PANCE Practice Test 7

10 free PANCE practice questions in the real exam format, covering the official content areas, with an explanation for every answer.

PANCE Practice Test 7Tutor mode

Question 1 of 10

Pulmonary System

A 36-year-old woman comes to the clinic because of dry cough, fatigue and tender red nodules on both shins for 3 months. She takes no supplements or medications. Vital signs are normal. Several warm, tender, nonulcerated nodules are present on the anterior lower legs. Chest x-ray shows bilateral hilar lymphadenopathy with clear lung fields. Laboratory results are shown. Which of the following is the most likely mechanism of her hypercalcemia?

Serum
TestResultReference range
Calcium11.4 mg/dL8.5–10.5 mg/dL
Intact parathyroid hormone8 pg/mL10–65 pg/mL
25-hydroxyvitamin D28 ng/mL20–50 ng/mL
1,25-dihydroxyvitamin D94 pg/mL18–72 pg/mL
Creatinine0.9 mg/dL0.6–1.1 mg/dL