PANCE Review for Physician Assistant Certification Exam Prep + CME

The #1 PANCE Review does more.
Rock the PANCE and everything else.

Newly Updated for 2022 - 2023.

See special offers.

Plus, bonus options on select products.

Enter coupon codes at checkout.
SHOP NOW.

Med-Challenger PA is the most effective, easiest to use Physician Assistant certification board review question bank for the PANCE NCCPA board certification examination. Med-Challenger's physician assistant board reviews with intelligent PA self-assessment provides everything you need to pass physician assistant certification exams and fulfill other PA certification requirements such as AAPA CME credits, all in one powerful, effective, and convenient access point online.

See OptionsPackages and Pricing

Physician Assistant PANCE Prep.
100% pass-guaranteed.
99.8% pass-rate.
Ongoing MOC & CME benefits.
Built for PA Certification & Beyond.

Starting as low as $329.

"Outstanding PANCE review. Makes passing NCCPA certification exam prep easy and I'm set with AAPA CME for later. Any physician assistant will love this."
Mark Perdue, PA-C

The #1 PANCE review, CME, and more anytime, anywhere, any device.

And be set for the future as well.

100% pass-guaranteed.
99.8% pass-rate.

No worries. No risk. No stress.

PANCE review - physician assistant certification board review

Our pass-guaranteed physician assistant certification board review courses gets you prepared the PANCE fast, thanks to our constantly updated physician assistant review questions, detailed answer explanations, and intelligent PANCE board exam simulators. Plus, our online PANCE board review course keeps serving you after exams too. PANCE review has never been so easy, effective, or efficient. It's more than just the best PANCE question bank, it's lifelong physician assistant education and AAPA MOC convenience.

PANCE review - physician assistant certification board review question bank

Our #1 physician assistant question bank is intelligent, automatically targeting any detected weaker areas of knowledge, saving your time.

2600+ PANCE Review Questions

High-Yield Physician Assistant exam practice questions mapped to the PANCE exam blueprint.

Using authoritative resources, our physician assistant editors ensure our PANCE review courses are always current and cover the latest NCCPA certification exam blueprint. Med-Challenger's PANCE Board Review course is 100% pass-guaranteed and used by GME programs and healthcare organizations world-wide.

Earn Required CMEs

The MOST CME credits you'll find in any online physician assistant board review.

195

AMA Category 1 CME Credits

AAPA-approved CME Credits (required)

best PANCE exam review course with AAPA CME credits

Produce CME certificates whenever you need annually. Useful year after year.

Physician Assistant Course Information

Physician Assistant Review Course Information

Post-Rotation Exams

Post-Rotation Exam - Allergy/Immunology
Post-Rotation Exam - Cardiology
Post-Rotation Exam - Dermatology
Post-Rotation Exam - EENT
Post-Rotation Exam - Emergency Medicine
Post-Rotation Exam - Family Medicine
Post-Rotation Exam - Geriatrics
Post-Rotation Exam - Internal Medicine
Post-Rotation Exam - OBGYN
Post-Rotation Exam - Orthopedics
Post-Rotation Exam - Pediatrics
Post-Rotation Exam - Psychiatry
Post-Rotation Exam - Surgery
Post-Rotation Exam - Underserved Care
Post-Rotation Exam - Urgent Care

CME Bank - Signs, Symptoms, and Presentations (AAPA Credit)

Abdominal Pain
Acute Pelvic Pain in Women
Acute Vaginal Bleeding
Back Pain
Chest Pain
Confusion
Constipation
Cyanosis
Depressed Consciousness and Coma
Diarrhea
Dizziness and Vertigo
Dyspnea
Fever in the Adult Patient
Gastrointestinal Bleeding
Headache: Initial Approach
Hemoptysis
Jaundice
Nausea and Vomiting
Seizures: Initial Approach
Syncope
Weakness

CME Bank - Allergy/Immunology

Auto-Immune Collagen Vascular Disorders
Drug Allergy
Food Allergy
Hypersensitivity Reactions
Pediatric Allergy and Immunology
Primary Immunodeficiency Disorders
The Immunocompromised / Solid-Organ Transplant Patient

