Experience the Quality With Free PANCE Exam Questions That Helps Candidates Pass

Mallory-Weiss tear is a mucosal laceration at the gastroesophageal junction after forceful retching, presenting with hematemesis. Boerhaave syndrome is a transmural rupture with severe chest pain and mediastinitis. PUD causes chronic epigastric pain, not acute bleeding. Varices bleed massively in cirrhosis. PANCE GI often tests distinguishing Mallory-Weiss from Boerhaave.

Celiac disease is an autoimmune disorder triggered by gluten. Findings include malabsorption (iron deficiency anemia, weight loss), chronic diarrhea, and skin manifestation dermatitis herpetiformis. Crohn’s and UC are inflammatory bowel diseases, not primarily malabsorptive. IBS causes functional bowel symptoms but not malabsorption. PANCE GI tests celiac with clinical and antibody clues (anti-tTG, anti-endomysial).

This is Type 1 diabetes mellitus, characterized by autoimmune destruction of beta cells, positive autoantibodies (anti-GAD, islet cell), hyperglycemia, and ketonuria. Type 2 DM involves insulin resistance and obesity. Cushing’s causes hyperglycemia with cortisol excess but not ketonuria. Diabetes insipidus involves polyuria and polydipsia but with dilute urine and no hyperglycemia. PANCE emphasizes differentiating diabetes types and their presentations.

Chediak-Higashi syndrome is a rare autosomal recessive disorder with defective lysosomal trafficking, leading to giant granules in WBCs, albinism, recurrent infections, and bleeding. CGD involves defective oxidative burst. Wiskott-Aldrich causes thrombocytopenia, eczema, and infections. SCID causes severe infections without giant granules. Rare immunohematologic syndromes are occasionally tested on PANCE.

Borderline personality disorder features emotional instability, impulsivity, self-harm, and fear of abandonment. Antisocial PD is disregard for others. Narcissistic PD involves grandiosity and lack of empathy. Histrionic PD involves attention-seeking and dramatic behavior. PANCE psychiatry emphasizes DSM-5 personality disorder features.