scrotal pain; the testis is high-riding and horizontal and the cremasteric reflex is absent. What is the next step?Emergency surgical exploration for testicular torsion; Doppler ultrasound is used only if it will not delay surgery, since salvage falls sharply after about 6 hours.Genitourinary › Scrotum and Prostate
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A 25-year-old has gradual scrotal pain with a tender epididymis that eases when the testis is lifted. What are the likely organisms?Chlamydia trachomatis and Neisseria gonorrhoeae in a sexually active man under 35 (epididymitis, positive Prehn sign). In older men and those who have insertive anal sex, enteric organisms such as E. coli become important.Genitourinary › Scrotum and Prostate
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A second-trimester quad screen shows low AFP, low estriol, high hCG and high inhibin A. Which condition does this pattern suggest?Trisomy 21 (Down syndrome); it calls for diagnostic testing such as amniocentesis. A screen is never diagnostic on its own.Reproductive › Prenatal Care
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Which conditions can raise maternal serum AFP?Open neural tube defects and abdominal wall defects (gastroschisis, omphalocele), as well as multiple gestation and underestimated gestational age.Reproductive › Prenatal Care
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A 4-week-old firstborn boy has projectile nonbilious vomiting after every feed and an olive-shaped epigastric mass. What acid-base disorder do you expect, and which test confirms it?Hypochloremic, hypokalemic metabolic alkalosis from pyloric stenosis. Abdominal ultrasound confirms the thickened pylorus.Pediatrics › Congenital and Neonatal Conditions
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A 9-month-old has episodes of colicky pain with drawn-up legs, a sausage-shaped mass and currant-jelly stool. What test diagnoses and often treats it?An air or contrast enema for intussusception (ultrasound shows a target sign first).Pediatrics › Congenital and Neonatal Conditions
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About these cards
Review status: Second-reader reviewed, with corrections applied.
Checked against:
- NCCPA PANCE content blueprint, effective January 2025 (topic outline only; no text copied)
- Checked against standard internal-medicine references (reference only; no text copied)
- Checked against the CDC 2021 STI Treatment Guidelines, ACOG Committee Opinion 797 on group B streptococcus, the AAP 2013 acute otitis media and 2014 bronchiolitis guidelines, the 2023 international PCOS guideline, the 2022 ESHRE endometriosis guideline and the ACOG April 2026 Clinical Practice Update on postmenopausal bleeding (reference only; no text copied)
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