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The Physician Assistant National Certifying Examination (PANCE) is developed and managed by the National Commission on Certification of Physician Assistants (NCCPA). Every couple of years, the PANCE undergoes content updates published in a revised NCCPA blueprint. The most recent PANCE blueprint went into effect in January 2019, reflecting feedback on current PA practices from certified physician assistants.
What Are the PANCE Blueprint Categories?
The PANCE blueprint breaks down the exam into medical content and task categories defined as follows:
- Medical Content Categories: Knowledge of the diseases and disorders physician assistants encounter.
- Task Categories: Knowledge and skills related to tasks physician assistants perform when treating patients.
Because the medical field is constantly changing to address improved practices and technologies, the NCCPA leans on certified PAs to provide industry information through profession-wide practice analysis studies. Certified PAs are also involved in updating the exam by reviewing the results of the practice analyses, creating new questions, critiquing the exam prior to it being administered, reviewing exam-question performance data, and offering suggestions for the passing standard. While PANCE blueprint updates do not occur annually, certified PAs continuously work with the NCCPA to ensure the PANCE is relevant.
PANCE medical content categories
As defined above, the medical content categories on the PANCE assess candidates’ knowledge of the diseases and disorders PAs encounter. Below are the contents of each category and how each category is allocated on the exam:
How medical content and task categories are tested
As you might have noticed, the percent allocation on each table equals 100%. This is because the medical content questions are coded to task areas (with the exception of the “Professional Practice” task category, totaling 5% allocation). As a result, medical content makes up 95% of the exam. Additionally, up to 20% of tested content may be related to general surgical topics. This percent allocation varies by exam.
Practice Questions Based on the Blueprint
The UWorld PA QBank is written by practicing physician assistants to put aspiring PAs on a path to success. Our PANCE sample questions and industry-leading rationales are based on the latest NCCPA blueprints to ensure you know everything you’re expected to know on exam day. To see how our active-learning methodology can help you achieve PANCE success, try our example problems below. Submit your answers to view our award-winning explanations.
ADD FLIP CARDS HERE A 1-month-old boy is brought to the office for a routine visit. His prenatal and birth histories are unremarkable. His vital signs and pulse oximetry are normal. Examination shows a harsh, 3/6 holosystolic murmur over the left lower sternal border. Palpation indicates no thrill over the precordial region. Brachial and femoral pulses are 2+ and equal. The skin is pink and well perfused. ECG is normal. Which of the following is the best next step in management of this patient?
- Digoxin and diuretic therapy
- Echocardiography
- Oxygen administration
- Prostaglandin E1 therapy
- Reassurance and no further workup
Read More About the PANCE
Discover how the PANCE is scored, when you can see your score, and historical pass rates.
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