Category: Uncategorized

Price: $399.99
Access: 30 months
Included: 2,500+ PANRE practice questions, five full-length practice exams, and up to 100 hours of AAPA Category 1 CME credit
Gift card add-ons: $100–$1,500, paid separately and added to the purchase price

If you are a PA planning for the PANRE, your CME strategy should address two separate goals: exam preparation and NCCPA certification maintenance. A comprehensive PANRE Review Course can connect both objectives by giving you structured clinical review while providing up to 100 hours of AAPA Category 1 CME credit.

The key point is specific: the 100 hours of AAPA Category 1 CME apply to the PANRE Clinical Review Module of the PANRE Review Course. They do not automatically apply to every CME Review Courses product or to the separate Pharmacology course.

How the NCCPA CME Cycle Works

NCCPA certification maintenance requires 100 CME credits during each two-year CME cycle. At least 50 credits must be Category 1 CME. The remaining credits may be Category 1, Category 2, or a combination of both.

That means a PA could meet the basic cycle structure with:

• 50 Category 1 CME credits
• 50 additional Category 1 or Category 2 credits

Or, if the activity is approved for the full amount and completed appropriately, a PA may earn all 100 credits as Category 1 CME.

The PANRE Review Course is designed for that second approach. Completion of the PANRE Clinical Review Module allows you to claim up to 100 AAPA Category 1 CME credits, based on your actual participation and completion of the activity requirements.

You should still confirm your personal certification timeline, state licensure requirements, and NCCPA reporting obligations. The current NCCPA CME requirements should be your primary reference.

Fact 1: Category 1 CME Is Provider-Planned Education

AAPA Category 1 CME is not the same as informal professional reading or general clinical activity. Category 1 activities are formally planned, educationally relevant, and reviewed according to accreditation standards.

Examples of Category 2 activity may include reading medical literature, informal learning, or other practice-related education that does not carry formal Category 1 approval. These activities may still have educational value, but they do not satisfy the Category 1 portion of your cycle.

A formal PANRE review course provides a more organized path. The course is built around exam-relevant clinical content, measurable learning objectives, practice questions, and post-test requirements. To claim credit, you must complete the required activity components and claim only the amount supported by your participation.

Fact 2: One Course Can Address the Full 100-Credit Requirement

A common CME problem is fragmentation. You may complete a few credits from a conference, several online activities, and additional Category 2 education throughout the year. That approach can work, but it requires consistent tracking and attention to the Category 1 minimum.

The PANRE Clinical Review Module provides a concentrated alternative. If you complete the activity and claim the full amount permitted, the course can cover:

• The minimum 50 Category 1 credits
• The remaining 50 credits needed for the 100-credit cycle
• Structured preparation for the PANRE or PANRE-LA content areas

This does not mean you should automatically claim 100 credits simply because the course is designated for up to 100. Claim credit commensurate with your actual participation. Complete the content, pass the required post-test, complete the evaluation, and follow the course instructions.

Fact 3: The Course Is Designed for Active Review

The value of combining CME and exam preparation is that the educational work is clinically focused. The course includes 2,500+ board-style practice questions, detailed rationales, a complete PANRE study library, and five full-length practice examinations.

The questions are intended to reinforce diagnostic reasoning, pharmacologic management, screening, emergency care, chronic disease management, and other areas represented in the current NCCPA PANRE/PANRE-LA Content Blueprint.

This is different from completing a passive activity and hoping it translates to exam performance. Practice questions identify gaps. Rationales clarify why an answer is correct and why the alternatives are less appropriate. Repeated review also helps you recognize common PANRE patterns involving next-best steps, initial management, contraindications, and diagnostic sequencing.

Fact 4: CME Gift Cards Are Paid Add-Ons

CME Review Courses offers optional Amazon and Apple gift card add-ons with selected CME packages. Available add-on amounts range from $100 to $1,500.

These are not free gifts. The gift card amount is added to the $399.99 course price and increases the total purchase price. For example:

• PANRE Review Course alone: $399.99
• Course plus a $100 gift card: $499.99
• Course plus a $500 gift card: $899.99
• Course plus a $1,500 gift card: $1,899.99

The add-on may be useful when you are planning how to use an employer CME allowance, but you should review your employer’s policy before purchase. The gift card does not generate CME credit. The PANRE Review Course generates the designated AAPA Category 1 CME; the gift card is a separate paid add-on.

