You can edit almost every page by Creating an account. Otherwise, see the FAQ.

PANCE / PANRE Blueprint (comprehensive content)

From EverybodyWiki Bios & Wiki


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 blockParoxysmal supraventricular tachycardiaPremature beats (WPW) ect. •Sick sinus syndromeVentricular tachycardiaVentricular fibrillationTorsades de pointes

Congenital Heart DiseaseAtrial septal defectCoarctation of aortaPatent ductus arteriosusTetralogy of FallotVentricular septal defectHeart FailureHypertensionEssentialSecondaryHypertensive emergenciesHypotensionCardiogenic shockOrthostatic hypotension

Coronary Heart Disease Acute myocardial infarctionNon-ST-segment elevationST-segment

Angina pectorisStableUnstablePrinzmetal angina

Vascular DiseaseAortic aneurysmAortic dissectionArterial embolism & Arterial thrombosisGiant cell arteritisPeripheral artery diseasePhlebitis & thrombophlebitisVaricose veinsVenous insufficiencyVenous thrombosisValvular DiseaseAortic stenosisAortic regurgitationMitral stenosisMitral regurgitationMitral valve prolapseTricuspid stenosisTricuspid regurgitationPulmonary stenosisPulmonary regurgitation

Other Forms of Heart DiseaseBacterial endocarditis (Acute and Subacute) •Acute pericarditisCardiac tamponadePericardial effusion

The Pulmonary System[edit]

Infectious DisordersAcute bronchitisAcute bronchiolitis •Acute epiglottitisCroupInfluenzaPertussis

Pneumonia 1) Bacterial 2) Viral 3) Fungal 4) HIV-relatedRespiratory syncytial virus infection •Tuberculosis

Neoplastic DiseaseCarcinoid tumorsLung cancerPulmonary nodules

Obstructive Pulmonary DiseaseAsthmaBronchiectasisChronic bronchitisCystic fibrosisEmphysema

Pleural DiseasesPleural effusionPneumothorax

Pulmonary CirculationCor pulmonalePulmonary embolismPulmonary hypertension

Restrictive Pulmonary DiseaseIdiopathic pulmonary fibrosisPneumoconiosisSarcoidosis

Other Pulmonary DiseaseAcute respiratory distress syndromeHyaline membrane diseaseForeign body aspiration

The Musculoskeletal System[edit]

Disorders of the ShoulderShoulder 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/SpineAnkylosing spondylitis •Back strain/sprain •Cauda equinaHerniated nucleus pulposusKyphosisLower back painScoliosisSpinal stenosis

Disorders of the HipAvascular 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 DiseaseBone cyststumorsGanglionOsteoarthritisOsteoporosisCompartment Syndrome

Rheumatologic ConditionsFibromyalgiaGout & pseudogoutJuvenile rheumatoid arthritisPolyarteritis nodosaPolymyositisPolymyalgia rheumaticaReactive arthritis (Reiter syndrome) •Rheumatoid arthritisSystemic lupus erythematosusSystemic sclerosis (Scleroderma) •Sjögren syndrome

Gastrointestinal/Nutritional[edit]

EsophagusEsophagitisMotility disordersMallory-Weiss tearNeoplasmsStricturesVarices

StomachGastroesophageal reflux diseaseGastritisNeoplasmsPeptic ulcer diseasePyloric stenosis

GallbladderAcute cholecystitisChronic cholecystitisCholangitisCholelithiasis

Liver •Acute Hepatitischronic hepatitisCirrhosisLiver Neoplasms

Pancreas •Acute Pancreatitischronic pancreatitisNeoplasms

Small Intestine & Colon AppendicitisCeliac diseaseConstipationDiverticular diseaseInflammatory bowel diseaseIntussusceptionIrritable bowel syndromeIschemic bowel diseaseLactose intoleranceNeoplasmsObstructionPolypsToxic megacolon

RectumAnal fissureAnorectal abscessAnal fistulaFecal impactionHemorrhoidsNeoplasms

