PANCE / PANRE Blueprint (comprehensive content)
This article currently links to a large number of disambiguation pages (or back to itself) (check | fix). (October 2014) |
The Physician Assistant National Certifying Exam (PANCE) and Physician Assistant National Recertifying Exam (PANRE) are exams that must be taken by all physician assistants (PAs). Both tests are given by the National Commission on Certification of Physician Assistants. The exams are computerized and consist of practical medical and surgical questions.
The PANCExam includes 300 questions[1] and must be taken before a PA can be licensed for the first time upon graduation from an accredited program. 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. Using a review program such as the HELP PANCE PANRE can greatly increase your chances of passing. The content of the test can be divided into organ systems and the breakdown is as follows: Cardiovascular - 16%, Dermatologic - 5%, EENT - 9%, Endocrine - 6%, Gastrointestinal/Nutritional - 10%, Genitourinary - 6%, Hematologic - 3%, Infectious Diseases - 3%, Musculoskeletal - 10%, Neurologic System - 6%, Psychiatry/Behavioral - 6%, Pulmonary - 12%, and Reproductive - 8%. Similarly, the test can be divided into task areas (what the test question is asking you to do). The breakdown of task areas is as follows: History Taking & Performing Physical Examinations - 16%, Using Laboratory & Diagnostic Studies - 14%, Formulating Most Likely Diagnosis - 18%, Health Maintenance - 10%, and Clinical Intervention - 14%.
The four-hour PANRExam includes 240 multiple-choice questions administered in four 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 PANRE tutorial. The PANRE must be taken by all PAs every 10 years to continue to practice as a PA. This was originally every 6 years but was recently changed. The PANRE can be retaken if failed, but there is a 90-day waiting period[2] between tests and it can only be taken twice in one year. Using a review program such as the HELP PANCE PANRE can greatly increase your chances of passing. The PANRE allows for choices. While 60% of the generalist exam will cover the same content as always, the remaining 40% can be directed towards more generalist questions in one of three areas: • Adult medicine, • Surgery, • Primary care. This option gives PAs the opportunity to focus more of the exam on their general area of practice--or continue with "business as usual" by choosing the "primary care" option.
COMPREHENSIVE EXAM CONTENT (BLUEPRINT)[3][edit]
The Cardiovascular System[edit]
•Bundle branch block •Paroxysmal supraventricular tachycardia •Premature beats (WPW) ect. •Sick sinus syndrome •Ventricular tachycardia •Ventricular fibrillation •Torsades de pointes
Congenital Heart Disease •Atrial septal defect •Coarctation of aorta •Patent ductus arteriosus •Tetralogy of Fallot •Ventricular septal defect •Heart Failure •Hypertension •Essential •Secondary •Hypertensive emergencies •Hypotension •Cardiogenic shock •Orthostatic hypotension
Coronary Heart Disease Acute myocardial infarction • Non-ST-segment elevation • ST-segment
Angina pectoris • Stable • Unstable • Prinzmetal angina
Vascular Disease •Aortic aneurysm •Aortic dissection •Arterial embolism & Arterial thrombosis •Giant cell arteritis •Peripheral artery disease •Phlebitis & thrombophlebitis •Varicose veins •Venous insufficiency •Venous thrombosis •Valvular Disease •Aortic stenosis •Aortic regurgitation •Mitral stenosis •Mitral regurgitation •Mitral valve prolapse •Tricuspid stenosis •Tricuspid regurgitation •Pulmonary stenosis •Pulmonary regurgitation
Other Forms of Heart Disease •Bacterial endocarditis (Acute and Subacute) •Acute pericarditis •Cardiac tamponade •Pericardial effusion