CME Bank - Cardiovascular System

Congenital Heart Disease in the Adult
Congestive Heart Failure
Dysrhythmias/Conduction Defects
Endocarditis
Hypertension
Ischemic Heart Disease
Myocardial Disease
Pediatric Cardiovascular Disease
Pericardial Disease
Valvular Heart Disease
Vascular Disease

CME Bank - Dermatology

Acne/Rosacea
Cancers of the Skin
Cutaneous Infections
Dermatitis (non-infectious)
Maculopapular Lesions
Papular/Nodular Lesions
Pediatric Dermatology
Ulcerative Lesions
Vesicular / Bullous Lesions

CME Bank - EENT (Eyes, Ears, Nose and Throat) System

Eye: Assessment
Eye: Glaucoma
Eye: Inflammation and Infection
Eye: Pharmacology
Eye: Vascular Disorders
Nose: Infection and Inflammation
Oral Cavity: Medical Disorders
Otologic Infections
Otologic Signs, Symptoms, Presentations
Pediatric Eye, Ear, Nose and Throat Disorders
Throat and Soft Tissue Neck: Medical Disorders

CME Bank - Endocrinology, Metabolism, and Nutrition

Adrenal Disorders
Diabetes Mellitus
Disorders of Calcium Metabolism and Bone
Hypoglycemia
Lipid Disorders
Obesity
Thyroid Disorders
Pediatric Endocrine Disorders

CME Bank - Gastroenterology/Nutritional System

Biliary Tract Disease
Colonic and Anorectal Disease
Esophageal Disorders
Liver Disease
Pancreatic Disease
Pediatric Gastrointestinal Disorders
Small Intestinal Disease
Stomach or Duodenum

CME Bank - Genitourinary System

Acute Renal Failure
Chronic Kidney Disease
Glomerular Disorders
Nephrolithiasis
Pediatric Nephrology and Urology
Penile Disorders
Prostate Disorders
Sexually Transmitted Infections - Male
Testicular Disorders
Urinary Incontinence
Urinary Tract Infections
Water and Electrolyte Balance

CME Bank - Hematology and Oncology

Anemia
Bone Tumors
Breast Cancer
Coagulopathies
Disseminated Intravascular Coagulation
Gastrointestinal or Hepatic Cancer
Gynecologic Cancer
Hematologic Malignancies
Lung Cancer
Management of Malignant Pain
Neoplasms of the Head and Neck
Oncologic Emergencies
Pediatric Hematology and Oncology
Sickle Cell Disease
Transfusion Medicine (Principles and Complications)
Urological Cancer

CME Bank - Infectious Diseases

Coronavirus (SARS-COV-2, COVID-19)
COVID-19 During Pregnancy
Diphtheria, Pertussis, Tetanus
Meningococcemia, Pneumococcemia
MRSA, VRE, ESBL
Tuberculosis
Parasitic Infections
Pediatric Infectious Diseases
Sepsis Syndromes
Systemic Fungal Infections
Tick-Borne Illnesses
Hantavirus HIV and AIDS
Influenza, Mononucleosis, Herpes
Rabies

CME Bank - Musculoskeletal System

Bone and Joint Infections
Crystal-Induced Arthropathy
Deep Soft Tissue Infections
Disorders of Muscles
Infectious, Inflammatory, and Reactive Arthritis
Neck and Back Pain
Osteoarthritis Rheumatoid Arthritis
Sports Injuries / Trauma
Systemic Lupus Erythematosus
Systemic Sclerosis Vasculitis
Pediatric Rheumatology and Musculoskeletal Disorders

CME Bank - Neurological System

Central Nervous System Disorders: Delirium and Dementia
Central Nervous System Disorders: Demyelinating/Inflammatory Diseases
Central Nervous System Disorders: Diseases of Movement Control
Central Nervous System Disorders: Seizures
Central Nervous System Disorders: Spinal Cord Syndromes
Central Nervous System Infections
Cerebrovascular Accidents: Epidemiology and Presentation
Cerebrovascular Accidents: Initial Work-Up
Cerebrovascular Accidents: Preventive Care
Cerebrovascular Accidents: Treatment
Headache: Cervical Neck Vessels, Subarachnoid, and Venous Emergencies
Headache: Cluster, Migraine, and Tension
Headache: Less Common Etiologies
Neurologic Assessment
Pediatric Neurologic Disorders
Peripheral Nervous System Disorders: Neuromuscular Junction Disease
Peripheral Nervous System Disorders: Neuropathies
Selected Cranial Nerve Disorders

