Course price: $499.99
Access: 30 months
Questions: 2,500+ board-style questions
Credit: Up to 100 AAPA Category 1 CME credits for the PANRE Clinical Review Module
Gift card add-on: Amazon and Apple options from $100–$1,500 are PAID add-ons to the purchase price, not free gifts.
PAs see an AAPA approval statement on a CME product page and may scroll past it to the course details. Before spending CME money, read that statement line by line, like an auditor checking what the language actually says. The PANRE Review Course product page provides a real example. The key is to separate the program-level accreditation statement from the credit attached to the module you are purchasing.
The statement begins: “This activity has been reviewed by the American Academy of Physician Associates Review Panel and is compliant with AAPA CME Criteria.”
This identifies the Review Panel review and compliance statement for the activity. It is not simply a provider’s own description of its course as Category 1. Read the whole statement, though: this line does not tell you how many credits apply to your individual purchase or how much credit you personally may claim.
The next line designates the activity for 468.75 AAPA Category 1 CME credits. Check what “activity” refers to before applying that number to a purchase.
Here, the statement is written at the program level for Comprehensive Clinical Review for Practicing PAs: 2026–27 Enduring CME Activity, a 14-module program with 468.75 credits total. The specific purchase discussed here is the PANRE Clinical Review Module, one component of that program, worth up to 100 AAPA Category 1 CME credits. The program-level 468.75 is not the credit amount for this individual module.
That program-versus-module distinction is one of the most important lines to audit. The PANRE Review Course page identifies both the program-level statement and the module’s up-to-100-credit amount.
These dates define the approval window shown in the statement. They are separate from the course’s 30 months of access: access length and approval validity are not the same line of information.
Treat the dates as a real deadline. Complete the activity within the stated approval window; after the expiration date, the credit no longer exists to claim under this approval statement. Check the dates on the product page when reviewing an activity.
This line means your credit claim should match your participation, not the program’s total designation or the module’s maximum. For this module, earning credit requires reviewing all module content, completing the module post-test with a score of 70% or higher, and completing the activity evaluation. Missed questions may be retaken to reach the passing score. A certificate stating your precise credit is issued when these requirements are complete.
The practical check: look for the activity’s completion requirements and confirm that the certificate records the credit you actually earned.
The reference number identifies the activity’s AAPA approval. If an employer or board asks you to identify the activity, this is a useful detail to have alongside the activity name and approval dates. It is not an additional credit amount.
Read beyond the numbered credit and date lines. The page names Jeremy Boroff, MPAS, PA-C as sole faculty and states that he has no relevant financial relationships to disclose. It also states that the activity received no commercial support.
The activity is an online enduring material for practicing PAs and NPs. Its release date is 8/26/2026, and its expiration date is 8/26/2027. These details help you identify the activity and review what the page discloses; they do not change the module-level credit amount.
CME gift cards are an optional paid add-on after you have checked the activity’s credit and completion details. At checkout, you can select an Amazon or Apple gift card add-on from $100–$1,500. These are PAID add-ons, not free gifts: the selected amount is added to the purchase price, so the whole package purchase runs through CME funds in one transaction. The add-on itself does not earn CME credit.
Gift cards are emailed within 2–3 business days of purchase; you do not have to finish the course first. Gift card packages are nonrefundable. Check your employer’s CME policy before choosing an add-on. CME Review Courses is not affiliated with or sponsored by Amazon or Apple.
Your question: Your 58-year-old patient presents after an episode of forceful retching and vomiting following a heavy night of drinking. He reports vomiting a small amount of bright red blood, followed by coffee-ground emesis. He is hemodynamically stable: HR 92, BP 128/78. Examination shows no abdominal tenderness and no stigmata of chronic liver disease, no spider angiomas, caput medusae, or ascites. He has no fever. Hemoglobin is 12.8 g/dL, compared with a baseline of 13.9; platelets and LFTs are normal.
What is the most appropriate next step?
A) Urgent upper endoscopy (esophagogastroduodenoscopy) after resuscitation and stabilization: CORRECT. The sequence of forceful retching followed by hematemesis, with no stigmata of chronic liver disease, favors a Mallory-Weiss tear. Management of upper GI bleeding is resuscitation followed by urgent upper endoscopy, which can diagnose and treat the source.
B) Discharge home with an oral PPI and outpatient GI follow-up. This is unsafe: active hematemesis needs endoscopic evaluation, and Mallory-Weiss tears can require intervention.
C) Immediate CT abdomen/pelvis to identify the bleeding source. CT is not the diagnostic test for upper GI bleeding; endoscopy is diagnostic and often therapeutic.
D) Start octreotide empirically for presumed variceal bleeding. Octreotide is used for suspected variceal bleeds. This patient has no stigmata of portal hypertension or chronic liver disease, and the retching history points toward a Mallory-Weiss tear.
Exam note: In this stem, hemodynamic stability signals that there is time for endoscopy after stabilization rather than resuscitation alone. The GI/Nutrition question module in the PANRE Review Course contains 137 questions. Auditing an approval statement and interpreting a clinical stem reward the same habit: read each detail, then match it to the specific claim or decision.
Read the product page’s own accreditation statement section and compare its program-level wording with the module-level credit listed there. Visit the PANRE Review Course product page to review the details and, if appropriate, add a paid gift card option at checkout. You can also try the free PANRE test drive.
Earlier in your training journey? Explore PAtopia through its free web test drive, the iOS app, or Google Play: another option to explore alongside pance prep courses.
Caveats: The activity is Comprehensive Clinical Review for Practicing PAs, 2026–27 Enduring CME Activity; this purchase is the PANRE Clinical Review Module, worth up to 100 AAPA Category 1 CME credits. Approval is valid from 8/26/2026 to 8/26/2027. AAPA reference number: CME-2016187. Claim only credit commensurate with your participation. These credits apply to the PANRE Review Course module, not the Pharmacology course. To complete the activity, review the content, pass the module post-test with a score of 70% or higher, and complete the evaluation; the certificate states your precise credit. Acceptance of AAPA Category 1 credit for NPs varies by state; check with your state board of nursing. The activity meets AAPA Category 1 CME requirements, but counts as Category 2 for physicians’ own reporting.
Author: Jeremy Boroff, MPAS, PA-C, is an Emergency Medicine PA with 24 years of clinical experience, a PA educator, author, and CME developer. He is the sole faculty member for this activity and has no relevant financial relationships to disclose.
PANRE Review Course CME Package: $499.99 for 30 months of accessIncludes 2,500+ board-style questions across…
A low PACKRAT score gives PA faculty months of warning before the PANCE. How to…
Course price: $499.99 for 30 months of access. The PANRE Review Course includes 2,500+ board-style…
PANRE Review Course: $499.99 for 30 months of accessIncludes 2,500+ board-style practice questionsThe PANRE Clinical…
You have seen the question bank, you like the per-class pricing, and now you need…
Price: $499.99 for the PANRE Review CourseAccess: 30 monthsQuestions: 2,500+ board-style questions, including five 240-question…