Hernia Infectious Diarrhea and Noninfectious Diarrhea Vitamin Deficiencies and Nutritional Deficiencies Metabolic DisordersPhenylketonuria

Neurologic System[edit]

Diseases of Peripheral Nerves]Complex regional pain syndromePeripheral neuropathies

HeadachesCluster headacheMigraineTension headache

Infectious DisordersEncephalitisMeningitis

Movement DisordersEssential tremorHuntington diseaseParkinson disease

Vascular DisordersCerebral aneurysmIntracranial hemorrhageStrokeTransient ischemic attack

Other Neurologic DisordersAltered level of consciousnessCerebral palsyConcussionDementiasDeliriumGuillain-Barré syndromeMultiple sclerosisMyasthenia gravisPostconcussion syndromeSeizure disordersStatus epilepticusSyncopeTourette syndrome

EENT(Eyes, Ears, Nose and Throat)[edit]

Eye DisordersBlepharitisBlowout fractureCataractChalazionConjunctivitisCorneal abrasionCorneal ulcerDacryoadenitisEctropionEntropionForeign bodyGlaucomaHordeolumHyphemaMacular degenerationNystagmusOptic neuritisOrbital cellulitisPapilledemaPterygiumRetinal detachmentRetinal vascular occlusionRetinopathyStrabismus

Ear DisordersAcute otitis mediachronic otitis mediaAcoustic neuromaBarotraumaCholesteatoma •Dysfunction of eustachian tubeForeign bodyHearing impairmentHematoma of external earLabyrinthitisMastoiditisMeniere diseaseOtitis externaTinnitusTympanic membrane perforationVertigo

Nose/Sinus DisordersAcute sinusitischronic sinusitisAllergic rhinitisEpistaxisForeign bodyNasal polyps

Mouth/Throat DisordersAcute pharyngitisAphthous ulcersDiseases of the gums (Periodontitis) •Diseases of the teeth (Dental caries) •EpiglottitisLaryngitisOral candidiasisOral herpes simplexOral leukoplakiaPeritonsillar abscessParotitisSialadenitis

Benign neoplasms

Malignant neoplasms

Reproductive[edit]

UterusDysfunctional uterine bleedingEndometrial cancerEndometriosisLeiomyomaProlapse

OvaryCystsNeoplasms

CervixCancerCervicitisDysplasiaIncompetent

Vagina & VulvaCystoceleNeoplasmProlapseRectoceleVaginitis

Menstrual DisordersAmenorrheaDysmenorrheaPremenstrual syndrome

Menopause

BreastAbscessCancerFibroadenomaFibrocystic diseaseGynecomastiaGalactorrheaMastitis

Pelvic Inflammatory Disease

Contraceptive Methods

Infertility

Uncomplicated PregnancyNormal laborNormal deliveryPrenatal diagnosis/care

Complicated PregnancyAbortionAbruptio placentaeCesarean sectionDystociaEctopic pregnancyFetal distressGestational diabetesGestational trophoblastic diseaseHypertension disorders in pregnancy (Gestational hypertension) •Multiple gestationPlacenta previaPostpartum hemorrhagePremature rupture of membranesRh incompatibility

Genitourinary[edit]

GU Tract ConditionsBenign prostatic hyperplasiaCongenital abnormalitiesCryptorchidismErectile dysfunctionHydroceleVaricoceleIncontinenceNephrolithiasisUrolithiasisParaphimosisPhimosisTesticular torsion

Infectious/Inflammatory ConditionsCystitisEpididymitisOrchitisProstatitisPyelonephritisUrethritis

Neoplastic DiseasesBladder cancerProstate cancerRenal cell carcinomaTesticular cancerWilms tumor

Renal DiseasesAcute renal failureChronic kidney diseaseGlomerulonephritisHydronephrosisNephrotic syndromePolycystic kidney diseaseRenal vascular disease

Fluid and Electrolyte DisordersHypervolemiaHypovolemia

Acid/Base Disorders

Endocrine[edit]

Diseases of the Thyroid GlandHyperparathyroidismHypoparathyroidismHyperthyroidismHypothyroidismNeoplastic diseaseThyroiditis