You can review the available options on the PANRE Review Course with Gift Card page. Amazon and Apple are not affiliated with or sponsors of CME Review Courses.

Fact 5: Credit Acceptance Varies by Profession and State

The course is primarily designed for practicing physician assistants. Other clinicians may find the clinical content useful, but credit treatment can differ.

Nurse practitioners: Some state boards, employers, or certification organizations may accept AAPA Category 1 CME. Acceptance varies by state. NPs should verify requirements directly with their state board of nursing and certifying organization before purchasing.

Physicians: Physicians may find the content clinically useful, but AAPA Category 1 CME generally does not function as Category 1 CME for physicians. Physician acceptance may be limited to Category 2 or subject to the rules of the physician’s certifying organization and state licensing board.

Clinical Practice Question

PANRE-Style Vignette

Your patient is a 68-year-old man with hypertension and tobacco use who presents with sudden-onset, tearing chest pain radiating to the back. BP is 190/110 mmHg in the right arm and 165/95 mmHg in the left arm. Chest radiography demonstrates a widened mediastinum.

Which medication should be administered first to reduce aortic wall shear stress?

A. IV nitroprusside
B. IV esmolol
C. IV heparin
D. Oral amlodipine
E. Aspirin

Answer and Rationale

The correct answer is B. IV esmolol.

In suspected acute aortic dissection, begin short-acting IV beta-blockade to reduce HR, contractility, and the rate of pressure change across the aortic wall. Esmolol is useful because it can be rapidly titrated. Labetalol is another appropriate option.

Nitroprusside should not be used before beta-blockade because reflex tachycardia can increase aortic shear stress. Heparin and aspirin may worsen bleeding if dissection is present. Oral amlodipine is too slow and is not appropriate for immediate control of this hypertensive emergency.

How to Use 100 CME Hours Strategically

If your NCCPA cycle is approaching, start by confirming how many credits you have already earned and how many Category 1 credits remain. Then determine whether a comprehensive course fits your schedule.

A practical plan is:

1. Confirm your current NCCPA cycle dates.
2. Review your logged Category 1 and Category 2 credits.
3. Enroll in the PANRE Review Course if you need structured recertification preparation.
4. Complete the required content, post-test, and evaluation.
5. Claim only the number of AAPA Category 1 credits supported by your participation.
6. Retain your completion documentation according to NCCPA and employer requirements.

The course provides 30 months of access, allowing you to prepare for the exam and complete CME over an extended period rather than rushing through a short access window.

Final CME Tip

A well-selected PANRE Review Course can reduce duplication. Instead of purchasing one resource for board preparation and another activity solely for CME, you can use one structured course to prepare clinically and work toward your NCCPA CME requirement.

The $399.99 course includes 30 months of access, 2,500+ practice questions, five full-length exams, and up to 100 hours of AAPA Category 1 CME through the PANRE Clinical Review Module. Optional Amazon and Apple cme gift cards may be added for $100 to $1,500, but they are paid add-ons and increase the purchase price.

For students preparing for initial certification, separate pance prep courses are available through PAtopia. PAtopia can be accessed through the web version, the iOS app, or the Android app.

About the Author

Jeremy Boroff, MPAS, PA-C, is the founder of CME Review Courses and a physician assistant with 24 years of experience in emergency medicine. He develops PANRE, PANCE, EOR, pharmacology, and specialty CME review content for physician assistants and other healthcare professionals.

PANRE Review Course: Know What You Are Buying

Price: $399.99
Access: 30 months
CME: Up to 100 hours of AAPA Category 1 CME through the PANRE Review Course
Deliverables: 2,500+ practice questions, five 240-question PANRE practice examinations, study library, explanations, and cited references

The PANRE Review Course with Gift Card is designed for practicing PAs preparing for the PANRE or PANRE-LA while completing a substantial portion of their CME requirements.

The 100 hours of AAPA Category 1 CME apply specifically to the PANRE Review Course. They do not automatically apply to other CME Review Courses products, including the Pharmacology course or specialty CME packages. Claim only the credit that corresponds to your actual participation and completion of the activity requirements.

The course covers the organ systems and task areas identified in the NCCPA Blueprint, includes five full-length 240-question practice examinations, and provides 30 months of access. That access period is important because PANRE preparation is often performed around a full clinical schedule rather than during a single uninterrupted study block.