CME Bank - Psychiatry/Behavioral System

Affective Disorders
Antidepressants
Anxiety Disorders
Anxiolytics
Dissociative Disorders
Eating Disorders
Factitious Disorders and Malingering
Geriatric Psychology
Obsessive-Compulsive Disorder
Pediatric Psychiatric Disorders
Personality Disorders
Psychiatric Assessment
Psychological Factors Affecting Medical Disorders
Schizophrenia
Somatoform Disorders
Substance Abuse
Suicidal Behavior
Thought Disorders

CME Bank - Pulmonary System

Asthma and Other Obstructive Lung Disease
Interstitial Lung Disease
Lower Respiratory Tract Infections
Occupational and Environmental Lung Disease
Pediatric Respiratory Disorders
Pleural Disease
Pulmonary Vascular Disease
Sleep Medicine
Upper Respiratory Tract Infections

CME Bank - Reproductive System

Acute Complications of Pregnancy
Chronic Medical Illness During Pregnancy
Contraception
General Approach to the Pregnant Patient
Gynecological Assessment
Menopause and Hormonal Therapy
Screening and Regular Health Care in Adult Women
Sexual Assault Sexually Transmitted Infections: Female

Sample Question 1

An 8-year-old boy presents to you with bloody diarrhea. His physical examination reveals purpuric lesions, abdominal tenderness to palpation, and dry mucous membranes. Laboratory findings include a blood urea nitrogen level of 70, a creatinine level of 1.7, a platelet count of 75,000, and a hemoglobin level of 8.

Which of the following bacterial causes of diarrhea is most likely the cause of this syndrome?

Salmonella
Escherichia coli H7:O157
Clostridium difficile
Campylobacter

This patient presented with bloody diarrhea, a reduced hemoglobin level, and a reduced platelet count; he also has evidence of renal impairment. This triad of anemia, low platelets, and renal impairment defines hemolytic uremic syndrome, which is most commonly associated with the Shiga toxin–producing E coli species H7:0157. C difficile infection can be associated with diarrhea (including bloody diarrhea); however, the other laboratory findings would not be commonly associated with C difficile. Campylobacter and Salmonella infection may also cause diarrhea but is not commonly associated with renal failure or anemia.

Reference: 

Collier RE. Diarrhea. In: Marx JA, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed., 2014:254-260.

Sample Question 2

A 9-year-old boy with a history of chronic allergic rhinitis (AR) presents with several months of purulent rhinorrhea. He has mucosal thickening and sinus opacification on computed tomography. What is another common finding?

nasal polyposis
neutrophil predominance on nasal washings
tooth abscess
Streptococcus pneumoniae on nasal culture
bacterial conjunctivitis

A common complication of AR is chronic sinusitis. Children can present with a range of symptoms, including purulent rhinorrhea, mucosal thickening, sinus opacification, and nasal polyposis. Nasal cultures are normally negative and eosinophils predominate.

Other complications of AR include postnasal drip, which can lead to chronic cough, and hypertrophy of the adenoids and tonsils, which can lead to eustachian tube obstruction, otitis media, and obstructive sleep apnea.

Reference:

Milgrom H, Leung DY. Allergic rhinitis. In: Kleigman RM, et al, eds. Nelson’s Textbook of Pediatrics. 19th ed., 2011:775-779.

Sample Question 3

A 52-year-old man presents to you because he has been having episodes of headache, palpitations, and sweating for the past 6 months. He has attributed them to panic attacks. He recently checked his blood pressure at a local store and found that it was elevated, and that is the reason for today's visit.

As you start examining the patient, he has what he calls a "panic episode," and you notice that his blood pressure is 170/100 mm Hg, his pulse is 124 beats/minute, and he has profuse diaphoresis. This episode lasts for 10 minutes and then his blood pressure drops to 142/84 mm Hg and his pulse decreases to 88 beats/minute. You are concerned the patient may have pheochromocytoma.

Which of the following has the highest sensitivity for this diagnosis?

