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PANCE Body Systems
  • Cardiovascular
    11%
  • Pulmonary
    9%
  • Gastrointestinal/Nutrition
    8%
  • Musculoskeletal
    8%
  • Neurology
    7%
  • Infectious Disease
    7%
  • Psychiatry/Behavioral
    7%
  • Reproductive
    7%
  • Endocrine
    6%
  • Eyes/Ears/Nose/Throat
    6%
  • Hematology
    5%
  • Renal
    5%
  • Genitourinary
    4%
  • Dermatology
    4%
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PANCE® is a registered trademark of the National Commission on Certification of Physician Assistants (NCCPA). This application is an independent study resource and is not affiliated with, sponsored by, or endorsed by the NCCPA.

For educational use only. Content is AI-generated, may contain errors, and is not medical advice — always verify against current primary sources and faculty guidance before clinical use.

Flashcards

Active recall over every profile. Pick a scope, reveal, and self-grade — “Again” sends a card back to the end of the deck.

Card 1 of 6
DiseaseGastrointestinal/Nutrition

GERD

Recall: Pathophysiology · S/Sx · Gold Standard Dx · First-line Tx · Pearl

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DiseaseGastrointestinal/Nutrition

GERD

Pathophysiology
Incompetent lower esophageal sphincter → retrograde acid reflux → esophageal mucosal injury.
S/Sx
Heartburn (worse lying down/after meals), regurgitation, dysphagia; chronic cough/hoarseness.
Gold Standard Dx
Clinical; EGD for alarm features; 24-hour pH monitoring is the gold standard for diagnosis.
First-line Tx
Lifestyle changes + PPI (first-line); H2 blockers for milder disease.

Alarm features (dysphagia, weight loss, bleeding, anemia) → endoscopy to exclude Barrett’s/cancer.