Optional Amazon and Apple Gift Card add-ons from $100 to $1,500 can be added to the purchase. These are not free gifts. The selected gift card amount is an additional charge added to the base course price. For example, selecting a $500 Amazon Gift Card creates a total purchase price of $399.99 plus the $500 add-on. Check your employer’s CME policy before purchase to confirm how CME funds may be used.

The add-ons are intended to help you use available CME dollars for educational tools, clinical references, technology, or other approved professional needs. Amazon and Apple are not affiliated with or sponsoring CME Review Courses.

Mistake 1: Buying CME in Small Pieces Without a PANRE Plan

A common mistake is purchasing several unrelated CME activities because each one appears inexpensive or convenient. The result may be adequate activity volume but poor exam preparation.

If PANRE review is one of your current priorities, select a course that performs both functions:

• Provides a structured review of the NCCPA Blueprint
• Includes board-style practice questions
• Offers explanations that identify knowledge gaps
• Provides a substantial amount of AAPA Category 1 CME
• Allows enough access time to study without rushing

The PANRE Review Course provides up to 100 hours of AAPA Category 1 CME and is designed around PANRE preparation. That can reduce the need to coordinate multiple small CME activities during the same certification cycle.

Do not assume that every board-review product provides AAPA Category 1 credit. Confirm the specific course, credit designation, completion requirements, and expiration dates before using your CME budget.

Mistake 2: Confusing a PANRE Review Course With PANCE Prep Courses

The PANRE and PANCE test overlapping medical knowledge, but they are not the same professional examination. A PA preparing for recertification needs a resource designed for the PANRE or PANRE-LA, not simply a collection of entry-level student materials.

PANCE prep courses can be useful for PA students and recent graduates building foundational knowledge. They may be less efficient for an experienced PA who needs to review broad clinical content, identify weak systems, and prepare for a recertification examination.

The appropriate resource depends on your exam:

• PANRE Review Course: Designed for practicing PAs preparing for PANRE or PANRE-LA.
• PANCE prep courses: Designed primarily for students preparing for initial certification.
• PAtopia: Designed for PA students preparing for PACKRAT, EOR examinations, the End of Curriculum examination, and the PANCE.

Using the wrong resource can cost you both study time and CME dollars. Match the product to the examination you are taking.

Mistake 3: Reading Explanations Before Committing to an Answer

Passive review creates false confidence. If you read the correct answer before making a decision, you are testing recognition rather than recall.

Use each question as a clinical decision:

1. Read the patient demographics, symptoms, examination findings, and vital signs.
2. Identify the immediate problem.
3. Decide whether the patient is stable or unstable.
4. Select an answer before reviewing the explanation.
5. Record why your answer was correct or incorrect.
6. Revisit missed questions after a delay rather than immediately memorizing the explanation.

The PANRE Review Course uses five-answer multiple-choice questions with explanations and cited sources. Complete a timed block, then review the rationale. This approach more accurately identifies whether your problem is knowledge, interpretation, prioritization, or time management.

Mistake 4: Ignoring the NCCPA Blueprint Distribution

Another mistake is studying only the topics you see frequently in practice. Clinical experience is valuable, but it does not guarantee balanced preparation across all tested systems.

A clinician who works primarily in emergency medicine may be comfortable with acute cardiopulmonary disease but less comfortable with dermatology, reproductive medicine, hematology, or professional practice. A hospitalist may need to deliberately review outpatient, reproductive, dermatologic, and EENT topics.

Use the NCCPA PANRE/PANRE-LA content information to organize your review. Compare your practice-question performance by system and allocate additional time to consistently weak areas.

Do not spend every study session reviewing familiar content simply because it feels productive. The goal is to improve performance across the examination, not to confirm what you already know.

Mistake 5: Waiting Until the Final Weeks

Short access periods and delayed preparation can create unnecessary pressure. A 30-month access period allows you to begin with diagnostic testing, build a study schedule, and return to difficult topics over time.

A practical schedule is:

• First phase: Complete a baseline practice examination.
• Second phase: Review weak organ systems and task areas.
• Third phase: Complete additional timed examinations.
• Final phase: Repeat missed questions and review high-risk topics.

Use the full-length examinations to measure progress, not just to generate a percentage score. Look for recurring patterns: missed “next best step” questions, incorrect pharmacology, difficulty with screening recommendations, or failure to identify unstable patients.