The Pulmonary System[edit]
Infectious Disorders •Acute bronchitis •Acute bronchiolitis •Acute epiglottitis •Croup •Influenza •Pertussis
Pneumonia 1) Bacterial 2) Viral 3) Fungal 4) HIV-related •Respiratory syncytial virus infection •Tuberculosis
Neoplastic Disease •Carcinoid tumors •Lung cancer •Pulmonary nodules
Obstructive Pulmonary Disease •Asthma •Bronchiectasis •Chronic bronchitis •Cystic fibrosis •Emphysema
Pleural Diseases •Pleural effusion •Pneumothorax
Pulmonary Circulation •Cor pulmonale •Pulmonary embolism •Pulmonary hypertension
Restrictive Pulmonary Disease •Idiopathic pulmonary fibrosis •Pneumoconiosis •Sarcoidosis
Other Pulmonary Disease •Acute respiratory distress syndrome •Hyaline membrane disease •Foreign body aspiration
The Musculoskeletal System[edit]
Disorders of the Shoulder •Shoulder Fracture •Shoulder dislocations (dislocated shoulder) •Rotator Cuff Tear (rotator cuff tear) •Shoulder impingement syndrome (impingement syndrome) •Shoulder Soft tissue injuries
Disorders of the Forearm/Wrist/Hand •Fractures/dislocations •Soft tissue injuries
Disorders of the Back/Spine •Ankylosing spondylitis •Back strain/sprain •Cauda equina •Herniated nucleus pulposus •Kyphosis •Lower back pain •Scoliosis •Spinal stenosis
Disorders of the Hip •Avascular necrosis •Developmental Hip dysplasia (DDH) •Fractures/dislocations •Slipped capital femoral epiphysis
Disorders of the Knee •Fractures/dislocations •Osgood-Schlatter disease •Soft tissue injuries •Disorders of the Ankle/Foot •Fractures/dislocations •Soft tissue injuries •Infectious Diseases •Acute osteomyelitis •Chronic osteomyelitis •Septic arthritis
Neoplastic Disease •Bone cysts •tumors •Ganglion •Osteoarthritis •Osteoporosis •Compartment Syndrome
Rheumatologic Conditions •Fibromyalgia •Gout & pseudogout •Juvenile rheumatoid arthritis •Polyarteritis nodosa •Polymyositis •Polymyalgia rheumatica •Reactive arthritis (Reiter syndrome) •Rheumatoid arthritis •Systemic lupus erythematosus •Systemic sclerosis (Scleroderma) •Sjögren syndrome
Gastrointestinal/Nutritional[edit]
Esophagus •Esophagitis •Motility disorders •Mallory-Weiss tear •Neoplasms •Strictures •Varices
Stomach •Gastroesophageal reflux disease •Gastritis •Neoplasms •Peptic ulcer disease •Pyloric stenosis
Gallbladder •Acute cholecystitis •Chronic cholecystitis •Cholangitis •Cholelithiasis
Liver •Acute Hepatitis •chronic hepatitis •Cirrhosis •Liver Neoplasms
Pancreas •Acute Pancreatitis •chronic pancreatitis •Neoplasms
Small Intestine & Colon •Appendicitis •Celiac disease •Constipation •Diverticular disease •Inflammatory bowel disease •Intussusception •Irritable bowel syndrome •Ischemic bowel disease •Lactose intolerance •Neoplasms •Obstruction •Polyps •Toxic megacolon
Rectum •Anal fissure •Anorectal abscess •Anal fistula •Fecal impaction •Hemorrhoids •Neoplasms
Hernia Infectious Diarrhea and Noninfectious Diarrhea Vitamin Deficiencies and Nutritional Deficiencies Metabolic Disorders •Phenylketonuria
Neurologic System[edit]
Diseases of Peripheral Nerves] •Complex regional pain syndrome •Peripheral neuropathies
Headaches •Cluster headache •Migraine •Tension headache
Infectious Disorders •Encephalitis •Meningitis
Movement Disorders •Essential tremor •Huntington disease •Parkinson disease
Vascular Disorders •Cerebral aneurysm •Intracranial hemorrhage •Stroke •Transient ischemic attack
Other Neurologic Disorders •Altered level of consciousness •Cerebral palsy •Concussion •Dementias •Delirium •Guillain-Barré syndrome •Multiple sclerosis •Myasthenia gravis •Postconcussion syndrome •Seizure disorders •Status epilepticus •Syncope •Tourette syndrome
