Physician Assistant Practice Test V
Sample Physician Assistant National Certifying Exam (PANCE)

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Question 1 of 20

1.  An older gentleman with a history of alcoholism and chronic pancreatitis presents with pain radiating to the back.  He states the pain is much worse than before.  He has a mild fever.  His white blood cell count is normal, but you note that his hemoglobin level is 8.5 mg/dL.  You look at the lab values in his medical record and note that it was 10.5 on a prior hospitalization.  Lab values, including liver function tests, amylase, and lipase, are normal.  What is your next step?

  1. Send the gentleman home because the lipase is normal.
  2. Obtain a CT scan with intravenous contrast if able.
  3. Obtain an outpatient gastrointestinal consultation.
  4. Obtain an abdominal ultrasound.
  5. Repeat the labs because there may be a mistake.

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