Mistake 6: Misunderstanding CME Gift Card Add-Ons

The phrase “CME gift cards” can create confusion. The Amazon and Apple options offered with the PANRE Review Course are optional paid add-ons. They are not free gifts, rebates, or bonuses.

The base PANRE Review Course is listed separately from the selected Amazon or Apple Gift Card amount. Available add-ons range from $100 to $1,500. Gift cards are generally delivered by email within two to three business days, according to the product information.

Before selecting an add-on:

• Confirm your employer’s allowable CME expenses.
• Confirm the total amount available in your CME budget.
• Remember that the add-on increases the total purchase price.
• Select the card brand and amount carefully.
• Review the applicable gift-card terms before completing checkout.

The add-on may help you use available CME funds efficiently, but it does not change the number of AAPA Category 1 CME credits awarded by the PANRE Review Course.

Practice Clinical Vignette

Your patient is a 57-year-old woman who presents to the emergency department with sudden dyspnea and pleuritic right-sided chest pain that began two hours ago. She returned from a long international flight three days ago. HR is 124/min, BP is 118/72 mm Hg, RR is 28/min, and SaO2 is 88% on room air. Examination shows unilateral left calf swelling and tenderness. She is alert and hemodynamically stable. What is the most appropriate next diagnostic step?

A. D-dimer assay
B. CT pulmonary angiography
C. Immediate systemic thrombolysis
D. Chest radiograph only
E. Lower-extremity venous ultrasound as the sole diagnostic study

Correct answer: B. CT pulmonary angiography.

This patient has a high pretest probability for pulmonary embolism based on acute dyspnea, tachycardia, hypoxemia, recent prolonged travel, and unilateral leg findings. In a hemodynamically stable patient with high clinical suspicion, proceed directly to CT pulmonary angiography if there is no contraindication.

A D-dimer is most useful when pretest probability is low or intermediate; it should not delay definitive imaging in this presentation. Systemic thrombolysis is reserved for selected patients with hemodynamic compromise or other high-risk features. A chest radiograph may evaluate alternative diagnoses but does not exclude PE. Lower-extremity ultrasound can identify DVT, but it is not the preferred sole diagnostic test when pulmonary embolism is suspected and CT is appropriate.

A Practical Way to Avoid These Mistakes

Use your PANRE study resource as an assessment system rather than a reading assignment. Complete questions under time constraints, review explanations, track weak systems, and schedule repeat testing.

The PANRE Review Course combines exam preparation with up to 100 hours of AAPA Category 1 CME, 30 months of access, and thousands of board-style questions. If you are using a CME allowance, optional Amazon or Apple Gift Card add-ons from $100 to $1,500 may be added to the purchase. Again, these add-ons are paid options and are not free gifts.

For PA students, PAtopia provides a separate exam-preparation library with 11,000+ board-style questions, all seven EOR rotations, and 15 full-length PANCE practice examinations. The web version is available through the PAtopia student section.

PAtopia is also available through:

• Download PAtopia on the Apple App Store
• Download PAtopia on Google Play

The mobile app includes a free three-day trial with no account or sign-in required. Choose the resource that matches your examination and professional stage.

Final CME Tip

The most expensive PANRE mistake is not always buying the wrong course. It is buying a resource without a plan, failing to use the questions actively, and allowing CME funds or study time to expire unused.

Start with a baseline examination. Use the NCCPA Blueprint to identify coverage gaps. Schedule recurring question blocks. Confirm your CME requirements. Then select a course that provides both practical PANRE preparation and meaningful CME value.

The PANRE Review Course provides up to 100 hours of AAPA Category 1 CME specifically through the PANRE Review Course, 30 months of access, and extensive practice material. Optional Amazon and Apple Gift Card add-ons are available for $100 to $1,500, but they are paid additions to the course purchase; not free gifts.

About the Author

Jeremy Boroff, MPAS, PA-C, has 24 years of Emergency Medicine experience as a practicing physician assistant. He is an educator, PA exam-preparation author, and the founder of CME Review Courses. His educational work includes PANRE, PANCE, EOR, and specialty CME review content written for clinicians and PA students.

