Practise diagnostic thresholds, emergency recognition, test selection and patient counselling through 60 selected concepts and 20 explained questions spanning the 15 PANCE domains. These are independent learning materials, not official exam questions or a pass prediction.

Read the PANCE Clinical Decisions: Free Preparation Guide study guide and official exam sources
Exam outline and official sources

National Commission on Certification of Physician Assistants (NCCPA) · PANCE Content Blueprint — effective beginning January 2025 for all PANCE administrations

This original 20-question sample covers selected topics across the outline. It does not reproduce official exam questions or cover every tested topic.

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Physician Assistant National Certifying Examination (PANCE)

Start with 20 free questions, then review the explanations and any topics you missed.

20 free questions0 premium in this bankIndependent practice materials
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A 32-year-old develops sharp chest pain after a recent respiratory illness. The pain worsens with deep inspiration and lying flat but improves when sitting forward. Which diagnosis is most strongly supported by this pain pattern?

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