Diseases of the Adrenal GlandsCorticoadrenal insufficiency (Addison’s disease) •Cushing syndromeNeoplastic disease

Diseases of the Pituitary GlandAcromegalyGigantismDiabetes insipidusDwarfismNeoplastic diseasePituitary adenoma

Diabetes MellitusDiabetes Type 1Diabetes mellitus type 2

Lipid DisordersHypercholesterolemiaHypertriglyceridemia

Psychiatry/Behavioral[edit]

Anxiety DisordersGeneralized anxiety disorderPanic disorderPhobiasPost-traumatic stress disorder

Attention-Deficit/Hyperactivity Disorder

Autistic Disorder

Eating DisordersAnorexia nervosaBulimia nervosaObesity

Mood DisordersAdjustmentBipolarDepressiveDysthymic

Personality Disorders

PsychosesDelusional disorderSchizophrenia

Somatoform Disorders

Substance Use DisordersAbuseDependenceWithdrawal

Other Behavior/Emotional DisordersAcute reaction to stressChild/elder abuseConduct disordersDomestic violenceGrief reaction Suicide

Dermatologic[edit]

Eczematous EruptionsDermatitisDyshidrosisLichen simplex chronicus

Papulosquamous DiseasesDrug eruptionsLichen planusPityriasis roseaPsoriasis

DesquamationErythema multiformeStevens-Johnson syndromeToxic epidermal necrolysis

Vesicular BullaeBullous pemphigoid

Acneiform LesionsAcne vulgarisRosacea

Verrucous LesionsActinic keratosisSeborrheic keratosis

Insects/ParasitesLiceScabiesSpider bites

NeoplasmsBasal cell carcinomaKaposi sarcomaMelanomaSquamous cell carcinoma

Hair and NailsAlopeciaOnychomycosisParonychia

Viral DiseasesCondyloma acuminatumExanthemsHerpes simplexMolluscum contagiosumVaricella-zoster virus infections •Verrucae

Bacterial InfectionsCellulitisErysipelasImpetigo

Fungal InfectionsCandidiasisDermatophyte infections

OTHER DERMAcanthosis nigricansBurnsHidradenitis suppurativaLipomas epithelial •inclusion cystsMelasmaPilonidal diseasePressure ulcersUrticariaVitiligo

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 DiseaseCandidiasisCryptococcosisHistoplasmosisPneumocystis

Bacterial DiseaseAcute rheumatic feverBotulismChlamydiaCholeraDiphtheriaGonococcal infectionSalmonellosisShigellosisTetanus

Mycobacterial DiseaseAtypical mycobacteriaTuberculosis

Parasitic DiseaseHelminths infestations •MalariaPinwormsToxoplasmosis

Spirochetal DiseaseLyme diseaseRocky Mountain spotted feverSyphilis

Viral DiseaseCytomegalovirus infectionsEpstein-Barr virus infections •Erythema infectiosumHerpes simplexHIV infectionHuman papillomavirus infections •InfluenzaMeaslesMumpsRabiesRoseolaRubellaVaricella zoster virus infections

Hematologic[edit]

AnemiasAnemia of chronic diseaseAplastic anemiaFolate deficiencyG6PD deficiencyHemolytic anemiaIron deficiencySickle cell anemiaThalassemiaVitamin B12 deficiency

Coagulation DisorderClotting factor disordersHypercoagulable states (Thrombophilia) •Thrombocytopenia: 1) Idiopathic thrombocytopenic purpura 2) Thrombotic thrombocytopenic purpura

Malignancies •[[Acute lymphocytic leukemia •Chronic lymphocytic leukemiaAcute myelogenous leukemiachronic myelogenous leukemiaLymphomaMultiple 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]

  1. "PANCE". NCCPA. Retrieved 2013-04-21.
  2. "PANRE | PANRE Test PANRE Test Preparation". NCCPA. Retrieved 2013-04-21.
  3. http://www.nccpa.net/Exams

"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.