Course price: $399.99
Access: 30 months
CME: Up to 100 hours of AAPA Category 1 CME from the PANRE Clinical Review Module
Included practice: More than 2,500 PANRE practice questions, including five 240-question practice examinations
Optional add-ons: Amazon or Apple Gift Cards from $100 to $1,500

Your CME budget should support both your professional requirements and your clinical development. The PANRE Review Course with Gift Card is designed to combine exam preparation, CME completion, and flexible use of employer-sponsored CME funds in one purchase.

The key point is straightforward: the Amazon and Apple Gift Cards are optional, paid add-ons. They are not free gifts, rebates, or additional CME. Selecting a $100 gift card adds $100 to the course price. Selecting a $1,500 gift card adds $1,500.

How the PANRE Review Course Supports Your CME Plan

The PANRE Review Course with Gift Card includes the PANRE Clinical Review Module, which is designated for up to 100 hours of AAPA Category 1 CME.

Those 100 hours apply specifically to the PANRE Review Course. They do not automatically apply to the separate Pharmacology CME course or other CME Review Courses products.

The course is delivered online and includes:

• More than 2,500 board-style PANRE questions
• Five full-length practice examinations with 240 questions each
• Detailed explanations and cited references
• Review content across the organ systems and task areas tested on the NCCPA PANRE content blueprint
• A performance dashboard with question tracking and topic-level results
• 30 months of access from the date of purchase

To claim CME, you must complete the applicable course content, pass the post-test with the required score, and complete the activity evaluation. You should claim only the amount of CME that matches your actual participation, up to the 100-hour maximum.

The course is listed at $399.99 before an optional gift card is selected. For example:

• Course only: $399.99
• Course plus $100 Amazon Gift Card: $499.99
• Course plus $500 Apple Gift Card: $899.99
• Course plus $1,500 Amazon Gift Card: $1,899.99

The gift card value does not increase the number of CME hours. It is an optional, separately priced component of the package.

Use the Add-On Strategically

Before selecting an add-on, review your employer’s CME policy. Some organizations allow CME funds to be used for educational materials, digital resources, and related professional expenses. Others restrict purchases to registration fees, courses, travel, or specific vendors.

If gift card add-ons are permitted under your policy, consider the following approach:

1. Determine your remaining CME allowance

Check how much of your annual or certification-cycle allowance remains. If you have $600 available, do not select a package that exceeds the amount your employer will reimburse unless you are prepared to pay the difference.

2. Prioritize the CME value first

The primary purchase is the PANRE Review Course and its potential 100 hours of AAPA Category 1 CME. The gift card is an optional add-on. Select the course because it supports both PANRE preparation and CME completion: not because of the gift card.

3. Match the denomination to your budget

Gift card options range from $100 to $1,500. Choose the amount that fits your documented CME allowance and your employer’s reimbursement rules.

4. Use the access period

Thirty months of access allows you to prepare in stages. You can review high-yield topics early, complete practice questions during a focused study period, and return to weaker areas before the PANRE or PANRE-LA.

5. Know how delivery works

Gift cards are processed and emailed separately, generally within 2–3 business days after purchase. Gift card packages are nonrefundable, so confirm the brand and denomination before completing checkout.

Practice Questions Should Drive Your Study Plan

A course is more useful when you use the questions diagnostically. Do not simply record a percentage and move on. Identify whether each missed question reflects:

• A knowledge deficit
• Misinterpretation of the clinical stem
• Failure to recognize a red flag
• Incorrect prioritization of diagnostic testing
• Confusion between initial management and definitive management

The PANRE Review Course provides five full-length 240-question examinations. Use the first exam to establish a baseline. Then organize subsequent review around the systems and task areas where your performance is weakest.

The same principle applies to PANCE prep courses. Whether you are preparing for the PANCE, PANRE, or PANRE-LA, active retrieval and review of explanations are more useful than repeatedly reading notes without testing yourself.

Clinical Practice Question

Vignette

A 58-year-old woman presents to the emergency department with sudden-onset pleuritic chest pain and dyspnea. She underwent total knee arthroplasty 10 days ago. HR is 118/min, RR is 24/min, BP is 132/78 mm Hg, temperature is 37.1°C, and SaO2 is 91% on room air. Lung examination is clear. There is mild unilateral calf swelling.

Which of the following is the most appropriate next step in management?

