The Daily PANCE PANRE Question 9

While suturing a wound, you opt to use lidocaine with epinephrine. The rationale for your choice is: A an increase in the absorption of the lidocaine. B an increase in the diffusion of the lidocaine into the nerve's myelin sheath. C an increase in the blood flow to the area of injection. D an increase in the duration of anesthesia. E a decrease in the risk of infection at the site of injection. Answer: D Lidocaine with epinephrine both increases duration of anesthesia and decreases blood flow to the area of injection-i.e. penis, nose, fingers, toes Note: * This is part of the Daily PANCE and PANRE in your inbox email series: 60 days of PANCE and PANRE Questions and Answers delivered directly to your inbox. It is a great and fun way to learn! If you haven't already you can sign up by clicking Here. The Daily PANCE PANRE Question 9 While suturing a wound, you opt to use lidocaine with epinephrine. The rationale for your choice is: an increase in the absorption of the lidocaine an increase in the diffusion of the lidocaine into the nerve's myelin sheath an increase in the blood flow to the area of injection an increase in the duration of anesthesia a decrease in the risk of infection at the site of injection Answer: D An increase in the duration of anesthesia Lidocaine with epinephrine both increases the duration of anesthesia and decreases blood flow to the area of injection-i.e. penis, nose, fingers, toes Know Your Content BlueprintThisis part of the NCCPA ContentBlueprint Musculoskeletal System (10%). Read more and watch a ReelDx patient case video presentation atSmarty PANCE ReelDx Bonus Hand Laceration. Note: * This is part of the Daily PANCE and PANRE in your inbox email series: 60 days of PANCE and PANRE Questions and Answers delivered directly to your inbox. It is a great and fun way to learn! If you haven't already, you can sign up for FREE by clicking Here. 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Mark Leinwand, PA-C I graduated from PA school in May and failed my first attempt at the PANCE in July. I was not nearly as prepared as I should have been and in the following 90 days, I developed into a completely different PA. I listened to all of your podcasts, took every practice test (at least once), and got both the daily question emails and the daily eponym emails. My second attempt at the PANCE was earlier in October and I went into it with so much more confidence than I had after receiving the news that I failed the first time. I really appreciate all the work you do to make studying for the PANCE fun well at least tolerable and I will definitely recommend your program to next years graduating class. Thank you! thank you! thank you! Christopher M., PA-C This is the absolute best way to prep for the PANRE. I have worked as PA-C since 1999. Family Practice is my area of expertise. My first time I decided not to study and take the test and see how I would do. I barely missed passing the test. A little frustrating but not a big deal. Now it is time to study. I looked at a number of systems and decided to use SmartyPANCE and the PA Life Academy. I did modify it by just taking test questions over a two month period and allowing the questions to teach me. I easily passed and improved my score by over 50 points. My take away is to continue the daily questions Stephen sends out and then taking tests and researching areas I need to shore up. Thanks Stephen for a practical approach to PANRE. Gregory Bickel, PA-C Thanks for your expertise and passion for developing this website.   It was valuable to me for studying for the PANRE.   Plus, love that its free, as opposed to the NCCPA who charges $35 per practice exam. Keith RemoPA-C Thanks for creating the PA life. It has been a great resource for me as I review for my PANRE.   I am recommending the website to my PA staff. Cheriee Slobodsky, MPH, PA-C This is my 4th PANRE, I graduated 25 yrs. ago as a surgeon assistant and physician assistant.   I have spent the last 20 years on a H+P service and I started my medical career as a USMC corpsman.   The USMC uses the accolade OUTSTANDING, your entire program is such , the attention to details to the answers, the 230 plus pages on  PDF, the flash cards, your program built my confidence BIG TIME, Jesus has richly blessed my life BECAUSE of you , I never have to take this brutal exam again and can retire at 66 yrs old you played a prodigious part in me passing amen!!! David Gavin PA-C Good morning. I purchased a three-month trial of SMARTYPANCE with the hopes of using it as an adjunct to other study materials that I had purchased. Almost immediately, I ditched everything else and used your website exclusively. I work full time and I have two little ones at home, so just like everyone else, it was hard for me to manage my time. My certification is ending this year and I timed it so that if I didn’t pass, I’d have another opportunity to re-take it in December if I failed. I just found out this morning that I passed my PANRE! I studied for one {stressful} month, and though I wouldn’t advise cramming everything in such a short period of time, your website really helped me so much. Thank you for putting all of this content out there for us. You are amazing! Jenssen Parungao, PA-C Stephen, I want to thank you for creating the Podcast and of course the academy website. I just took my Panre for the 2nd time and I passed. I cant thank you enough for your creativity, humor, and innovation when creating such great tools for all of us. I have been a PA for 13 years and I was so worried about the PANRE given that now I have 2 small kids, have a coaching business, and work full time as a PA as well. I listened to your podcasts daily for 3 months. I did your tests on the academy and I am so grateful for how refreshing your programs are. If you ever need a testimonial somewhere else please contact me. Of course I will recommend your program to everyone. Big hug and big thanks from a happy fellow PA. Sincerely, gina Gina, PA-C Firstly, thank you. I take my boards tomorrow and was a mess until   I reviewed your exams.  The humor was great and really helped to ease my tension.  Keep up the great work! Marilyn OteroPA-C Just completed the PANRE and passed quite comfortably. I used your practice exams as part of my preparation. They were quite helpful for question format and content. Thanks for providing such a useful service. Steve Smith, PA- S, Hospitalist at Gerald Champion Regional Medical Center