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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.

Eyes/Ears/Nose/Throat

~6% of blueprint

Red eye, otitis, sinusitis, pharyngitis, vertigo.

FlashcardsPrep Rounds

Disease Profiles

Anatomy

Region
Air-filled spaces around the nasal cavity.
Key Structures
Maxillary, ethmoid, frontal, sphenoid sinuses; most drain to the ostiomeatal complex in the middle meatus.
Clinical Correlation
The maxillary sinus is most often involved in sinusitis; ethmoid infection can spread to the orbit (orbital cellulitis).
High-Yield Pearl

Maxillary sinusitis is most common; pediatric ethmoid sinusitis can spread to the orbit.

Region
External, middle, and inner ear.
Key Structures
External (auricle, canal, tympanic membrane); middle (ossicles — malleus, incus, stapes; Eustachian tube); inner (cochlea = hearing, vestibular apparatus = balance).
Clinical Correlation
Otitis media collects behind the TM; conductive vs. sensorineural loss is distinguished by Weber/Rinne; inner-ear disease → vertigo.
High-Yield Pearl

Conductive loss → Weber lateralizes to the bad ear; sensorineural loss → Weber lateralizes to the good ear.

Region
The orbit — the globe and its three layers.
Key Structures
Outer (cornea, sclera), uvea (iris, ciliary body, choroid), inner (retina with macula/fovea); anterior & posterior chambers.
Clinical Correlation
Acute angle-closure glaucoma blocks aqueous outflow (fixed mid-dilated pupil, halos); retinal detachment → painless “curtain” over vision.
High-Yield Pearl

Painful red eye + fixed mid-dilated pupil + halos = acute angle-closure glaucoma — an emergency.