Physician Assistant PANCE & PANRE

a QuickStudy Laminated Reference Guide

Kathryn Almquist

• Publisher: QuickStudy Reference Guides
• Year: 2018
• ISBN:
  9781423240730
• Topic: Médecine
• Subtopic: Théorie, pratique et référence de la médecine

Essentials for supporting Physician's Assistants (PA-S) and Certified Physician's Assistants (PA-C) in a stripped down, need-to-know 6 page laminated guide to the PANCE/PANRE registry exam. Focus is on exam content areas that are important in practice analysis as outlined by the NCCPA. The study guide is split into the content task areas that the NCCPA has highlighted in their exam content blueprint. To increase scores for certification and recertification this guide is a must-have.
6-page laminated guide includes:

• Overview
• History-Taking Skills
• Risk Factors For Selected Medical Conditions
• Performing Physical Examinations
• Laboratory Studies
• Diagnostic Studies
• Clinical Intervention
• Formulating Diagnoses
• Health Maintenance
• Pharmaceutical Therapeutics
• Basic Science Concepts
• Organ System Disorders

Laboratory Studies

The PA orders patient-specific laboratory studies.

• Indications for laboratory studies
• Common laboratory screening tests for selected medical conditions
• Interpretation of laboratory studies
• Selecting appropriate laboratory studies
• Collecting laboratory specimens
• Interpretation of results

Complete Blood Count: Components
& Possible Conditions

White Blood Cell Count

• Acute bacterial infection
• Acute viral infection
• Stress
• Chronic viral infections
• Chronic bacterial infections
• Leukocytic autodigestion
• Decreased production from bone marrow

Red Blood Cell Count

• Respiratory distress: asthma or emphysema
• Polycythemia
• Dehydration
• Anemia: iron deficiency, B₁₂/folate deficiency, copper deficiency
• Internal bleeding
• Vitamin C deficiency

Hemoglobin

• Respiratory distress: asthma or emphysema
• Polycythemia
• Dehydration
• Anemia: iron deficiency, B₁₂/folate deficiency, B₆ deficiency, copper deficiency
• Internal bleeding
• Digestive inflammation
• Vitamin C deficiency

Hematocrit

• Respiratory distress: asthma or emphysema
• Polycythemia
• Spleen hyperfunction
• Dehydration
• Anemia: iron deficiency, B₁₂/folate deficiency, B₆sub> deficiency, copper deficiency
• Internal bleeding
• Digestive inflammation
• Thymus hypofunction
• Vitamin C deficiency

Mean Corpuscular Volume (MCV)

• Anemia: iron deficiency, B₁₂/folate deficiency, B₆ deficiency
• Vitamin C deficiency
• Internal bleeding

Mean Corpuscular Hemoglobin (MCH)

• Anemia: iron deficiency, B₁₂/folate deficiency, B₆ deficiency
• Hypochlorhydria
• Internal bleeding
• Heavy-metal body burden
• Vitamin C deficiency

Mean Corpuscular Hemoglobin Concen- tration (MCHC)

• Anemia: iron ciency, B₁₂/folate deficiency, B₆ deficiency
• Hypochlorhydria
• Heavy-metal body burden
• Vitamin C deficiency

Red Blood Cell Distribution Width (RDW)

• Anemia: iron deficiency, B₁₂/folate deficiency
• Pernicious anemia
• Acute/Chronic bacterial infection
• Inflammation

Neutrophils (Low)

• Aplastic anemia
• Pernicious anemia
• Chronic viral infection

Monocytes (High)

• Recovery phase of infection
• Liver dysfunction
• Intestinal parasites
• Benign prostatic hypertrophy

Lymphocytes

• Childhood diseases
• Acute and chronic viral infections
• Infectious mononucleosis
• Inflammation
• Systemic toxicity
• Chronic viral or bacterial infections
• Free radical activity
• Active bacterial infections
• Suppressed bone marrow function Eosinophils
• Intestinal parasites
• Food and environmental allergies/sensitivities
• Asthma
• Increased adrenal steroid production

Basophils (High)

• Tissue inflammation
• Intestinal parasites

Platelet Count

• Atherosclerosis
• Thrombocytopenia
• Heavy-metal body burden
• Free radical pathology

Complete Blood Count (Adult Results)

Test	Normal Range
Red blood cells (× 10^6/mL)	Male: 4.5–5.5 Female: 4.0–4.9
Hemoglobin (g/dL)	Male: 13.5–17.5 Female: 12.0–165.0
Hematocrit (%)	Male: 41–50 Female: 36–44
Red blood cell distribution width	< 14.5
Mean corpuscular volume	80–100
Mean corpuscular hemoglobin	26–34
Mean corpuscular hemoglobin concentration	31–37
Platelet count	100,000–450,000

White Blood Cell & Differential

White blood cell count (cells/mL)	4,500–10,000
Segmented neutrophils	54%–62%
Band forms	3%–5% (above 8% indicates left shift)
Basophils	0–1 (0%–0.75%)
Eosinophils	0–3 (1%–3%)
Lymphocytes	24–44 (25%–33%)
Monocytes	3–6 (3%–7%)

Blood Chemistry: Components & Possible Conditions

Glucose

• Diabetes
• Insulin resistance
• Early-stage hyperglycemia/diabetes
• Syndrome X/Metabolic syndrome
• Thiamine need
• Cortisol resistance
• Fatty liver
• Liver congestion
• Hypoglycemia: reactive, liver glycogen problem
• Hyperinsulinism
• Adrenal hypofunction

A1C

• Diabetes mellitus
• Insulin resistance
• Hypoglycemia

Calcium

• Kidney problems
• Bone disease
• Thyroid disease
• Cancer...