Last Call: Adding an Amazon Gift Card to Your CME Before the Deadline

Price: $399.99
Duration: 30 Months of Access
Deliverables: 100 Hours of Category 1 AAPA Credit (PANRE Review), Comprehensive Study Materials, and customizable Amazon or Apple Gift Card add-ons ($100 – $1500).

The June 30th deadline is not an NCCPA requirement, but for many Physician Assistants, it is the most critical date of the fiscal year. Most hospital systems and private practices operate on a July 1st to June 30th budget cycle. If your CME stipend is not utilized by midnight on June 30th, those funds typically vanish, resetting for the next year without rollover.

At CME Review Courses, we provide a streamlined method to maximize your professional development funds. By pairing high-yield clinical review with Amazon or Apple gift card add-ons, you ensure that every dollar of your 2026 stipend is utilized effectively. This is your final reminder to secure your credits and your educational incentives before the window closes.

Maximizing Your 2026 CME Stipend

When you purchase the PANRE Review Course or one of our specialty packages like Internal Medicine or Emergency Medicine, you are investing in 30 months of access to peer-reviewed, clinician-authored content. However, the unique value proposition lies in the ability to add a gift card to your purchase.

You can add between $100 and $1500 in Amazon or Apple gift cards to your order. This allows you to use your remaining stipend to purchase medical equipment, reference books, or updated hardware like an iPad for clinical use. This is a pragmatic approach to ensuring your employer-provided benefits are fully realized.

Why PAs Choose Our PANRE Review

The PANRE Review Course provides 100 hours of Category 1 AAPA credit. This content is specifically designed by physician assistants for physician assistants, focusing on the high-yield topics required for recertification.

• Efficiency: We focus on the NCCPA Blueprint topics you are most likely to encounter.
• Flexibility: Study at your own pace over a 30-month access period.
• Specialty Content: Beyond the PANRE, we offer targeted reviews in Cardiology, Orthopedics, Dermatology, and OB/GYN.

The Pharmacology Course and Category 1 Credit

For those focusing on pharmacological requirements, we offer a dedicated Pharmacology Course. It is important to note that while the PANRE Review Course offers 100 hours of Category 1 AAPA credit, the Pharmacology Course also provides Category 1 AAPA credit specifically focused on pharmacotherapeutics.

Nurse Practitioners should note that while these are AAPA credits, many state boards and the ANCC accept Category 1 AAPA credit for NP recertification. Physicians can utilize these courses for Category 2 CME credit.

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Clinical Assessment: Practice Questions

To maintain clinical excellence and prepare for exam-style questions, review the following scenarios.

Scenario 1: Emergency Medicine

Your patient is a 64-year-old male presenting to the emergency department with sudden onset of "tearing" chest pain that radiates to his back. His medical history is significant for long-standing, poorly controlled hypertension. On physical exam, his BP is 190/110 mmHg in the right arm and 165/95 mmHg in the left arm. He appears diaphoretic and distressed. A chest X-ray reveals a widened mediastinum.

Which of the following is the most appropriate initial pharmacological intervention to manage this patient's condition?

A. Intravenous Bolus of Heparin
B. Intravenous Labetalol
C. Sublingual Nitroglycerin
D. Intravenous Nitroprusside alone

Correct Answer: B. Intravenous Labetalol

Explanation: The patient’s presentation is highly suggestive of an Aortic Dissection. The primary goal in the initial management of aortic dissection is "anti-impulse therapy" to reduce the shear stress on the aortic wall. Intravenous Labetalol is the preferred first-line agent because it provides both alpha-blockade and beta-blockade, effectively lowering both the heart rate (target <60 bpm) and the blood pressure (target systolic 100–120 mmHg).

• Heparin (A) is contraindicated as it may worsen bleeding into the false lumen or cause extension of the dissection.
• Nitroglycerin (C) and Nitroprusside (D) are potent vasodilators that can cause reflex tachycardia, which increases the shear stress (dP/dt) on the aorta. If a vasodilator like nitroprusside is used, it must be preceded by a beta-blocker to prevent this reflex tachycardia.