24-hour urine collection for metanephrines
clonidine suppression test
magnetic resonance imaging of the adrenal glands
plasma-free metanephrine levels

There remains some controversy regarding the best first-line test for suspected pheochromocytoma and both 24-hour urine collection for metanephrines and plasma-free metanephrine levels are used for initial evaluation. The 2014 Clinical Practice Guideline from the Endocrine Society continue to recommend the use of either 24-hour urine collection for metanephrines or plasma-free metanephrine levels for initial investigation when a diagnosis of pheochromocytoma is suspected. However between these two testing modalities, abnormal measurements of plasma-free metanephrines are more sensitive for pheochromocytoma. Plasma concentrations of normetanephrine higher than 2.5 pmol/mL or metanephrine levels higher than 1.4 pmol/mL indicate pheochromocytoma with almost 100% sensitivity. The specificity is lower at around 85% and hence there is a high rate of false positive.

A 24-hour urine collection for metanephrines has a sensitivity of 90% but the specificity is higher than that of plasma-free metanephrine levels at around 95%. The accuracy of the 24-hour urinary levels for metanephrines can be improved by indexing urinary metanephrine levels by urine creatinine levels.

The differences in sensitivity and specificity between these two tests has led some to recommend plasma fractionated metanephrines among patients at high risk for pheochromocytoma, and 24-hour urine metanephrines for those at low risk.

The clonidine suppression test is useful for distinguishing between high levels of plasma norepinephrine caused by release from sympathetic nerves and those caused by release from pheochromocytoma.

A decrease of at least 50% in plasma norepinephrine levels after clonidine administration is normal, whereas persistent elevations are indicative of pheochromocytoma.

References:

Lenders JW, Duh QY, Eisenhofer G, et al. Pheochromocytoma and paraganglioma: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2014 Jun;99(6):1915-1942.

Lenders JWM, Eisenhofer G. Update on Modern Management of Pheochromocytoma and Paraganglioma. Endocrinol Metab (Seoul). 2017;32(2):152-161.

Young WF. Clinical presentation and diagnosis of pheochromocytoma. Updated September 2016. Accessed July 20^th, 2017.

Sample Question 4

A 15-year-old high school student who participates in cross-country running competitions comes with a complaint of pain in her left foot, which limits her physical activity and impacts her training regimen. The onset of the pain was insidious, and it has been worsening over the course of the last month. She has started an intensive training regimen prior to regional championships. On exam there is a poorly localized tenderness in her left hindfoot. An x-ray has been obtained and is completely normal. What is the best test to diagnose this condition?

calcium, PTH, and 25-OH vitamin D3 level
radionuclide bone scanning
computed tomography scan
magnetic resonance imaging
Harris view x-ray

Correct!

The diagnosis of a stress fracture is easily missed because only 50% of patients develop plain radiographic abnormalities. Until recently, radionuclide bone scanning was the imaging modality of choice for stress fractures. Bone scans are nonspecific but extremely sensitive for stress fractures, usually showing abnormal uptake within 24 hours of injury. Rarely, a bone scan may be falsely negative if pain occurs before the onset of a demonstrable pathologic condition. Magnetic resonance imaging scanning has been found to be more specific and is emerging as the new “gold standard” for this condition.

Reference:
Riyad B. Abu-Laban and Kendall Ho. Marx: Rosen's Emergency Medicine, 7th ed.: Mosby; 2009. CHAPTER 55 - Ankle and Foot

Sample Question 5

A 24-year-old woman presents to you with concern for right eye discharge. For 3 days she has noticed increasing watery and purulent discharge (see Figure). She denies any changes to her vision or eye pain.

Figure.

Her medical history includes acne, and she is currently taking topical tretinoin cream 0.025% at bedtime.

Vital signs are: temperature 99.8 °F (38 °C), pulse 92 beats/minute, blood pressure 110/62 mm Hg, respiratory rate 12 breaths/minute, and oxygen saturation 100% on room air. Body mass index is 22.6 kg/m².

Laboratory results are shown in the Table.

Table.

Study	Value	Normal range
White blood cells, µL	11,300	4500-10,000
Hemoglobin, g/dL	13.2	11-14
Hematocrit, %	39	35-45
Platelets, cells/µL	215,000	150,000-450,000
Albumin, g/dL	4.3	3.5-5.5
Aspartate aminotransferase, U/L	12	5-52
Alanine aminotransferase, U/L	10	7-46

Which of the following medications is INAPPROPRIATE to prescribe for this condition?

ciprofloxacin drops
dexamethasone drops
bacitracin ointment
erythromycin ointment

Educational Objective:

Prescribe appropriate therapy to treat bacterial conjunctivitis.

