Course Title: PANRE Review Course (100 Hours of Category 1 AAPA CME)
Base Price: $399.99
Access Duration: 30 Months
Deliverables: 100 AAPA Category 1 CME Credits, 1,672 Board-Style Questions
Gift Card Add-ons: $100 to $1,500 (Amazon or Apple)
Navigating the logistics of the Physician Assistant National Recertification Exam (PANRE) or the PANRE-LA requires a strategic approach to both time management and resource allocation. Most Physician Assistants receive an annual CME allowance from their employers. Utilizing this allowance effectively often involves finding a high-yield study resource that satisfies both the state licensure requirements and the NCCPA maintenance of certification (MOC) cycles. The PANRE Review Course at CME Review Courses is designed to maximize this utility by bundling high-density medical content with educational incentives.
The Efficiency of the Non-Itemized Receipt
A significant hurdle in CME reimbursement is the itemization of expenses. Many healthcare organizations have rigid accounting systems that struggle with multi-part purchases or separate line items for gift cards. To solve this, CME Review Courses provides a non-itemized receipt. When you select a CME with Gift Card package, the final invoice reflects the total price of the educational bundle. This approach simplifies the reimbursement process, allowing the entire purchase: including the gift card add-on: to be processed as a single educational expense.
The gift card itself is intended to further enrich your education. Whether you use a $1,500 Amazon gift card to purchase medical textbooks and equipment or an Apple gift card for a new iPad to view clinical algorithms on the go, the value is integrated into your professional development.
High-Yield PANRE Content
The curriculum of the PANRE Review Course is built specifically for the NCCPA blueprint. While the content was written by physician assistants for physician assistants, it has found extensive use among Nurse Practitioners, CRNAs, and Physicians. For PAs, this course provides 100 hours of AAPA Category 1 CME credit. This is a critical distinction; while many courses offer credits, the volume of 100 Category 1 hours in a single package is specifically targeted toward satisfying large portions of the NCCPA's 100-hour CME requirement in one cycle.
The course content is categorized by specialty to allow for focused study:
- Emergency Medicine
- Family Medicine
- Internal Medicine / Hospitalist
- Cardiology
- Orthopedics
- Dermatology
- Psychiatry
- Neurology
- OB/GYN
Accessing this content for 30 months ensures that the learner can review the material during the initial PANRE preparation and continue to use it as a clinical reference in daily practice.
Clinical Assessment: Cardiology
Your patient is a 68-year-old male with a history of hypertension and hyperlipidemia who presents to the clinic complaining of progressive dyspnea on exertion and occasional lightheadedness. On physical examination, you note a harsh systolic crescendo-decrescendo murmur heard best at the second right intercostal space, radiating to the carotids. S2 is diminished. His blood pressure is 112/88 mmHg and HR is 76 bpm.
What is the most likely diagnosis and the most appropriate next step in management?
A) Mitral Regurgitation; Transthoracic Echocardiogram
B) Aortic Stenosis; Transthoracic Echocardiogram
C) Aortic Regurgitation; Cardiac Catheterization
D) Pulmonic Stenosis; Exercise Stress Test
Correct Answer: B) Aortic Stenosis; Transthoracic Echocardiogram.
The clinical presentation of a harsh systolic crescendo-decrescendo murmur at the right upper sternal border radiating to the carotids is pathognomonic for Aortic Stenosis (AS). The "SAD" triad (Syncope, Angina, Dyspnea) represents the classic symptom progression. A transthoracic echocardiogram (TTE) is the initial diagnostic study of choice to evaluate the valve area and pressure gradient. Mitral Regurgitation (Choice A) would present as a holosystolic murmur at the apex. Aortic Regurgitation (Choice C) presents as a diastolic blowing murmur. Pulmonic Stenosis (Choice D) is less common in this age group and would be heard best at the left upper sternal border.
