He came in today because he had an episode of "feeling paralyzed" as he was falling asleep yesterday. What finding on physical examination would support your suspected diagnosis? Masked Facies (thinking Parkinson's) Primary biliary cirrhosis will have which of the following laboratory results? Antimitochondiral antibodies Which of the following historical factors differentiates post-traumatic stress disorder from acute stress disorder? A belief that their future has been foreshortened because of the event A 22 year-old male presents to the clinic complaining of excessive daytime somnolence and strong desires to sleep at inappropriate times. His wife has noticed that he has developed a resting tremor in his right hand and a shuffling gait over the last year. Based upon this history which of the following would be the most appropriate test to order? Arterial Duplex Scanning looking at arterial perfusion A 73 year-old male presents to the clinic with his wife. Patient states that the pain is made worse with walking and climbing stairs. Gadolinium-Enhanced MRI looking for acoustic neuromas A 64 year-old patient with known history of type 1 diabetes mellitus for 50 years has developed pain radiating from the right buttock to the calf. Of the following, the best diagnostic study to identify the cause of this patient's complaints is. On exam, there is unilateral leftsided sensorineural hearing loss and a diminished corneal reflex.
He also complains of ringing in the ear, and has had occasional dizziness. Other physician assistant programs could develop analyses of their internal testing assessments to identify students at risk of PANCE failure and allocate institutional and program resources to improve rates of PANCE passage.A 45 year-old male complains of loss of hearing in his left ear.
Most importantly, regression analyses revealed the combined solution of SUMM and MCQ to most accurately predict PANCE performance at the low end of the scale.CONCLUSION: This research suggests that all assessment measures tested can provide helpful estimates of PANCE performance however the combined SUMM and MCQ solution provided the most reliable and accurate prediction of PANCE performance for "high risk" students. Discriminant analyses revealed the combined solution of PACKRAT, SUMM, and MCQ to most accurately differentiate between the "pass" versus "fail" groups on the PANCE. This study's goal was to improve prediction of PANCE failure using other predictive measures, alone and in combination, with the PACKRAT.METHODS: Correlation and discriminate and regression analyses were conducted on 3 years of data (2007-2009) collected from Chatham University PA Studies graduates, with convergent results.RESULTS: Significant positive correlations between the PANCE and each of the assessment measures were found (in order of significance): (1) the PACKRAT exam (2) a summative multiple choice question exam given near the end of the clinical (second) year (3) average multiple-choice-question-exam results from the didactic (first) year (4) prerequisite preadmission GPA and (5) overall preadmission GPA. PURPOSE: A significant positive correlation between the Physician Assistant National Certifying Examination (PANCE) and the PAEA Physician Assistant Clinical Knowledge Rating and Assessment Tool (PACKRAT) has been found in previous studies.
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