Course: PANRE Review Course
Credit: 100 Hours of AAPA Category 1 Credit
Price: $649.00 – $2,149.00
Access: 12 Months
Deliverables: 240-Question Mock Exam, 100-Question Pharmacology Exam, Comprehensive Video Library
The NCCPA PANRE-LA (Longitudinal Assessment) has fundamentally shifted how physician assistants approach recertification. Instead of a high-stakes, single-day exam at a testing center, you now face 25 questions every quarter. The catch? You only have 5 minutes per question. While this format allows for the use of external resources, the time constraint is the primary barrier to success. If you are not prepared to navigate the NCCPA Blueprint efficiently, 5 minutes will disappear before you can even locate a reliable reference.
Mastering the 5-Minute Window
Efficiency is the cornerstone of the PANRE-LA. To succeed, you must adopt a strategy that minimizes "search time" and maximizes "decision time." The 5-minute clock starts the moment the question appears. If you spend 4 minutes searching for the diagnostic criteria of Heart Failure with Preserved Ejection Fraction (HFpEF), you have left yourself only 60 seconds to analyze the patient’s vitals and select the correct pharmacological intervention.
Our PANRE Review Course is designed to build the muscle memory required for this pace. By utilizing our 240-question mock exams, you are training your brain to identify the "must-know" clinical markers within seconds. This preparation ensures that when you open your PANRE-LA quarter, you are confirming your knowledge rather than learning the material for the first time.
High-Yield Specialty Content
The PANRE-LA covers the breadth of medical practice, but the majority of questions are clustered in high-yield areas. You must be proficient in:
- Cardiology: Recognition of EKG patterns, management of HTN, and ACLS protocols.
- Orthopedics: Interpretation of X-rays, identifying fractures, and managing acute musculoskeletal injuries.
- Internal Medicine: Management of chronic conditions like COPD, Diabetes, and CKD.
Our specialty-specific content, written by physician assistants for physician assistants, streamlines this data. We provide focused reviews on Orthopedics, Cardiology, and Dermatology, ensuring you are not bogged down by irrelevant "academic" fluff that doesn't show up on the exam.
Maximizing Your CME Dollars
Every PA is required to earn Category 1 CME. Our course offers an efficient way to fulfill this requirement while preparing for the PANRE or PANRE-LA. We offer 100 hours of AAPA Category 1 credit specifically for our PANRE Review Course. To further enrich your education and maximize your employer-provided CME budget, we offer CME with Amazon and Apple Gift Card add-ons.
You can add a $100 to $1,500 gift card to your purchase. This allows you to secure the high-quality review materials you need while also obtaining the technology or resources (like a new iPad for the PANRE-LA) that facilitate your learning process.
Clinical Assessment and Practice Questions
The following scenarios are designed to simulate the fast-paced decision-making required for the PANRE-LA.
Scenario 1: Cardiology
Your patient is a 64-year-old male presenting with a sudden onset of "ripping" chest pain that radiates to his back. His blood pressure is 190/110 mmHg in the right arm and 165/95 mmHg in the left arm. HR is 110 bpm. SaO2 is 96% on room air. A chest X-ray reveals a widened mediastinum. What is the most appropriate next step in management?
A. Immediate administration of IV Thrombolytics
B. Stat CT Angiography of the chest and abdomen
C. Emergent consult for Cardiac Catheterization
D. Perform a bedside Echocardiogram and discharge if normal
Correct Answer: B. Stat CT Angiography of the chest and abdomen
Explanation: The clinical presentation is highly suggestive of an Aortic Dissection, specifically noted by the ripping pain radiating to the back and the significant blood pressure discrepancy between arms. Stat CT Angiography is the gold standard for rapid diagnosis in a hemodynamically stable patient. IV thrombolytics (A) are contraindicated as they would worsen the hemorrhage. Cardiac catheterization (C) is for myocardial infarction, which is less likely given the widened mediastinum. A bedside echo (D) may show a flap but is not definitive enough to rule out dissection in this high-suspicion case.
Scenario 2: Orthopedics
Your patient is a 22-year-old female who fell onto an outstretched hand (FOOSH) during a soccer match. She reports localized pain over the "anatomical snuffbox." Initial X-rays of the wrist are negative for a fracture. What is the most appropriate management plan?
A. Apply a volar splint and follow up in 4 weeks
B. Apply a thumb spica splint and repeat X-rays in 10-14 days
C. Reassure the patient it is a sprain and allow return to sports
D. Order an immediate MRI of the wrist
Correct Answer: B. Apply a thumb spica splint and repeat X-rays in 10-14 days
Explanation: Tenderness in the anatomical snuffbox after a FOOSH injury must be treated as a scaphoid fracture until proven otherwise, even if initial X-rays are negative. The thumb spica splint immobilizes the area, and repeat X-rays after 10-14 days often reveal the fracture line once resorption has occurred. A volar splint (A) does not sufficiently immobilize the thumb. Reassurance (C) risks avascular necrosis of the scaphoid. While MRI (D) is highly sensitive, the standard of care is clinical immobilization followed by repeat imaging.
Scenario 3: Gastroenterology
Your patient is a 45-year-old male with a history of alcohol use disorder presenting with hematemesis and hypotension (BP 88/50 mmHg). He has visible caput medusae and jaundice. What is the priority intervention after initiating fluid resuscitation?
A. Administration of IV Octreotide and prophylactic antibiotics
B. Immediate referral for an outpatient Colonoscopy
C. Administering oral Proton Pump Inhibitors (PPI)
D. Placement of a Nasogastric (NG) tube for suctioning
Correct Answer: A. Administration of IV Octreotide and prophylactic antibiotics
Explanation: The patient is presenting with a suspected esophageal variceal bleed secondary to portal hypertension (evidenced by caput medusae and jaundice). IV Octreotide reduces portal pressure to slow the bleeding, and prophylactic antibiotics (typically Ceftriaxone) are standard of care to prevent spontaneous bacterial peritonitis in cirrhotic patients with GI bleeds. Colonoscopy (B) is for lower GI bleeds. Oral PPIs (C) are insufficient for acute variceal hemorrhage; IV PPIs may be used but Octreotide is more specific for varices. NG tube placement (D) is controversial and does not treat the underlying pathology as effectively as pharmacological and endoscopic intervention.
Conclusion
Prepping for the PANRE-LA does not require hours of daily study. It requires a strategic, 5-minute-focused approach. By using our PANRE Review Course, you gain access to the 240-question mock exams that mirror the pace of the real assessment. You also earn 100 hours of AAPA Category 1 credit and can leverage your CME budget with Amazon or Apple Gift Cards. Focus on the high-yield content, master the clock, and maintain your certification with confidence.