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PANCE / PANRE Board Review Questions and Practice Tests

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Ask a Clinician™
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Detailed Explanations and Rationales
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PANCE Board Review Topics Covered:

  • Musculoskeletal
  • Pediatrics
  • Genitourinary
  • Pharmacology
  • Cardiovascular
  • Immune System
  • Biochemistry and Molecular Biology
  • Human Development and Genetics
  • Biology of Tissue Response to Disease
  • Behavioral, Cultural, Ethics, Environmental and Psychosocial
  • Multisystem Processes (Nutrition, Physiology, Fluids, Metabolic)
  • Microbial Biology and Infection
  • Pulmonary
  • Infectious and Parasitic Diseases
  • Neoplasms/Hematology
  • Diseases of the Musculoskeletal System and Connective Tissue
  • Endocrine and Metabolic Disorders
  • Congenital Anomalies
  • Injury and Poisoning
  • Diseases of the Blood and Blood-Forming Organs
  • Neurologic System
  • Biostatistics/General Principals
  • Gynecologic, Obstetric and Disorders of Reproduction
  • Gastrointestinal and Nutrition
  • Dermatologic
  • Symptoms, Signs, and Ill-defined Conditions
  • Eyes, Ears, Nose and Throat

About the PANCE / PANRE Exams

PANCE

Upon graduating from an accredited physician assistant program, you may take the Physician Assistant National Certifying Examination (PANCE), which assess basic medical and surgical knowledge.

PANRE

Depending on your recertification cycle, by the end of the sixth (or tenth) year, PA-C designees must have passed the Physician Assistant National Recertifying Exam (PANRE), which is also designed to assess basic medical and surgical knowledge.

Pass Rates

The 2018 Overall PANCE Pass Rate was 97%.

The 2018 Overall PANRE Pass Rate was 99%.

What topics are covered on the PANCE exam blueprint?

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

Medical Content 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
    • Health Maintenance, Patient Education, and Preventive Measures 10%
    • Clinical Intervention 14%
    • Pharmaceutical Therapeutics 14%
  • Applying Basic Scientific Concepts 10%
  • Professional Practice 5%

What topics are covered on the PANRE exam blueprint?

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

  • Cardiovascular System 13%
  • Dermatologic System 6%
  • Endocrine System 6%
  • Eyes, Ears, Nose, and Throat 8%
  • Gastrointestinal System/Nutrition 11%
  • Genitourinary System 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 7%

Please note: 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 long are the PANCE / PANRE exams?

PANCE

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

PANRE

The PANRE is a four-hour exam made up of 240 MCQ's spread out over four sections of 60 items with 60 minutes to complete each section.

Please note: With the way both exams are configured, examinees are allotted a total of 45 minutes of break time so you can take breaks between the sections (and we highly suggest taking a break in between). The examinee will be responsible for managing their own break time.

PANCE & PANRE Questions & Answers, PANCE Tips & Tricks

Question Format

Our PANCE question bank attempts to follow the format of five options per question, though you will find a few that only have four choices, specifically where we found it appropriate to limit the options and provide explanations for why each one is incorrect.

Pharma Questions

"Be careful on the pharma questions…" we hear from students over and over to know which drugs not to give, in which situations, and what the potential side effects and complications are. PANCE has a very high emphasis on patient safety and anyone preparing for this exam should keep this in mind. Our question bank has several blocks of questions that cover this content area specifically. Specifically, focus on CV drugs, neuro/psych drugs, and antimicrobials. Also, spend time on EKGS (our question bank has several good EKG questions to focus on). Don’t try to memorize the information – try to gain understanding instead.

What to Focus On

Also, make sure to focus on the systems with the higher percentages of exam content. (For example, we’ve heard that the Hematologic questions can be really tough, but it’s only a small percentage of the exam, so focus more on areas like Cardiovascular, GI, and Musculoskeletal)

Relax

Finally, remember to RELAX. After you’ve drilled thousands of questions, and studied the topics, you really are ready. The vast majority of our students pass, so take comfort in knowing that you’ll be well prepared. Our average score in the question bank is below 60%, but nearly everyone passes, so that should help give you a benchmark. Also, use our flagging system to track questions that are particularly difficult so that you have a good review session 1.5 - 2 weeks before the exam.