Physician Assistant Exam Review

Fifteen PANCE-style questions, mixed systems, the way the exam mixes them. Pause after each one, say your answer out loud, then check yourself. Keep count.

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A white count of 20,000 the day after delivery. A temperature of 38 in the first 24 hours. Cramping every time she breastfeeds. Each one looks like trouble, and each one is normal.

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The water breaks at 30 weeks. The baby's head is in the fundus at 37. The ultrasound shows one placenta and two babies. Each one changes the delivery plan, and one number decides it every time.

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The water breaks and the heart rate drops. The head delivers and pulls back. A scarred uterus loses station. Three of today's four emergencies announce themselves the same way, and what separates them is what happened right before.

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A Bishop score of 8 or higher means skip the ripening and go straight to oxytocin. Misoprostol and a prior uterine scar don't mix. And the APGAR never decides when resuscitation starts. This episode finishes labor the way it actually gets tested.

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