A. Obtain a D-dimer level
B. Order CT pulmonary angiography
C. Obtain a portable chest radiograph only
D. Begin thrombolysis immediately
E. Schedule outpatient venous duplex ultrasonography

Answer

B. Order CT pulmonary angiography.

This patient has a high clinical probability of pulmonary embolism based on recent surgery, tachycardia, hypoxemia, pleuritic chest pain, and unilateral leg swelling. She is hemodynamically stable and has no stated contraindication to iodinated contrast. CT pulmonary angiography is the appropriate diagnostic study.

A D-dimer is most useful when pretest probability is low or intermediate; it is not the preferred next step in a patient with a high probability of PE. A chest radiograph may identify alternative diagnoses but cannot exclude PE. Thrombolysis is reserved for selected patients with hemodynamic instability or significant right-heart strain, not this stable patient. Outpatient evaluation is inappropriate given her symptoms and vital-sign abnormalities.

This is the type of question that rewards recognizing both the diagnosis and the correct sequence of care. PANRE preparation should include repeated practice with diagnostic pathways, not only memorization of disease facts.

Gift Card Add-Ons Are Not the CME

The Amazon or Apple add-on can help you use an eligible CME budget for a practical purchase, but it does not replace the educational value of the course.

The 100 Category 1 AAPA credits come from completing the PANRE Clinical Review Module and meeting its completion requirements. The gift card does not provide CME, does not increase your credit total, and does not change the course requirements.

Physician assistants should confirm their current NCCPA CME requirements and maintain appropriate documentation of completed activities. Nurse practitioners should verify whether their state board, certifying organization, or employer accepts AAPA Category 1 credit. Acceptance can vary by state. Physicians should also confirm how the activity applies to their own CME requirements, as AAPA Category 1 credit may be reported differently for physicians.

Add PAtopia for Flexible Exam Practice

If you are also comparing PANCE prep courses or want a separate question-based study platform, PAtopia is available through the web and mobile apps.

• Use the PAtopia web version
• Download PAtopia for iPhone or iPad
• Download PAtopia for Android

PAtopia is an exam-preparation resource, not the source of the 100 AAPA Category 1 CME hours. The AAPA Category 1 credit in this article is tied specifically to the PANRE Review Course.

Final CME Budget Checklist

Before purchasing, confirm:

• Course: PANRE Review Course with up to 100 hours of AAPA Category 1 CME
• Price: $399.99 before any add-on
• Access: 30 months
• Practice content: More than 2,500 questions and five full-length practice examinations
• Gift card: Optional, paid Amazon or Apple add-on from $100 to $1,500
• Delivery: Gift card emailed after processing, generally within 2–3 business days
• Policy: Employer permits the intended use of CME funds
• Credit: You complete the activity requirements and claim only the credit you earn

When your employer allows it, a CME package with a gift card add-on can make your remaining CME dollars more practical. The educational priority remains the same: use the PANRE Review Course to prepare for recertification and complete up to 100 hours of AAPA Category 1 CME.

About the author: Jeremy Boroff, MPAS, PA-C, has 24 years of experience in Emergency Medicine. He is an educator and the founder of CME Review Courses, where he develops clinical review and exam-preparation resources for physician assistants and other healthcare professionals.

Price: $399.99
Access: 30 months
Included practice: 2,500+ board-style questions
Full-length exams: Five 240-question practice exams
CME: Up to 100 AAPA Category 1 credits through the PANRE Clinical Review Module
Gift card options: Paid Amazon or Apple gift card add-ons from $100–$1,500

Choosing between PANRE-LA and the traditional PANRE is primarily a scheduling decision. Both assessments evaluate core medical knowledge using the NCCPA Blueprint, but the testing experience is different.

Your choice should also fit your CME budget. A structured panre review course can combine exam preparation with up to 100 AAPA Category 1 credits, while paid cme gift cards add-ons may help you use employer-provided CME funds efficiently.

PANRE-LA vs Traditional PANRE: The Practical Difference

Traditional PANRE

The traditional PANRE is a single, proctored examination administered at a Pearson VUE testing center.

Key features include:

• One scheduled testing day
• 240 multiple-choice questions
• Four 60-question blocks
• Closed-book testing
• No online or printed references during the examination
• Generally available during years 9 and 10 of the certification maintenance cycle
• Up to three testing opportunities during the applicable testing period, subject to current NCCPA rules

This format is appropriate if you prefer to prepare intensively, schedule one examination date, and complete the assessment in a controlled testing environment.