EENT(Eyes, Ears, Nose and Throat)[edit]
Eye Disorders •Blepharitis •Blowout fracture •Cataract •Chalazion •Conjunctivitis •Corneal abrasion •Corneal ulcer •Dacryoadenitis •Ectropion •Entropion •Foreign body •Glaucoma •Hordeolum •Hyphema •Macular degeneration •Nystagmus •Optic neuritis •Orbital cellulitis •Papilledema •Pterygium •Retinal detachment •Retinal vascular occlusion •Retinopathy •Strabismus
Ear Disorders •Acute otitis media •chronic otitis media •Acoustic neuroma •Barotrauma •Cholesteatoma •Dysfunction of eustachian tube •Foreign body •Hearing impairment •Hematoma of external ear •Labyrinthitis •Mastoiditis •Meniere disease •Otitis externa •Tinnitus •Tympanic membrane perforation •Vertigo
Nose/Sinus Disorders •Acute sinusitis •chronic sinusitis •Allergic rhinitis •Epistaxis •Foreign body •Nasal polyps
Mouth/Throat Disorders •Acute pharyngitis •Aphthous ulcers •Diseases of the gums (Periodontitis) •Diseases of the teeth (Dental caries) •Epiglottitis •Laryngitis •Oral candidiasis •Oral herpes simplex •Oral leukoplakia •Peritonsillar abscess •Parotitis •Sialadenitis
Reproductive[edit]
Uterus •Dysfunctional uterine bleeding •Endometrial cancer •Endometriosis •Leiomyoma •Prolapse
Cervix •Cancer •Cervicitis •Dysplasia •Incompetent
Vagina & Vulva •Cystocele •Neoplasm •Prolapse •Rectocele •Vaginitis
Menstrual Disorders •Amenorrhea •Dysmenorrhea •Premenstrual syndrome
Breast •Abscess •Cancer •Fibroadenoma •Fibrocystic disease •Gynecomastia •Galactorrhea •Mastitis
Contraceptive Methods
Uncomplicated Pregnancy •Normal labor •Normal delivery •Prenatal diagnosis/care
Complicated Pregnancy •Abortion •Abruptio placentae •Cesarean section •Dystocia •Ectopic pregnancy •Fetal distress •Gestational diabetes •Gestational trophoblastic disease •Hypertension disorders in pregnancy (Gestational hypertension) •Multiple gestation •Placenta previa •Postpartum hemorrhage •Premature rupture of membranes •Rh incompatibility
Genitourinary[edit]
GU Tract Conditions •Benign prostatic hyperplasia •Congenital abnormalities •Cryptorchidism •Erectile dysfunction •Hydrocele •Varicocele •Incontinence •Nephrolithiasis •Urolithiasis •Paraphimosis •Phimosis •Testicular torsion
Infectious/Inflammatory Conditions •Cystitis •Epididymitis •Orchitis •Prostatitis •Pyelonephritis •Urethritis
Neoplastic Diseases •Bladder cancer •Prostate cancer •Renal cell carcinoma •Testicular cancer •Wilms tumor
Renal Diseases •Acute renal failure •Chronic kidney disease •Glomerulonephritis •Hydronephrosis •Nephrotic syndrome •Polycystic kidney disease •Renal vascular disease
Fluid and Electrolyte Disorders •Hypervolemia •Hypovolemia
Endocrine[edit]
Diseases of the Thyroid Gland •Hyperparathyroidism •Hypoparathyroidism •Hyperthyroidism •Hypothyroidism •Neoplastic disease •Thyroiditis
Diseases of the Adrenal Glands •Corticoadrenal insufficiency (Addison’s disease) •Cushing syndrome •Neoplastic disease
Diseases of the Pituitary Gland •Acromegaly •Gigantism •Diabetes insipidus •Dwarfism •Neoplastic disease •Pituitary adenoma
Diabetes Mellitus •Diabetes Type 1 •Diabetes mellitus type 2
Lipid Disorders •Hypercholesterolemia •Hypertriglyceridemia
Psychiatry/Behavioral[edit]
Anxiety Disorders •Generalized anxiety disorder •Panic disorder •Phobias •Post-traumatic stress disorder
Attention-Deficit/Hyperactivity Disorder
Eating Disorders •Anorexia nervosa •Bulimia nervosa •Obesity
Mood Disorders •Adjustment •Bipolar •Depressive •Dysthymic
Psychoses •Delusional disorder •Schizophrenia
Substance Use Disorders •Abuse •Dependence •Withdrawal
Other Behavior/Emotional Disorders •Acute reaction to stress •Child/elder abuse •Conduct disorders •Domestic violence •Grief reaction Suicide
Dermatologic[edit]