Key Point:

Bacterial conjunctivitis is not treated with ophthalmic glucocorticoids.

Explanation:

This patient appears to have bacterial conjunctivitis. She has reddened conjunctiva and purulent ophthalmic discharge. Standard care for bacterial conjunctivitis includes topical antibiotics such as ciprofloxacin, erythromycin, and bacitracin.

Glucocorticoids such as dexamethasone are not indicated for the treatment of bacterial conjunctivitis. Adverse reactions include sight-threatening corneal damage, cataracts, and glaucoma, and these reactions are more likely to occur with inappropriate use. More commonly, glucocorticoids are used for the treatment of ocular allergy, chronic blepharitis, and viral keratitis. Given the severity of side effects associated with ocular glucocorticoids, prescribing them is not recommended in the primary care setting.

Reference:

Walls R, et al. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 9th ed., 2018.

Target Audience

Med-Challenger Physician Assistant is intended for practitioners of acute and primary care or clinicians otherwise involved in the diagnosis and treatment of acute, emergent, or chronic medical problems.

Educational Objectives

The objective of the Challenger academic continuing medical education programs is to provide an interactive review of the knowledge base of acute care and primary care medicine as appropriate by medical specialty. After completing this course, the participating clinician should be better equipped to:

Confidently manage the broad spectrum of acute and chronic medical problems encountered in the practice of medicine.
Formulate appropriate differential diagnoses for patients presenting with acute medical problems of uncertain etiology.
Efficiently initiate therapeutic and diagnostic procedures for patients presenting with acute and chronic medical disorders.
Cope effectively with the uncertainty that is inherent in the initial treatment of acute and chronic disorders.
Handle efficiently the spectrum of common disorders involving all organ systems. In particular, the physician will be better equipped to diagnose and treat acute and chronic: cardiovascular disorders; diseases of the eye, ear, nose, throat, skin and soft tissues; endocrinologic disorders; traumatic and environmental injuries; gastrointestinal diseases; gynecologic and obstetric disorders; hematologic and oncologic problems; immunologic, allergic and rheumatologic diseases; infectious diseases; life-threatening signs and symptoms; musculoskeletal disorders; pulmonary diseases; and intoxications and poisonings.
Demonstrate mastery of the knowledge and cognitive skills required to achieve objectives 1-5 by scoring at least 80% on all topics studied for CME credit.

Faculty

Mark W. Perdue, PA-C
Clinical Assistant Professor
University of Oklahoma (Tulsa)
Tulsa, OK

Joint Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of National Association for Continuing Education and Challenger Corporation.

The National Association for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation Statement

AMA Credit - The National Association for Continuing Education designates this enduring activity for a maximum of 215.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAPA Credit - Earn up to 20 AAPA-approved CME credits (annual requirements)

PANCE board review online - prepare physician assistant boards anytime anywhere

Save time, money and stress. Get more.

Live reviews simply don't cut it anymore.

Don't spend your time and energy - and more money - traveling to and sitting through a live review cram course that leaves you holding a paper binder and no lasting value.

With Med-Challenger, you study when you want, where you want. What's more, you continually benefit from always-up-to-date resources and new content throughout the year. Stay comfortable. We bring everything to you. More than just effective PANCE review, more than a "PANCE question bank," it's ongoing physician assistant knowledge support.

Proven board review
that keeps on giving.

Our board reviews are designed for your high-stakes exam - as well as your career requirements after you've passed your exam - year after year. You'll never have to buy MOC resources again.

best physician assistant certification exam review course online - PANCE exam prep

"Best PA exam review for PANCE. Love how I can add resources to my account, and the account-wide renewal. Get it. Use it! I recommend the PA PRO! 🙂 New content and all my annual AAPA requirements each year and more for a fraction I was paying each year. Saves my time and sanity!"
DANA Washington, PA-C

About the NCCPA Certification Exam (PANCE)

What you need to know to prepare for the PANCE.

