

Course Title: PANRE Review Course (100 Hours of Category 1 AAPA CME)
Price: Starting at $399.99
Access Duration: 30 Months
Deliverables: 100 Hours of AAPA Category 1 CME Credit, PA-Written Blueprint Content, and Multiple Practice Exams.
The Physician Assistant National Recertification Exam Longitudinal Assessment (PANRE-LA) represents a significant shift in how the NCCPA evaluates clinical competency. Moving away from the high-pressure, single-day proctored exam, the PANRE-LA allows you to answer 25 questions per quarter over a three-year period. While this format is designed to be less stressful, it requires a different strategic approach to ensure success.
To navigate this process efficiently, you must treat the assessment not just as a test, but as a recurring clinical review. Our PANRE Review Course is specifically engineered to align with this longitudinal format, providing the high-yield content necessary to answer questions accurately within the 5-minute time limit.
Understanding the 5-Minute Window
The most critical logistical constraint of the PANRE-LA is the time limit. You have exactly five minutes to read, process, and answer each question. While the exam is "open book," five minutes is insufficient time to learn a new topic from scratch using a general search engine or a bulky textbook.
Success depends on having a condensed, high-yield resource ready for immediate reference. Our content is written by physician assistants for physician assistants, focusing on the specific diagnostic and management criteria found in the NCCPA blueprint. When you encounter a question on a complex neurological condition or a specific dermatological manifestation, you do not have time to wade through pages of pathophysiology. You need the direct answer.


High-Yield Content: Built by PAs
The efficiency of your study material is the primary factor in your passing score. Generic medical review materials often cater to a broad audience, including medical students and physicians, which can lead to "information bloat." Our courses: including specialized packages for Internal Medicine Hospitalist CME and Emergency Medicine CME: filter out the noise.
We focus on the topics most likely to appear in the PANRE-LA:
- Cardiology: Management of hypertension, ACS protocols, and arrhythmia identification.
- Pulmonary: Asthma/COPD maintenance and acute exacerbations.
- Orthopedics: Common fractures, dislocations, and physical exam maneuvers.
- Dermatology: Recognition of malignant lesions and common rashes.
By using resources that match the blueprint's performance expectations, you ensure that your "open book" reference is already organized according to the test's structure.
Maximizing Your CME Dollars
One of the unique advantages of our program is the ability to maximize your employer-provided CME allowance. Many PAs find themselves with remaining funds at the end of the fiscal year. We offer CME with Gift Card add-ons. You can add an Amazon or Apple Gift Card (ranging from $100 to $1500) to your purchase.
This allows you to obtain the required 100 Hours of AAPA Category 1 CME Credit for your PANRE Review while also securing funds for further educational tools, such as medical hardware, reference apps, or professional development books. This is a practical, efficient way to use your professional budget.


Longitudinal Efficiency vs. Cramming
The PANRE-LA is administered in years 7 through 9 of your certification cycle. Participating in our review course early in this window provides a dual benefit: you earn your required Category 1 credits and simultaneously build the knowledge base needed for the quarterly assessments.
Instead of cramming for a single exam, you integrate your learning into your daily practice. This approach has been shown to improve long-term retention and, ultimately, patient outcomes. While our content is primarily written for PAs, nurse practitioners and physicians also find immense value in the concise, clinical nature of our Family Medicine and Urgent Care packages.


Clinical Review: Practice Questions
The following scenarios reflect the style and depth of questions you may encounter during your PANRE-LA quarterly assessments. Use these to gauge your readiness and identify areas for further study.
Scenario 1: Cardiology
Your patient is a 64-year-old male presenting with a two-hour history of substernal chest pressure. He has a history of hypertension and tobacco use. On exam, his BP is 158/94 mmHg, HR is 88 bpm, and SaO2 is 96% on room air. An ECG is performed and shows 2mm ST-segment elevation in leads II, III, and aVF.
Which of the following is the most appropriate next step in management?
A. Activate the cardiac catheterization lab for primary percutaneous coronary intervention (PCI).
B. Administer oral beta-blockers immediately.
C. Order a STAT d-dimer and CT pulmonary angiogram.
D. Initiate thrombolytic therapy as the first-line preference regardless of PCI availability.
Explanation:
The correct answer is A. In a patient with an acute ST-segment elevation myocardial infarction (STEMI) involving the inferior wall (leads II, III, aVF), the gold standard is primary PCI within 90 minutes of first medical contact.
- Choice B is incorrect because while beta-blockers are part of long-term management, they are not the immediate priority over reperfusion and should be avoided in the acute phase if there are signs of heart failure or low output.
- Choice C is incorrect as the ECG findings are diagnostic for STEMI; evaluating for PE would delay definitive care.
- Choice D is incorrect because primary PCI is preferred over thrombolytics if it can be performed within recommended timeframes.
Scenario 2: Neurology
Your patient is a 72-year-old female brought to the clinic by her daughter due to increasing confusion and difficulty with daily tasks. The daughter notes that the patient has had a few "near falls" recently and has been incontinent of urine on three occasions over the past month. On exam, the patient exhibits a wide-based, "magnetic" gait. A non-contrast CT of the head shows ventriculomegaly out of proportion to sulcal atrophy.
What is the most likely diagnosis?
A. Normal Pressure Hydrocephalus (NPH).
B. Alzheimer’s Disease.
C. Parkinson’s Disease.
D. Multi-infarct Dementia.
Explanation:
The correct answer is A. The classic triad of "wobbly, wet, and wacky" (gait ataxia, urinary incontinence, and dementia/confusion) is highly suggestive of NPH. The finding of ventriculomegaly on CT without significant cortical atrophy further supports this diagnosis.
- Choice B is incorrect because Alzheimer's typically presents with prominent memory loss early on, without the early prominent gait changes or incontinence seen here.
- Choice C is incorrect because Parkinson’s involves a "shuffling" gait with resting tremor and bradykinesia, not necessarily ventriculomegaly.
- Choice D is incorrect because multi-infarct dementia usually follows a step-wise decline associated with cardiovascular risk factors and previous stroke events.
Conclusion
Preparation for the PANRE-LA requires a shift from rote memorization to high-speed information retrieval and clinical application. By utilizing our PANRE/PANRE LA Review Exams, you gain access to the exact types of vignettes and questions you will face quarterly.
Don't leave your certification to chance. Invest in a course that respects your time, aligns with the NCCPA blueprint, and provides the added benefit of a gift card for your educational needs.











