PANRE Cheat Sheet 2026

The 30 highest-yield PANRE facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

1. Which vaccine is contraindicated in a 30-year-old pregnant woman? → MMR (measles, mumps, rubella)
2. Which hemodynamic profile is characteristic of cardiogenic shock? → High PCWP, low CO, high SVR
3. Which of the following diuretics inhibits chloride reabsorption in the ascending loop of Henie while treating hypertension? → Furosemide
4. A patient with schizophrenia on haloperidol develops fever (103°F), muscle rigidity, altered consciousness, and elevated CK. What is the most likely diagnosis? → Neuroleptic malignant syndrome
5. Which statement about transudative pleural effusions is correct? → Pleural protein/serum protein ratio <0.5
6. In PANRE practice, what is the best approach to quality improvement in emergency medicine? → Use data-driven methods with measurable outcomes
7. Which of the following is the safest antidepressant choice during pregnancy when treatment is necessary? → Sertraline
8. A patient on lithium for 10 years presents with coarse tremor, ataxia, and confusion. His lithium level is 2.4 mEq/L. What is the priority intervention? → Hemodialysis
9. Which approach best demonstrates mastery of dermatology in PANRE practice? → Applying principles to novel situations with sound judgment
10. Which professional attribute is most valued in dermatology within the PANRE field? → Accountability and commitment to standards
11. Which nerve is most commonly injured in a posterior shoulder dislocation? → Axillary nerve
12. What is the most important professional competency for PANRE certification in psychiatry? → Deep knowledge combined with practical application skills
13. A 31-year-old G1P0 at 39 weeks has a Bishop score of 4. She is being considered for labor induction. Which agent is appropriate for cervical ripening? → Misoprostol or dinoprostone
14. Which of the following is the most common cause of acute pancreatitis in the United States? → Gallstones
15. Which medication is used as a first-line maintenance therapy for mild persistent asthma in adults? → Low-dose inhaled corticosteroid (ICS)
16. Which finding best differentiates delirium from dementia? → Acute fluctuating course
17. A neonate presents with seizures, lethargy, and bulging fontanelle within 24 hours of birth. CSF shows gram-positive cocci in pairs. Causative organism? → Group B Streptococcus
18. At what GFR level is hemodialysis typically initiated in symptomatic CKD patients? → 10-15 mL/min/1.73m²
19. A patient presents with acute adrenal crisis. What is the immediate treatment? → IV hydrocortisone 100 mg plus aggressive IV normal saline
20. Which side effect is most associated with SNRI antidepressants compared to SSRIs? → Hypertension
21. A 55-year-old postmenopausal woman with an intact uterus wants hormone therapy for vasomotor symptoms. What regimen must be prescribed? → Combined estrogen plus progestin
22. Which imaging finding is pathognomonic for diffuse axonal injury after traumatic brain injury? → Petechial hemorrhages at gray-white junction on MRI
23. What is the value of continuing education in emergency medicine for PANRE professionals? → It keeps professionals current with evolving standards and practices
24. Which approach best demonstrates mastery of endocrinology in PANRE practice? → Applying principles to novel situations with sound judgment
25. Which special test is used to evaluate for rotator cuff impingement? → Neer impingement sign
26. Which laboratory pattern is expected in a patient with syndrome of inappropriate antidiuretic hormone (SIADH)? → Low serum sodium, high urine sodium, high urine osmolality
27. What is the most important professional competency for PANRE certification in gastroenterology? → Deep knowledge combined with practical application skills
28. Which medication is contraindicated in patients with spontaneous bacterial peritonitis (SBP) who have acute kidney injury? → NSAIDs
29. A patient on clozapine develops a WBC of 2,800/mm³. What is the correct action? → Discontinue clozapine immediately
30. A 45-year-old woman undergoes LEEP for CIN 2. Pathology returns with CIN 2 and negative margins. What is the recommended follow-up? → Co-testing (HPV + cytology) at 1 and 2 years post-treatment