The content blueprint for PANCE is based on information provided from certified physician assistants who participate in profession-wide practice analysis studies. Certified PAs are involved throughout the exam development process, including: reviewing results of the practice analysis, writing questions that appear on PANCE, reviewing exams before they are administered, reviewing performance data for exam questions, and developing recommendations for the passing standard. Certified PAs work with NCCPA to continuously review the content included on PANCE to ensure it is relevant and current, as the practice of medicine changes and treatment guidelines are revised or new ones introduced.

If you graduate from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors, you can take the Physician Assistant National Certifying Examination® (PANCE) for certification. The multiple-choice exam assesses basic medical and surgical knowledge. You will need to submit an application and payment in advance and can choose from over 200 testing sites.

You may schedule your exam anytime (depending on testing center availability) except during the end-of-year holiday window.
You can register 90 days prior to your expected program completion date.
You must submit an application and payment in advance to take PANCE.
You may only take PANCE once in any 90-day period or three times in a calendar year
You have 180 days from the beginning of your exam timeframe to take the exam.

PANCE Exam Blueprint

What's covered on the Physician Assistant National Certifying Examination?

NCCPA publishes a content blueprint of the material that will appear on the exam. The content blueprint provides guidance on the information assessed on the Physician Assistant National Certifying Exam (PANCE).

The PA certification examination is categorized in two dimensions:

Knowledge of the diseases and disorders physician assistants encounter; and
Knowledge and skills related to tasks physician assistants perform when treating patients.

This is how we determine which material appears in exam simulations.

MEDICAL CONTENT CATEGORIESPercent Allocation

Cardiovascular System13%
Dermatologic System5%
Endocrine System7%
Eyes, Ears, Nose, and Throat7%
Gastrointestinal System/Nutrition9%
Genitourinary System (Male and Female)5%
Hematologic System5%
Infectious Diseases6%
Musculoskeletal System8%
Neurologic System7%
Pulmonary System10%
Psychiatry/Behavioral Science6%
Renal System5%
Reproductive System (Male and Female)7%

TASK CATEGORIESPercent Allocation

History Taking and Performing Physical Examination17%
Using Diagnostic and Laboratory Studies12%
Formulating Most Likely Diagnosis18%
Health Maintenance, Patient , Education, and Preventive Measures10%
Clinical Intervention14%
Pharmaceutical Therapeuticsm14%
Applying Basic Scientific Concepts10%
Profesional Practice5%

What is the format of the PANCE Exam?

What's the NCCAP PANCE Exam format?

Our exams are administered in multiple blocks of test questions. You may answer the questions within a block in any order, and you may review and change responses within a block of questions during the time allotted for that section. However, after you exit a block of test questions, or after time expires for that block, you won't be allowed to review its questions or change your answers.

The five-hour PANCE exam includes 300 multiple-choice questions administered in five blocks of 60 questions with 60 minutes to complete each block. There is a total of 45 minutes allotted for breaks between blocks and you will be responsible for managing your break time. You will have 15 minutes to complete the PANCE tutorial.

PANCE exam sample questions...

NCCPA provides several sample questions on its site. You can also get more free PANCE board review questions when you subscribe to Med-Challenger's Medical Education Blog - or when you start a free trial of Med-Challenger PANCE/PANRE BOARD REVIEW.

Benefits for Lifelong Practice

High-Yield

Content Resources

Comprehensive, up-to-date & new content.

High-quality specialty review and knowledge protection
Question banks mapped to board exam specifications
Detailed answer explanations with bonus Pearls of Wisdom
Written and peer-reviewed by practicing, board-certified physician educators.
Informative content blogs and updates keep you in step with MOC and guideline changes.
Enduring material, unlike a live course you can't revisit.

Intelligent

Assessment & Feedback

Do more in less time with intelligent tools.

Intelligent self-assessment and board exam simulation adapts to your knowledge needs
Learning prescriptions guide you to reinforcement in areas of difficulty
Smart exams de-emphasize content you know well so you spend time on material you don't
Flexible study modes and read-friendly answer keys
Build smart custom exams
Predictive performance analytics

Practical

Built for Lifelong Practice

Boards and beyond, built for career MOC.

No need to attend or travel to a live course
Study when you want
Earn and claim CME credits and produce CME certificates easily.
Ongoing news and new content just for having an account.
Keeps your CME earnings history secure
Premium membership keeps ALL of your purchased content assets up-to-date and useful.
Saves money. Never pay full price again. Renew for less.

Efficient

Saves Time, Money & Stress

Less stress and more quality of life.