Maximizing CME Reimbursement Logistics
The ability to add a gift card ranging from $100 to $1,500 allows PAs to utilize their remaining CME budget before it expires at the end of a fiscal year. Because the receipt is non-itemized, the transaction is categorized as a single "Professional Education Course." This is particularly helpful for PAs in large hospital systems where procurement departments are strict about individual line items.
Clinical Assessment: Internal Medicine
Your patient is a 54-year-old female with a history of Type 2 Diabetes Mellitus who presents with a 2-day history of burning on urination and increased frequency. She denies fever, chills, or flank pain. Vitals are: Temp 98.6°F, BP 130/82 mmHg, HR 72 bpm, SaO2 98% on room air. Physical exam reveals mild suprapubic tenderness but no costovertebral angle (CVA) tenderness. Urinalysis shows positive nitrites and leukocyte esterase.
Which of the following is the most appropriate first-line treatment for this patient?
A) Ciprofloxacin 500mg BID for 7 days
B) Nitrofurantoin 100mg BID for 5 days
C) Ceftriaxone 1g IM once
D) Phenazopyridine 200mg TID for 2 days
Correct Answer: B) Nitrofurantoin 100mg BID for 5 days.
Nitrofurantoin (Macrobid) is a first-line treatment for uncomplicated cystitis. Trimethoprim-sulfamethoxazole (Bactrim) is also a first-line option if local resistance is <20%. Fluoroquinolones like Ciprofloxacin (Choice A) should be reserved for more complicated cases or when first-line agents cannot be used due to the risk of significant side effects (e.g., tendon rupture, C. diff). Ceftriaxone (Choice C) is typically used for pyelonephritis or complicated UTI requiring parenteral therapy. Phenazopyridine (Choice D) is a urinary analgesic that provides symptomatic relief but does not treat the underlying infection.
Professional Utility for NPs and Physicians
While the primary target of the PANRE Review Course is the physician assistant, other clinicians find significant value in the content.
- Nurse Practitioners (NPs): Many states recognize AAPA Category 1 Credit for NP recertification and licensure requirements. NPs should verify with their state boards, but the cardiology, dermatology, and family medicine modules are highly relevant to primary care practice.
- Physicians: While this course counts as Category 2 CME for physicians, many Internal Medicine and Family Medicine physicians purchase the package for the board-review-style questions and the CME with Amazon gift card or Apple options to offset the cost of clinical tools.
Clinical Assessment: Emergency Medicine
Your patient is a 28-year-old male brought to the Emergency Department by EMS after a high-speed motor vehicle collision (MVC). He was the unrestrained driver. He is complaining of significant chest pain and shortness of breath. Vitals: BP 90/60 mmHg, HR 124 bpm, RR 28 bpm, SaO2 89% on 15L non-rebreather. Physical exam reveals decreased breath sounds on the right side and tracheal deviation to the left.
What is the immediate next step in management?
A) Obtain a portable chest X-ray
B) Perform a needle thoracostomy
C) Perform a FAST exam
D) Endotracheal intubation
Correct Answer: B) Perform a needle thoracostomy.
The patient exhibits signs of a Tension Pneumothorax: hypotension (obstructive shock), tachycardia, decreased breath sounds, and tracheal deviation. This is a clinical diagnosis. You must not wait for a chest X-ray (Choice A) as the delay can be fatal. Immediate decompression via needle thoracostomy in the second intercostal space (mid-clavicular line) or the fifth intercostal space (mid-axillary line) is required, followed by tube thoracostomy. While a FAST exam (Choice C) is part of the ATLS protocol, it does not take precedence over decompressing a tension pneumothorax. Intubation (Choice D) may eventually be necessary but will not resolve the obstructive shock caused by the tension pneumothorax.
Conclusion
The PANRE Review Course provides an efficient, comprehensive pathway to achieving 100 hours of AAPA Category 1 CME credit. By utilizing the CME with Gift Card options and the non-itemized receipt, PAs can effectively manage their professional development funds while preparing for the PANRE or PANRE-LA. With 30 months of access and over 1,600 practice questions, this package represents a long-term investment in clinical proficiency.