Scenario 2: Internal Medicine

Your patient is a 52-year-old female with a history of Type 2 Diabetes and Chronic Kidney Disease (Stage 3a). She presents for a routine follow-up. Her current medications include Metformin and Lisinopril. Her latest labs show an eGFR of 48 mL/min/1.73m² and a UACR (Urine Albumin-to-Creatinine Ratio) of 150 mg/g. Her hemoglobin A1c is 7.8%.

According to current clinical guidelines, which class of medication should be added next to reduce the risk of kidney disease progression and cardiovascular events?

A. GLP-1 Receptor Agonist
B. SGLT2 Inhibitor
C. Sulfonylurea
D. DPP-4 Inhibitor

Correct Answer: B. SGLT2 Inhibitor

Explanation: In patients with Chronic Kidney Disease (CKD) and Type 2 Diabetes, SGLT2 inhibitors (such as Dapagliflozin or Empagliflozin) are strongly recommended to reduce the risk of CKD progression and heart failure, provided the eGFR is within the acceptable range for initiation (typically >20-25 mL/min/1.73m²).

• GLP-1 Receptor Agonists (A) provide cardiovascular benefits and are good for weight loss and A1c reduction but are considered second-line to SGLT2 inhibitors for specific renal protection in CKD.
• Sulfonylureas (C) carry a high risk of hypoglycemia and do not offer the same organ-protective benefits.
• DPP-4 Inhibitors (D) are weight-neutral and generally safe in CKD but do not provide the superior renal and cardiovascular outcomes demonstrated by SGLT2 inhibitors.

Scenario 3: Dermatology

Your patient is a 28-year-old female presenting with a pruritic rash on her flexor surfaces (ankles and wrists). On exam, you observe multiple purple, polygonal, planar, papules. Some of the papules exhibit fine white lines on the surface (Wickham striae).

Which of the following is the most likely diagnosis?

A. Psoriasis
B. Pityriasis Rosea
C. Lichen Planus
D. Eczema (Atopic Dermatitis)

Correct Answer: C. Lichen Planus

Explanation: This clinical presentation fits the classic "6 P's" of Lichen Planus: Purple, Polygonal, Planar, Pruritic, Papules, and Plaques. The presence of Wickham striae is a pathognomonic finding.

• Psoriasis (A) typically presents on extensor surfaces with silvery scales.
• Pityriasis Rosea (B) starts with a herald patch and follows a "Christmas tree" distribution on the trunk.
• Eczema (D) is characterized by ill-defined erythematous patches and weeping vesicles, not purple polygonal papules.

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Why the June 30th Deadline Matters

Waiting until the end of the calendar year is a common mistake. If your employer operates on a June 30th fiscal year-end, any unused stipend money is lost. By choosing a CME with Gift Card package, you accomplish three tasks simultaneously:

1. Meet Credit Requirements: Earn the 100 hours of Category 1 AAPA credit required for your NCCPA cycle.
2. Prepare for the PANRE: Access high-yield content written specifically for PA recertification.
3. Utilize Your Full Benefit: The gift card add-on ensures that your stipend is not left on the table.

Our courses cover a wide range of topics, including Internal Medicine, Hospitalist Medicine, Orthopedics, Dermatology, Psychiatry, Neurology, Cardiology, and OB/GYN. This content is designed to be efficient, removing the "fluff" and focusing on the clinical pearls you need for daily practice and board exams.

Practical Clinical Advice

When preparing for your PANRE or PANRE-LA, remember that the exam focuses on common presentations and standard-of-care treatments. Avoid getting bogged down in rare "orphan" diseases unless they are specifically listed in the NCCPA Blueprint. Focus your study time on high-prevalence conditions like Hypertension, Diabetes, COPD, and common musculoskeletal injuries.

If you are a Nurse Practitioner or Physician, while our credits are AAPA Category 1, the clinical value remains high. We have thousands of non-PA customers who find the practical, direct delivery of our content more useful than more academic, long-winded CME options.

Final Call

The clock is ticking on your 2026 budget. Visit CME Review Courses today to select your package. Whether you need the full 100-hour PANRE Review or a specialty-specific module, ensure you add the Amazon or Apple gift card to your cart before the June 30th midnight cutoff.

Secure your 30 months of access now and take the stress out of your 2026 CME requirements.