PANCE Prep Plan

PANCE Prep Plan: Topics Study: Review in detail the PANCE Content Categories and their corresponding topics based on the PANCE blueprint Study Resources: PANCE Prep Pearl, Rosh Review Questions, Kaplan Questions, Exam Master Questions, Lange Q&A Physician Assistant Examination, PACKRAT questions From week 1 to week 4: timed questions daily (3 sections, 60 questions per each section) a taking note of questions answered incorrectly. Review this notebook each morning, before each Qbank session, and whenever possible, at night. For week 5: 5 blocks of 60 questions in 5 hours, limiting breaks to 5 mins between blocks Will adjust accordingly to …

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CAT Final Version

Scenario: A 53 years old obese female (BMI is 34.79 kg/m²), She developed a dry cough for four days, which became productive. She had shortness of breath, which progressively worsened. Her husband was diagnosed with COVID-19. She was tested at an outside facility, and presented at emergency department with a diagnosis of symptomatic COVID-19. Is there an association between obesity and high level of hospitalization, poor outcomes and mortality due to the COVID-19? Clinical Question: In positively identified COVID-19 patients, is obesity a risk factor for the critical condition, adverse outcomes, and mortality? PICO Search Elements: P – positively identified …

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ER-Site Evaluation Presentation Summary

In the first-rotation evaluation site visit, I presented one patient’s full H&P, including assessment and plan. I also submitted a write up regarding about DKA patient. My presented case is a hypertensive patient with recurrent headache. For this patient, he is a 55-year-old male with three ER visits within 1 week presents for uncontrolled headache. My site evaluator discussed the plan and patient’s disposal. For example, for this patient, professor Sajid point out neurology referral may help him to figure out what’s the main reason for his headache, since his blood pressure was almost within the normal range, as well …

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ER-Rotation Reflection

Types of patients you found challenging in this rotation and what you learned about dealing with them The type of patients that I found challenging are the ones that present to the ED with psychiatric disorders. They are usually not a very good historian which makes it even more difficult for interviewing. They can be so anxious and angry to speak with you, or extremely agitated that we had to call the hospital police to prevent them hurting themselves or other people. In these situation, I would often have to carefully review their previous medical records and call their family …

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ER-Article PDF Document and Summary

Article PDF: 2. antibiotics versus appendicectomy Meta‐analysis of antibiotics versus appendicectomy for non‐perforated acute appendicitis Although appendectomy is generally well tolerated, it is a major surgical intervention and can be associated with postoperative morbidity. Recently, an increasing amount of evidence has been reported showing that the majority of patients with uncomplicated acute appendicitis may be treated with antibiotics alone instead of surgery. This study assessed the benefits and harms of antibiotic therapy compared with appendicectomy in patients with non‐perforated appendicitis. A comprehensive search was conducted for randomized trials comparing antibiotic therapy with appendicectomy in patients with non‐perforated appendicitis. Key outcomes …

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EM-Full H&P

Identifying Data: Full Name: Mrs. G DOB (Age):  xx/xx/1983 (37 y.o.) Gender: Female Religion: Hindu Date & Time: Nov. 2, 2020 / 10:30 AM Location: QHC, Jamaica Source of information: Self Reliability: Reliable Chief Complain: “I have an abdominal pain” X 2 week HPI: 37 years old female with PMHx DM, HLD, hypothyroidism, recently diagnosed acute appendicitis (admitted from 10/18-10/19/2020) present with sharp RLQ pain since 10/18. The pain is constant without radiation, associates with nausea and loss of appetite. Patient states she only took soft food for the past few days, last eaten bread this morning without vomiting. Patient …

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Surgery-Site Evaluation Presentation Summary

In the mid-rotation evaluation site visit, I presented two patients’ SOAP Notes, including initial admission note and post-operative note. My first case is an incisional hernia repair. For this patient, she is a 73-year-old female presents prior to scheduled Laparoscopic Incisional Hernia Repair. My second case is a 72-year-old female presents for lumpectomy. My site evaluator discussed the post-operative patient care, such as DVT prevention, incentive spirometry using for atelectasis prevention, as well as, the pain management, which I found to be very helpful. In the final evaluation site visit, I presented three cases, one is on cholecystectomy, the second …

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Surgery-Rotation Reflection

Types of patients you found challenging in this rotation and what you learned about dealing with them The most challenging patients in this rotation I found are the ones that refuse treatment. For example, there was a patient with post status laparoscopic appendectomy who refused to put a NG tube in. Even he allowed us to insert the NG tube in the morning, he pulled it out after the nursing left the room. He told the medical staff that he felt uncomfortable with the tube in his nose. Patients who refused treatment are the ones that always require a lot …

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