Ace Your PANCE Prep Pearls: 3rd Ed. (2019) Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Physician Assistant (PA) Students
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PANCE Prep Pearls: 3rd Ed. (2019) | Physician Assistant (PA) School Study Aid
Retinoblastoma
- Characteristics
- Loss of Heterozygosity
- Chromosome 13
- Children
- Presentation
- Leukocoria
- Strabismus
- Vision Loss
- Association
- Osteosarcoma
- Diagnosis
- Genetic Testing
- Management
- Cryotherapy
- Photocoagulation
- Chemotherapy or Radiation
- Surgery
3 mins
Age-Related Macular Degeneration (AMD)
- Mechanism
- Dry (nonexudative)
- Wet (exudative)
- Signs and Symptoms
- Scotomas
- Blurred, Darkened Vision
- Loss of Central Vision
- Distortion of Vision
- Considerations
- Drug Therapy
- Surgery
- Low-vision Assistive Devices
2 mins
Nonproliferative Diabetic Retinopathy
- Characteristics
- Increased Capillary Permeability and Leakage
- Often Asymptomatic
- Fundoscopic Findings
- Retinal Microaneurysms
- Flame-shaped Hemorrhages
- Cotton Wool Spots
- Hard Exudates
- Macular Edema
- Management
- Treat Diabetes
- Laser Photocoagulation
- Bevacizumab
3 mins
Proliferative Diabetic Retinopathy
- Characteristics
- Angiogenesis
- Increased VEGF
- Asymptomatic Until Late-stage
- Fundoscopic Findings
- Vitreous Hemorrhage
- Retinal Detachment
- Glaucoma
- Findings of Nonproliferative Diabetic Retinopathy
- Management
- Laser Photocoagulation
- Surgery
- Bevacizumab
2 mins
Hypertensive Retinopathy
- Etiology
- Chronic Hypertension
- Fundoscopic Findings
- Flame Hemorrhages
- Arteriovenous Nicking
- Retinal Microaneurysms
- Cotton Wool Spots
- Macular Star
- Papilledema
- Treatment
- Lower Blood Pressure
2 mins
Detached Retina
- Assessment
- Flashes of Light
- Floaters
- Curtain Like Shadow
- Interventions
- Eye Patch
- Bed Rest
- Surgical Emergency
- Considerations
- No Vigorous Activity
2 mins
Uveitis Overview
- Characteristics
- Uvea
- Middle Layer of Eye
- Iris
- Ciliary Body
- Choroid
- Location
- Anterior Uveitis
- Inflammation of Iris or Ciliary Body
- Posterior Uveitis
- Inflammation of Vitreous, Choroid, or Retina
2 mins
Cataract
- Mechanism
- Age-related
- Assessment
- No Pain
- Cloudy Opaque Lens
- Decreased Visual Acuity
- Occurs Gradually
- Treatment
- Surgery
1 min
Visual Field Defects - Anatomy Overview
- Optic Nerve
- Vision Loss in One Eye
- Optic Chiasm
- Bitemporal Hemianopia - Both Eyes Outside Vision Loss
- Optic Tract
- Homonymous Hemianopia - Both Eyes Same Side
- Dorsal Optic Radiation
- Lower Quadrantic Vision Loss
- Meyer's Loop
- Upper Quadrantic Vision Loss
2 mins
Visual Field Defects - Homonymous Hemianopia
- Visual Field Abnormality
- Homonymous Hemianopia
- Vision Loss - Both Eyes Same Side
- Location of Lesion
- Optic Tract
- Parietal Lobe
1 min
Visual Field Defects - Bitemporal Hemianopia
- Visual Field Abnormality
- Bitemporal Hemianopia
- Both Eyes Outside Vision Loss
- Tunnel Vision
- Location of Lesion
- Optic Chiasm
- Causes
- Suprasellar Compression
- Pituitary Adenoma
- Craniopharyngioma
1 min
Closed-Angle Glaucoma
- Primary
- Lens causes pupillary obstruction
- Aqueous humor builds behind iris
- Iris bends forward, obstructing trabecular mesh
- Secondary
- Hypoxia Causes Neovascular Proliferation
- Contraction and obstruction of trabecular mesh
- Chronic disease (Crone)
- Asymptomatic
- Acute Disease
- Eye pain and blindness
- Rock-hard eye
- Headache
- Emergency
- Epinephrine contraindicated
2 mins
Primary Angle-Closure Glaucoma (PACG - Acute)
- Mechanism
- Rapid Increase in IOP
- Signs and Symptoms
- Rapid Onset
- Pain
- Blurred Vision
- Halos Around Lights
- Nausea and Vomiting
- IOP over 30 mm Hg
- Considerations
- Drug Therapy
- Surgery
1 min
Open-Angle Glaucoma
- Humor Has Access to Trabecular Meshwork
- Presentation
- Painless
- African American
- Elderly
- Positive Family History
- Primary Open-Angle Glaucoma
- Most Common Form of Glaucoma
- Unknown Mechanism
- Secondary Open-Angle Glaucoma
- Blocked Trabecular Meshwork (With Open-Angle)
- WBCs
- Red Blood Cells (RBC)
- Retinal Products
2 mins
Primary Open-Angle Glaucoma (POAG - Chronic)
- Mechanism
- Flow of Aqueous Humor Slowed
- Signs and Symptoms
- Slow Onset
- No Pain
- Tunnel Vision
- IOP 22-32mm Hg
- Considerations
- Drug Therapy
1 min
Central Retinal Artery Occlusion
- Etiology
- Atherosclerosis
- Atrial Fibrillation
- Giant Cell (Temporal) Arteritis
- Clinical Features
- Sudden Painless Monocular Vision Loss
- Descending Curtain
- Fundoscopic Findings
- Retinal Plaques
- Grayish Retinal Discoloration
- Cherry Red Spot on Macula
- Diagnosis
- Ultrasound
- Interventions
- Ocular Massage
- Reduce Intraocular Pressure
3 mins
Central Retinal Vein Occlusion
- Etiologies
- Hypercoagulability
- Hypertension
- Diabetes Mellitus
- Clinical Features
- Non-Ischemic
- Mild to Moderate Vision Loss
- Sparse Dot-blot and Flame Hemorrhages
- Ischemic
- Sudden, Painless Vision Loss
- "Blood and Thunder" Appearance
- Cotton Wool Spots
- Papilledema
- Interventions
- Observation if Non-Ischemic
- Laser Photocoagulation
- VEGF Inhibitors
3 mins
