PANCE/PANRE Online Exam Review & Practice Questions

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PANCE/PANRE Board Review Topics Covered:

  • Musculoskeletal
  • Pediatrics
  • Genitourinary
  • Pharmacology
  • Infectious Disease
  • Cardiovascular
  • Hematologic
  • Endocrine
  • Multisystem Processes
  • Reproductive System
  • Pulmonary
  • Professional Practice
  • Neurologic System
  • Applying Basic Scientific Concepts
  • Gastrointestinal and Nutrition
  • Dermatologic
  • Renal Disorders
  • Eyes, Ears, Nose, and Throat
  • Psychiatry/Behavioral Science
  • Health Maintenance, Patient Education, and Preventive Measures
  • History taking/Physical exam
  • Diagnostics and Lab Studies
  • Formulating Diagnosis
  • Managing Patients- Clinical Intervention

About the PANCE/PANRE Exams 

The Physician Assistant National Certifying Examination (PANCE) is a part of gaining certification as a physician assistant with the NCCPA. Graduates from accredited PA programs are eligible to take the exam. 

The Physician Assistant National Recertifying Exam (PANRE) is a part of the NCCPA's certification maintenance process. 

The PANRE Longitudinal Assessment (PANRE-LA) is the new alternative to the traditional PANRE. It is an at-home process that allows PAs to maintain their certification. 

PANCE and PANRE Pass Rates

The 2022 Overall PANCE Exam Pass Rate was 89%. A PANCE passing score is 350.

The 2018 (most recently published) Overall PANRE Exam Pass Rate was 99%.

What topics are covered on the PANCE Exam blueprint?

According to the NCCPA PANCE Blueprint, the following topics are covered:

Medical Content Additional Categories
  • Cardiovascular System 13%
  • Dermatologic System 5%
  • Endocrine System 7%
  • Eyes, Ears, Nose, and Throat 7%
  • Gastrointestinal System/Nutrition 9%
  • Genitourinary System (Male and Female) 5%
  • Hematologic System 5%
  • Infectious Diseases 6%
  • Musculoskeletal System 8%
  • Neurologic System 7%
  • Psychiatry/Behavioral Science 6%
  • Pulmonary System 10%
  • Renal System 5%
  • Reproductive System (Male and Female) 7%

  Task Categories

  • History Taking and Performing Physical Examination 17%
  • Using Diagnostic and Laboratory Studies 12%
  • Formulating Most Likely Diagnosis 18%

  Managing Patients

  • Clinical Intervention 14%
  • Pharmaceutical Therapeutics 14%
  • Applying Basic Scientific Concepts 10%
  • Professional Practice 5%

What content is covered on the PANRE Exam blueprint? 

According to the NCCPA PANRE Blueprint, the following topics are covered: 

Medical Content Categories
  • Cardiovascular System 13%
  • Dermatologic System 6% 
  • Endocrine System 6%
  • Eyes, Ears, Nose, and Throat 8%
  • Gastrointestinal System/Nutrition 11%
  • Genitourinary System (Male and Female) 5%
  • Hematologic System 4%
  • Infectious Diseases 6%
  • Musculoskeletal System 9%
  • Neurologic System 7%
  • Psychiatry/Behavioral Science 5%
  • Pulmonary System 10%
  • Renal System 3%
  • Reproductive System (Male and Female) 7%

 

In addition to these categories, up to 2% of the exam questions may cover professional practice (legal and ethical) issues. The percent allocation may vary slightly with each exam. 

How many questions are on the PANCE and PANRE Exams and PANRE-LA?

The PANCE is a five-hour exam that has a total of 300 MCQ's, which are spread out over five sections. Each section consists of 60 items with 60 minutes to complete each section.

The PANRE is a four-hour exam made up of 240 multiple choice questions spread out over four sections. Each section consists of 60 items with 60 minutes to complete each section.

To complete the PANRE-LA, physician assistants must complete 25 questions per quarter. 12 quarters of material are available. 

PANCE/PANRE Exam Tips

"Be careful on the pharma questions…"

We often hear from students that you should know the following about prescribing medications: which drugs not to prescribe to treat which conditions, potential side effects, and complications of drugs.

Patient Safety

The PANCE emphasizes in patient safety, so this question bank has several blocks of questions to cover this content area. Specifically, focus on CV drugs, neuro/psych drugs, and antimicrobials. Remember to spend time on EKG's as well.

What to Focus On

Focus on the systems with the higher percentages of exam content. For example, hematologic questions can be really tough, but it’s only a small percentage of the exam. Therefore, you may want to focus more on areas like cardiovascular, GI, and musculoskeletal.

Flagging Questions

As a benchmark, our average score in the question bank is below 60%, but nearly everyone passes. We recommend flagging particularly difficult questions so that you have a good review session 1.5 - 2 weeks before the exam.

Contributing Medical Faculty

  • Jordan G. Roberts, PA-C

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