Price: $399.99
Access: 30 months
Deliverables: 100 AAPA Category 1 CME Credits, 1,672 board-style questions
Efficiency is the hallmark of a successful hospitalist or internal medicine clinician. Whether you are managing a complex floor of acute patients or preparing for your upcoming recertification, your time is a valuable commodity. Finding a panre review course that not only meets the rigorous requirements of the NCCPA but also respects your professional schedule is critical.
At CME Review Courses, we provide an streamlined solution for Physician Assistants, Nurse Practitioners, and Physicians looking to maximize their educational budget. Our courses are designed by PAs, for PAs, ensuring that the content is practical, relevant, and directly applicable to clinical practice.
Internal medicine is the foundation of the NCCPA blueprint. When you enroll in our PANRE Review Course, you aren't just getting a generic overview. You are accessing over 17 hours of clinical video content and a massive bank of 1,672 multiple-choice questions designed to mirror the actual exam environment.
For those in internal medicine, this course provides a deep dive into the core organ systems that dominate hospitalist and outpatient medicine: cardiology, pulmonology, gastroenterology, and infectious disease. The course is designated for 100 hours of AAPA Category 1 CME credit, which is sufficient to meet your entire two-year requirement in a single clinical review.
If your focus is exclusively on the acute care setting, our Internal Medicine Hospitalist CME Package is tailored for your specialty. While the panre review course offers the 100 hours of Category 1 credit, this specialized package provides 30 months of access to deep-dive content in high-acuity internal medicine topics.
Nurse Practitioners and Physicians also find significant value here. While physicians may claim this for Category 2 credit, the clinical pearls regarding EKG interpretation, electrolyte management, and inpatient pharmacology are universal. For PAs, this is an excellent way to maintain a competitive edge in a high-volume hospitalist group.
We understand that most clinicians have a dedicated CME allowance. We offer a unique way to utilize those funds effectively. During the checkout process, you have the option to include a cme gift cards add-on.
It is important to note that these are not free gifts; they are add-ons ranging from $100 to $1,500 that are added to the total purchase price. By including an Amazon or Apple gift card add-on, you can further enrich your education by purchasing medical textbooks, upgraded diagnostic tools, or the latest hardware to access your clinical resources. This is one of the most efficient ways to ensure your CME budget is fully utilized before the end of the fiscal year.
Even for seasoned clinicians, the structure of pance prep courses remains the most effective way to stay sharp. Our platform is built on a rigid, predictable template that allows you to jump between modules with ease. If you're looking for a dedicated app-based review experience with over 11,000 questions for the PANCE, PACKRAT, and all 7 EOR rotations, check out PAtopia at cmereviewcourses.com/patopia-new-student-section/. Whether you are reviewing dermatology clinical pearls or psychiatry board prep, the transition is seamless.
Below, we have included several clinical vignettes representative of the internal medicine questions found in our 1,672-question bank.
Your patient is a 68-year-old male with a history of heart failure and hypertension who presents with a 3-day history of diarrhea and decreased oral intake. His BP is 98/60, HR is 112, and SaO2 is 96% on room air. Lab results reveal a Serum Sodium of 128 mEq/L, Serum Osmolality of 270 mOsm/kg, and a Urine Sodium of 10 mEq/L. What is the most likely diagnosis?
A. SIADH
B. Hypovolemic Hyponatremia
C. Hypervolemic Hyponatremia
D. Euvolemic Hyponatremia
Correct Answer: B. Hypovolemic Hyponatremia
Explanation: The patient exhibits clinical signs of volume depletion (hypotension, tachycardia) and a low urine sodium (< 20 mEq/L), which indicates that the kidneys are appropriately conserving sodium in response to extrarenal fluid loss (diarrhea). **SIADH** (A) and **Euvolemic Hyponatremia** (D) would typically present with a higher urine sodium (> 20 mEq/L) and a clinically euvolemic patient. Hypervolemic Hyponatremia (C) is associated with states of fluid overload like heart failure or cirrhosis, which is not consistent with this patient's acute diarrheal illness and hypotension.
Your patient is a 54-year-old female presenting to the emergency department with acute onset of substernal chest pressure and dyspnea. Her HR is 90 and BP is 145/90. An EKG shows 2mm ST-segment elevation in leads II, III, and aVF. What is the most appropriate next step in management?
A. Immediate Cardiology consult for Percutaneous Coronary Intervention (PCI)
B. Obtain a chest X-ray to rule out aortic dissection
C. Administer intramuscular morphine for pain control
D. Wait for initial Troponin results before activating the cath lab
Correct Answer: A. Immediate Cardiology consult for Percutaneous Coronary Intervention (PCI)
Explanation: This patient is presenting with an inferior ST-Elevation Myocardial Infarction (STEMI). The standard of care is immediate reperfusion therapy, ideally via PCI, within 90 minutes of medical contact. Chest X-ray (B) should not delay reperfusion in the setting of definitive EKG changes. Morphine (C) should be given intravenously, not intramuscularly, but is secondary to reperfusion. Waiting for Troponin (D) is incorrect; a STEMI diagnosis is made via EKG, and waiting for biomarkers unnecessarily delays life-saving treatment.
Your patient is a 65-year-old male with a 40-pack-year smoking history who presents with worsening productive cough and progressive dyspnea on exertion. Physical exam reveals a barrel-shaped chest and distant heart sounds. Spirometry shows an FEV1/FVC ratio of 0.62. Which of the following is the most effective intervention to decrease mortality in this patient?
A. Inhaled corticosteroids
B. Long-acting beta-agonists (LABA)
C. Long-term oxygen therapy (if hypoxemic)
D. Annual influenza vaccination
Correct Answer: C. Long-term oxygen therapy (if hypoxemic)
Explanation: In patients with COPD and chronic hypoxemia, long-term oxygen therapy is one of the few interventions proven to decrease mortality. Inhaled corticosteroids (A) and LABAs (B) are excellent for symptom management and reducing exacerbations but do not consistently show a mortality benefit. While vaccination (D) is important for preventing complications, it does not have the same direct impact on survival as correcting chronic hypoxemia.
The medical landscape is constantly shifting. Our content is written by practicing physician assistants who understand the challenges of modern medicine. We provide:
Whether you are looking for the best panre review course or specialized internal medicine training, CME Review Courses provides the tools you need to succeed.
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