Medical Certification Prep
PANCE
Practice Tests
Pass the Physician Assistant National Certifying Exam on your first attempt. Comprehensive practice tests across all organ systems and task areas, with detailed clinical explanations for every question.
Practice exams coming soon — explore our free guide below
10K+
Test takers per year
300
Exam questions
80%+
First-time pass rate
5 hrs
Total exam time
What's on the PANCE
The PANCE is a 300-question exam administered by the NCCPA. Questions are mapped to organ systems and task areas (not just disease recall). The exam is taken over one day in five 60-question blocks.
Organ System Blueprint
🫀
Cardiovascular
14% of exam
CAD, CHF, arrhythmias, valvular disease, hypertension, vascular disorders
🫁
Pulmonary
10% of exam
Asthma, COPD, pneumonia, PE, lung cancer, obstructive sleep apnea
🟠
Gastrointestinal/Nutritional
9% of exam
GERD, PUD, IBD, IBS, liver disease, colorectal cancer, nutritional deficiencies
🦴
Musculoskeletal
8% of exam
Fractures, arthritis, tendinopathies, spine disorders, connective tissue diseases
👁️
EENT
8% of exam
Eyes, ears, nose, and throat conditions — glaucoma, otitis, sinusitis, pharyngitis
🔵
Reproductive
8% of exam
OB/GYN conditions, STIs, male reproductive disorders, fertility issues
🧪
Endocrine
7% of exam
Diabetes mellitus, thyroid disorders, adrenal disease, pituitary disorders
🧠
Neurological
7% of exam
Stroke, seizure, headache, neuropathy, multiple sclerosis, Parkinson's disease
💭
Psychiatry/Behavioral
7% of exam
Depression, anxiety, psychosis, substance use, ADHD, personality disorders
🟤
Dermatology
6% of exam
Rashes, skin cancers, infectious skin conditions, inflammatory dermatoses
🔴
Hematology
6% of exam
Anemias, coagulation disorders, leukemia, lymphoma, myeloma
💧
Genitourinary
5% of exam
UTI, nephrolithiasis, CKD, glomerulonephritis, prostate disease
🦠
Infectious Disease
5% of exam
Sepsis, HIV/AIDS, tick-borne diseases, common infections, antimicrobial stewardship
📋
Other
6% of exam
Emergency medicine, toxicology, trauma, pediatric-specific presentations
Task Area Blueprint
16%
History Taking & Performing Physical Exams
14%
Using Diagnostic & Lab Studies
18%
Formulating Most Likely Diagnosis
10%
Health Maintenance, Patient Education & Preventive Measures
14%
Clinical Intervention
18%
Pharmaceutical Therapeutics
10%
Applying Basic Science Concepts
⏱️300 questions in 5 blocks of 60 questions each
🏥One-day exam at Pearson VUE testing centers
🔄5-year recertification cycle (PANRE or PANRE-LA)
📊Scaled score: passing is 382 out of 800
How it works
📝
Step 1: Take the practice exam
Full 300-question practice exams or focused block tests by organ system. Same clinical vignette format as the real PANCE.
⚡
Step 2: Instant scoring
Detailed performance breakdown by organ system and task area — see exactly where to focus your final weeks of study.
📊
Step 3: Clinical explanations
Every question reviewed with a clinical rationale, relevant diagnostic criteria, treatment guidelines, and pearls.
PA career outlook
Physician Assistants are among the highest-paid and fastest-growing healthcare professions. The BLS projects 28% job growth through 2032 — much faster than average.
💊
Primary Care PA
Family medicine, internal medicine, pediatrics. Strong job security, $110K–$130K average salary.
🔪
Surgical PA
First assist in surgery, pre/post-operative care. Top earners in the PA profession at $130K–$160K+.
🚑
Emergency Medicine PA
Fast-paced emergency department practice. High demand, $130K–$155K, shift work availability.
🧠
Specialty PA
Cardiology, orthopedics, dermatology, neurology — specialty PAs often earn $140K–$170K+.
🏥
Hospital Medicine
Hospitalist PA — managing admitted patients. $120K–$145K with good work-life balance.
🌍
Global Health / Military
PA credentials are recognized in many countries. Military PAs receive competitive pay and full benefits.
PANCE preparation resources
📘
Complete PANCE Guide
Organ system breakdowns, task area strategies, and a proven study plan.
Read the guide →
🫀
Cardiovascular Block
The largest organ system on the PANCE — focused 60-question cardiovascular practice block.
Coming soon
💊
Pharmacology Review
High-yield pharmacology covering 18% of the PANCE — mechanisms, dosing, and side effects.
Coming soon