If you are a PA planning for the PANRE and also trying to use your CME allowance efficiently, the purchase structure matters. The PANRE Review Course with Gift Card combines exam preparation, CME completion, and an optional Amazon or Apple gift card add-on in one online package.
Course Price, Access, CME, and Practice Content
- Base course price: $399.99
- Access: 30 months from purchase
- CME: Up to 100 hours of AAPA Category 1 CME through the PANRE Review Course
- Question bank: 2,500+ board-style practice questions
- Full-length practice exams: Five 240-question exams, or 1,200 questions total
- Gift card add-ons: $100–$1,500
- Delivery: Online, self-paced, and mobile-friendly
The 100 hours of AAPA Category 1 CME apply specifically to the PANRE Review Course. They do not refer to the separate Pharmacology CME course. To claim credit, complete the module content, pass the post-test with the required score, and complete the activity evaluation. Claim only the amount of credit that matches your participation.
The activity is designated through the American Academy of Physician Associates, with approval listed through August 26, 2027, under AAPA reference number CME-2016187. Review the current course details on the PANRE Review Course with Gift Card page.
Amazon and Apple Gift Cards Are Paid Add-Ons
This point requires clear explanation: the Amazon and Apple gift cards are not free gifts.
They are optional, paid add-ons that increase the total price of your purchase. The base course is listed at $399.99. If you select a $100 Amazon or Apple gift card, your package total becomes the course price plus the $100 add-on. A $1,500 gift card adds $1,500 to the course price.
Examples:
- PANRE Review Course: $399.99
- Course plus $100 gift card: $499.99
- Course plus $500 gift card: $899.99
- Course plus $1,500 gift card: $1,899.99
The available add-on amount is selected at checkout. You can also purchase the PANRE Review Course without a gift card. Check your employer’s CME policy before purchasing because organizations differ in how they handle bundled educational expenses and add-ons.

Amazon gift cards are processed and emailed within approximately two to three business days. The course page states that gift card packages are nonrefundable after processing. CME Review Courses is not affiliated with Amazon.

Apple gift cards are also paid add-ons available in multiple tiers up to $1,500. They are processed and delivered by email within approximately two to three business days. CME Review Courses is not affiliated with Apple.
How to Maximize Your CME Budget
1. Start with the amount of CME you actually need
Before selecting an add-on, check your NCCPA certification maintenance timeline, employer allowance, and any state-specific requirements that apply to you. The PANRE Review Course can provide up to 100 hours of AAPA Category 1 CME, which may cover a substantial portion of a two-year CME cycle.
The course is designed for practicing PAs preparing for the traditional PANRE or PANRE-LA. It covers the clinical content areas represented in the NCCPA Blueprint and provides question-based review across multiple organ systems.
2. Separate educational value from the add-on amount
The primary purchase is the PANRE preparation and CME activity. The gift card is an optional paid addition. Select the amount based on your approved CME budget, not simply on the largest available tier.
For example, if your employer allows $900 for CME and you want the course, a $500 gift card would bring the total to approximately $899.99 before any applicable taxes or fees. That may fit your allowance, but you should confirm the policy first.
3. Use the 30-month access period strategically
Thirty months of access gives you time to use the course across more than one study phase. You can begin with a diagnostic practice block, identify weak systems, complete the educational content, and return later for additional full-length exams.
A practical schedule is:
- Month 1: Complete a baseline question set.
- Months 2–6: Review weaker organ systems.
- Months 7–12: Complete additional question modules and track performance.
- Months 13–24: Work through the full-length practice examinations.
- Months 25–30: Complete targeted remediation and final exam preparation.
The course includes performance tracking, question flagging, and repeated access to the online materials. That makes the package useful beyond a single weekend review period.

4. Compare the course with other PANCE prep courses carefully
Many PANCE prep courses and PANRE resources focus primarily on question volume. That can be useful, but it does not always include AAPA Category 1 CME.
When comparing products, look at four separate variables:
- Is the course designed for PANRE, PANCE, or both?
- How many questions are included?
- How long does access remain active?
- Does the course offer recognized CME credit?
The PANRE Review Course combines 2,500+ questions, five 240-question practice examinations, 30 months of access, and up to 100 hours of AAPA Category 1 CME in one package.
Study Tip: Use Questions to Direct Your Review
Do not begin by rereading every topic from the beginning. Start with a timed question block. Classify each missed question as one of three problems:
- Knowledge deficit
- Misinterpretation of the vignette
- Failure to identify the next best step
Then review the explanation and cited source. This approach is more efficient than repeatedly reading material you already know.
For additional short practice blocks, use the PAtopia web version, the PAtopia iOS app, or the PAtopia Android app. PAtopia is a separate study resource and should not be confused with the PANRE Review Course’s AAPA Category 1 CME activity.
Clinical Practice Question
Vignette
Your patient is a 68-year-old man with fever, dysuria, and left flank pain. He is confused and appears ill. Vital signs are: T 39.2°C, HR 124/min, BP 84/52 mm Hg, RR 26/min, and SaO₂ 94% on room air. Laboratory testing shows WBC 19,000/mm³ and lactate 4.6 mmol/L. You administer broad-spectrum IV antibiotics and 30 mL/kg of crystalloid. His MAP remains 58 mm Hg.
Which of the following is the next best intervention?
A. Administer IV furosemide
B. Begin a norepinephrine infusion
C. Administer an additional dose of broad-spectrum antibiotics
D. Start dopamine as first-line vasopressor therapy
E. Obtain CT angiography of the chest
Answer and Explanation
B. Begin a norepinephrine infusion.
This patient has septic shock with persistent hypotension after adequate initial fluid resuscitation. Norepinephrine is the first-line vasopressor to restore vascular tone and maintain MAP, generally targeting at least 65 mm Hg.
Furosemide would worsen intravascular depletion. Additional antibiotics should not delay hemodynamic support. Dopamine is not preferred because of its higher risk of tachyarrhythmias. CT angiography of the chest does not address the immediate shock state.
This is the type of next-step management question that should be part of your PANRE review routine: identify the syndrome, assess the immediate threat, and select the intervention that changes short-term mortality or stabilization.
Confirm the Details Before Checkout
The CME with Gift Card package is structured as follows:
- $399.99 base price
- Optional paid Amazon or Apple add-ons from $100 to $1,500
- 30 months of course access
- Up to 100 hours of AAPA Category 1 CME through the PANRE Review Course
- 2,500+ practice questions
- Five full-length 240-question practice exams
- Gift card delivery by email, generally within two to three business days
Nurse practitioners should verify whether their state board or employer accepts AAPA Category 1 credit for their specific renewal requirements. Physicians may find the clinical content useful, but the AAPA Category 1 designation is intended for PAs; physicians should confirm how the activity applies to their own CME requirements.
Author Credentials
Jeremy Boroff, MPAS, PA-C, has 24 years of Emergency Medicine experience and has worked extensively as a clinician, educator, and medical education author. He is the founder of CME Review Courses and develops board-style review content for practicing physician assistants, including PANRE preparation and Category 1 CME activities.
PANCE®, PANRE®, and PANRE-LA are trademarks of the National Commission on Certification of Physician Assistants. CME Review Courses is not affiliated with NCCPA, Amazon, or Apple.