Works anywhere, on any device, year round.
Saves time. Intelligent exams focus on what you need to know better.
Quick and easy to use. No startup labor.
Don't stress over and over about MOC requirement resources.
One-time purchases stay in your account forever.
Single online login to all purchased assets.

Multiple Ways to Learn & Earn

The Med-Challenger platform gives you more than any other. It's designed for today's pressing needs and longterm knowledge quality, maintenance of certification, and hassle-free requirement fulfillment. We know that everyone's practice life and personal requirements vary. We've set everything up where you can use your content assets in multiple ways. Your content assets stay up-to-date and you have flexible and fun ways to use the resources you need to know so you stay at your best.

Study

Exam Review

Prepare for exams faster and score higher.

Exam blueprint-based board review
Comprehensive, adaptive board exam simulation
Chapter & topic exams
Practice tests & "see answers" review modes
Build, save & re-use intelligent custom exams
Instant feedback & remediation analysis

Earn

Get CME Credits

Earn CME credits while you study - or anytime.

Earn CME credit while you study
AMA Category 1 credits
Specialty credits
State-required credits
Track CME earnings
Easy CME certificate PDF generation

Play

Battle Peers

Stay current though fun peer-to-peer games.

Play special CME quiz games within your account
Peer leaderboards
Create your own player alias
New content and CME case challenges weekly
Earn free CME credit for playing

Update

Stay Informed

Stay informed of changes to care and CME requirements.

Medical education news & updates
New materials annually for MOC
Guideline knowledge checks & updates
Diagnostic challenges
Informative practice alerts
Premium offers

Med-Challenger PA Reviews

See what physician assistants have said about
our physician assistant board review - Med-Challenger PA

Excellent PANCE /PANRE and EM-CAQ review for physician assistants. With AAPA CMEs too, there's everything a PA needs.
Mark Perdue, PA-C

Thank you for making the PANCE exam and AAPA CME easy. Much more effective than live courses. Less cost. And no travel!
Debbie Collins, PA-c

Passed the PANRE and plan on keeping this. It's a gold mine for PAs. Other reviews just don't do everything Med-Challenger does.
Jay Cooper, PA-c

Buy once. Benefit forever.

Premium Membership - Our Super Renewal Advantage

Never re-buy assets again!

Instead of wasting time and money every year searching for resources, we have a better plan - One-time purchasing and a single low cost Premium Membership super-renewal!

Low-cost renewal saves money.

Purchase products at regular price ONCE. Get a full year of Premium access. When your membership expires, simply renew EVERYTHING in your account for one low annual fee of $199/yr.

Keeps your assets fresh & ready.

We'll keep all of your assets up-to-date and CME ready so you can re-use your assets for MOC and CME/CE needs anytime. You'll even get new content with any qualifying subscription.

No catch.

It's your choice whether to set up auto-renew or stop and restart your account access later. We're here for you.

"This plan works. I pay a fraction of what I was paying out every year and have high-quality resources to use for everything.
Marta Gutierrez, MD

Bonus Content All Year

Just by having a Med-Challenger online account, you stay up-to-date and informed to changes in current practice.

Medical Education Blog

Our Medical Education Blog offers practice pearls, guideline news, and diagnostic challenges from our clinician authors.

Atrial Fibrillation in a Patient with Heart Failure – Clinical Patient Case of the Week

July 6, 2022

Thromboembolic Disease Board Review Questions, Free CME Quiz – Earn AMA and ANCC Credits Free

June 29, 2022

CME Quick Quiz Game

Our popular Free CME Quick Quiz game let's you try new board review questions each week. Free to play.

"Amazing PANCE Prep."

Try any product or package free. It's worth a look.

Packed with clinical media, study modes, and intelligent review tools.
See it. Get it. Ace it. Earn it. Keep it. Love it.

Physician Assistant Exam Review Packages

Conquer the PANCE or Conquer It All.

See special offers.

Plus, bonus options on select products.

Enter coupon codes at checkout.
SHOP NOW.

PA

PANCE / PANRE Review + EORs & CME Credit

$329

One-time asset purchase

One Year FREE

Premium Membership

100% pass-guaranteed. No risk.

