USA
Physician Assistant National Certifying Examination (PANCE)
600 questions
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About this exam
The Physician Assistant National Certifying Examination (PANCE) is a national certification exam for graduates of accredited physician assistant programs who seek to become certified PAs in the United States. It assesses whether candidates have the medical knowledge and clinical reasoning expected for entry-level practice; it is not a university entrance or PA-program admissions test. Candidates generally take it after completing an eligible program, and certification is administered by the National Commission on Certification of Physician Assistants (NCCPA).
PANCE questions assess clinical knowledge across organ systems and professional tasks, including forming diagnoses, choosing tests, and determining appropriate management. Key review areas include cardiovascular medicine, pulmonary and respiratory disorders, gastroenterology, nutrition, and musculoskeletal medicine and rheumatology, alongside the other topics in the current NCCPA content blueprint. Preparation calls for more than memorizing facts: practice applying them to patient scenarios, identify weak areas, and revisit missed concepts. Use the current official blueprint and exam guidance for the 2027–2028 study cycle.
How to prepare for the PANCE
- Use the current NCCPA PANCE content blueprint to organize a study plan by organ system and task area; give extra review time to weaker subjects.
- Review cardiovascular, pulmonary, gastrointestinal, nutrition, and musculoskeletal cases, focusing on how symptoms, examination findings, and test results guide diagnosis and management.
- Build timed question practice into your routine, then review every missed or uncertain answer and check current exam policies and content guidance on the NCCPA website.
FAQ
Who is eligible to take the PANCE?
Eligibility is generally limited to graduates of physician assistant programs accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Check NCCPA’s current eligibility requirements for details that apply to your situation.
What is the format of the PANCE?
The PANCE is a computer-based, multiple-choice examination organized into timed sections. For current details about the exam structure, scheduling, and test-day policies, consult the NCCPA’s official PANCE information.
What subjects should I study for the PANCE?
Study the organ-system and task areas in the current NCCPA content blueprint. Cardiovascular, pulmonary, gastrointestinal and nutrition, and musculoskeletal and rheumatologic topics are important areas, but preparation should cover the full blueprint.