Eczematous Eruptions •Dermatitis •Dyshidrosis •Lichen simplex chronicus
Papulosquamous Diseases •Drug eruptions •Lichen planus •Pityriasis rosea •Psoriasis
Desquamation •Erythema multiforme •Stevens-Johnson syndrome •Toxic epidermal necrolysis
Vesicular Bullae •Bullous pemphigoid
Acneiform Lesions •Acne vulgaris •Rosacea
Verrucous Lesions •Actinic keratosis •Seborrheic keratosis
Insects/Parasites •Lice •Scabies •Spider bites
Neoplasms •Basal cell carcinoma •Kaposi sarcoma •Melanoma •Squamous cell carcinoma
Hair and Nails •Alopecia •Onychomycosis •Paronychia
Viral Diseases •Condyloma acuminatum •Exanthems •Herpes simplex •Molluscum contagiosum •Varicella-zoster virus infections •Verrucae
Bacterial Infections •Cellulitis •Erysipelas •Impetigo
Fungal Infections •Candidiasis •Dermatophyte infections
OTHER DERM •Acanthosis nigricans •Burns •Hidradenitis suppurativa •Lipomas epithelial •inclusion cysts •Melasma •Pilonidal disease •Pressure ulcers •Urticaria •Vitiligo
Infectious Diseases[edit]
This section is actually much bigger than 3%, because specific diseases are discussed in each organ system. Ex: all the different types of pneumonia are covered in pulmonary.
Fungal Disease •Candidiasis •Cryptococcosis •Histoplasmosis •Pneumocystis
Bacterial Disease •Acute rheumatic fever •Botulism •Chlamydia •Cholera •Diphtheria •Gonococcal infection •Salmonellosis •Shigellosis •Tetanus
Mycobacterial Disease •Atypical mycobacteria •Tuberculosis
Parasitic Disease •Helminths infestations •Malaria •Pinworms •Toxoplasmosis
Spirochetal Disease •Lyme disease •Rocky Mountain spotted fever •Syphilis
Viral Disease •Cytomegalovirus infections •Epstein-Barr virus infections •Erythema infectiosum •Herpes simplex •HIV infection •Human papillomavirus infections •Influenza •Measles •Mumps •Rabies •Roseola •Rubella •Varicella zoster virus infections
Hematologic[edit]
Anemias •Anemia of chronic disease •Aplastic anemia •Folate deficiency •G6PD deficiency •Hemolytic anemia •Iron deficiency •Sickle cell anemia •Thalassemia •Vitamin B12 deficiency
Coagulation Disorder •Clotting factor disorders •Hypercoagulable states (Thrombophilia) •Thrombocytopenia: 1) Idiopathic thrombocytopenic purpura 2) Thrombotic thrombocytopenic purpura
Malignancies •[[Acute lymphocytic leukemia •Chronic lymphocytic leukemia •Acute myelogenous leukemia •chronic myelogenous leukemia •Lymphoma •Multiple myeloma
Practice Questions / Online Study Programs[edit]
There are multiple online resources to help you pass: HELP PANCE PANRE http://www.helpzebra.com Hippo http://www.hippo.com Kaplan http://www.kaplanpa.com Emory http://www.emorypa.com
Other Things PA's Know[edit]
There are many more thing that PA's need to know in order to practice medicine. -Physical Exams -History Taking -ACLS -Lab Values & Interpretation -Excision, Incision and Drainage, Suturing. -Heart and Lung auscultation. Check out the youtube channel by "Dr. Prodigious." Use EARPHONES or HEADPHONES when listening to the Heart Sounds Collection and other medical videos. Visit the website: http://doctorprodigious.wordpress.com . -Ect.
See also[edit]
The PANRE includes 240 questions as of 2011
References[edit]
- ↑ "PANCE". NCCPA. Retrieved 2013-04-21.
- ↑ "PANRE | PANRE Test PANRE Test Preparation". NCCPA. Retrieved 2013-04-21.
- ↑ http://www.nccpa.net/Exams
This medical article is a stub. You can help EverybodyWiki by expanding it. |
"http://www.panrequestions.com/"
This article "PANCE / PANRE Blueprint (comprehensive content)" is from Wikipedia. The list of its authors can be seen in its historical. Articles copied from Draft Namespace on Wikipedia could be seen on the Draft Namespace of Wikipedia and not main one.