Follows the PANCE / PANRE Exam Content Outline

End of Rotation Exam Review (EOR) - 15 Separate Exams

Over 2600 board-style Q&A based on National Commission on Certification of Physician Assistants exam specifications (NCCPA)

2,600 high-yield explanations

Board Exam Simulator & Chapter Exams w/ time-saving Learning Rx

Earn up to 195 AMA Category 1 CME credits

Earn up to 20 AAPA-approved CME credits (annual requirements)

Platform Features & Utilities

Personal analytics dashboard
Pre-built smart sims & tests
Study modes & visual media
Custom exam builder
Quick Quiz CME games
Works anywhere, any device
Continuous content updates
CME blogs & MOC alerts
Single login to all assets

PA CAQ-EM

NCCPA CAQ-EM Exam Review

$329

One-time asset purchase

One Year FREE

Premium Membership

100% pass-guaranteed. No risk.

Follows the NCCPA Certification of Added Qualifications in Emergency Medicine (CAQ-EM) Exam Content Outline

3,600 NCCPA CAQ-EM-formatted questions

3,600 high-yield explanations

Board Exam Simulator & Chapter Exams w/ time-saving Learning Rx

Platform Features & Utilities

Personal analytics dashboard
Pre-built smart sims & tests
Study modes & visual media
Custom exam builder
CME certificate generator
Quick Quiz CME games
Works anywhere, any device
Continuous content updates
CME blogs & MOC alerts
Single login to all assets

Buy Now

Free Trial

PA CAQ-EM Review Details

PA PRO

EVERYTHING for Physician Assistants PRO Bundle

$999

One-time asset purchase

One Year FREE

Premium Membership

BEST VALUE - PA BUNDLE

$2,032 in value. You save 50%.

Learn More

PA Board Review (PANCE/PANRE)

Pass-guaranteed
Exam Prep for PANCE & PANRE Exams
15 NCCPA End-of-Rotation Exams
195 AMA Category 1 CME credits
20 AAPA-approved CME credits
Value $329

PA CAQ-EM Board Review

Pass-guaranteed
NCCPA Certification of Added Qualifications in Emergency Medicine Exams (CAQ-EM)
Value $329

State-required CME Course

CME Requirements by US state
Useful every year
Value $229

Care Center CME Requirements

Dermatology CME Course

Dermatology review + image banks
71 AMA Category 1 Credits
Value $229

ECG Interpretation: Basics & Special Cases

Review of EKG Interpetation
Value $229

Platform Features & Utilities

Buy Now

Free Trial

PA PRO Full Details

Questions? We're Here for You.

Ask any of our customers and they'll tell you we have the best customer service around. Live, US-based representatives can help you find the right solutions and get you rolling right away.

Sales & Upgrades

Product Inquires, Trials & Purchasing
Groups & Institutions
Current Customer Upgrades

Email Sales

1-800-676-0822, Option 1

Support Services

Live Technical Support
User Guides, FAQs & Tutorials
CME & Account Support

Get Support

1-800-676-0822, Option 2

PANCE Review for Physician Assistant Certification Exam Prep + CME

See special offers.

The #1 PANCE review, CME, and more anytime, anywhere, any device.

2600+ PANCE Review Questions

Earn Required CMEs

Physician Assistant Course Information

Save time, money and stress. Get more.

Proven board reviewthat keeps on giving.

About the NCCPA Certification Exam (PANCE)

What you need to know to prepare for the PANCE.

PANCE Exam Blueprint

What is the format of the PANCE Exam?

PANCE exam sample questions...

Benefits for Lifelong Practice

High-Yield

Intelligent

Practical

Efficient

Multiple Ways to Learn & Earn

Study

Earn

Play

Update

Med-Challenger PA Reviews

Buy once. Benefit forever.

Never re-buy assets again!

Low-cost renewal saves money.

Keeps your assets fresh & ready.

No catch.

Bonus Content All Year

Medical Education Blog

Atrial Fibrillation in a Patient with Heart Failure – Clinical Patient Case of the Week

Thromboembolic Disease Board Review Questions, Free CME Quiz – Earn AMA and ANCC Credits Free

CME Quick Quiz Game

"Amazing PANCE Prep."

Physician Assistant Exam Review Packages

See special offers.

PA

PA CAQ-EM

PA PRO

Questions? We're Here for You.

Sales & Upgrades

Support Services

Proven board review
that keeps on giving.