The main disadvantage is the concentration of risk. Your preparation, travel, work schedule, testing-day performance, and ability to manage a long examination all converge on one date.

PANRE-LA

PANRE-LA is a longitudinal, at-home assessment administered through the NCCPA portal.

Key features include:

• 25 questions per quarter
• Eight required quarters, with up to 12 quarters available
• Up to four quarters may be skipped
• Open-book format
• Online or printed references allowed
• Five minutes allotted for each question
• Administration across years 7 through 9 of the certification cycle
• Immediate feedback and access to rationales after answering questions
• Self-assessment CME available for completed quarters

PANRE-LA is a better fit if you prefer smaller, recurring study commitments rather than one large exam. It also allows you to study around clinical shifts, call schedules, family responsibilities, and travel.

The tradeoff is that PANRE-LA requires consistent participation. Missing quarters, postponing preparation, or treating each assessment as an isolated event can create problems later in the process.

For current eligibility, enrollment timing, scoring, and recertification requirements, review the NCCPA PANRE-LA information.

Which Format Fits Your Schedule?

Use the traditional PANRE if:

• You prefer a defined study period and one testing date.
• You can schedule time away from clinical practice.
• You perform well during proctored examinations.
• You want to complete the assessment without quarterly participation requirements.
• You are comfortable testing without reference materials.

PANRE-LA may fit better if:

• Your clinical schedule makes a single testing date difficult.
• You prefer studying in shorter intervals.
• You want access to references while answering questions.
• You value immediate feedback and longitudinal performance tracking.
• You are willing to maintain a regular quarterly routine.

Neither format eliminates the need for preparation. PANRE-LA is open-book, but the time limit still requires efficient clinical reasoning. You need to know where to find reliable information and recognize the correct diagnosis or management pathway quickly.

The traditional PANRE is closed-book, so recall, prioritization, and test-day endurance become more important.

How a PANRE Review Course Supports Either Option

The content tested on PANRE-LA and traditional PANRE is based on the same NCCPA Blueprint. The difference is the delivery format, not the need to understand cardiovascular disease, pulmonary disorders, emergency medicine, infectious disease, endocrinology, neurology, psychiatry, dermatology, and the other core medical areas.

The PANRE Review Course with Gift Card is designed for both preparation pathways. The course includes:

• More than 2,500 board-style questions
• Five full-length, 240-question practice exams
• Detailed answer explanations and cited references
• Organ-system review modules
• A PANRE Study Library
• Performance tracking and question review tools
• 30 months of access

For traditional PANRE candidates, the five full-length examinations help build pacing and endurance. For PANRE-LA candidates, the question bank can be divided into weekly or quarterly study targets.

The course is also designated for up to 100 AAPA Category 1 CME credits through the PANRE Clinical Review Module. These 100 credits apply specifically to the PANRE Review Course. They do not apply to the separate Pharmacology course. The Pharmacology course has its own credit designation.

Nurse practitioners should verify whether AAPA Category 1 credit is accepted by their state board or employer. Physicians may find the clinical content useful, but acceptance is generally subject to their own licensing and CME requirements.

Understanding the CME Gift Card Add-Ons

The course is available with optional Amazon and Apple gift card add-ons ranging from $100 to $1,500.

These are paid add-ons, not free gifts. The selected gift card amount is added to the course price and increases the total purchase price. For example, a $399.99 course with a $500 gift card add-on has a total package price of $899.99 before any applicable taxes or fees.

The purpose is to help you use available employer CME funds toward a combined educational purchase. Review your employer’s CME policy before selecting an add-on, and choose the amount that fits your approved budget.

Amazon and Apple gift cards are processed separately and delivered by email according to the product’s terms. The PANRE Review Course product page lists the current add-on options and course details.

Common Budget Questions

Does PANRE-LA eliminate the need for CME?

No. PANRE-LA may provide self-assessment CME for completed quarters, but it does not replace your broader CME responsibilities. You still need to track your certification and state requirements.

Is the traditional PANRE more expensive?

The direct assessment fee may be similar, but the total cost can differ. Traditional PANRE candidates may need to account for travel, lodging, time away from work, and testing-day logistics. PANRE-LA may reduce travel demands but requires sustained participation over multiple quarters.

Can one course prepare me for both formats?

Yes, if the course covers the same core medical content tested by both assessments. Use full-length exams to prepare for the traditional PANRE and smaller question sets with timed review sessions to prepare for PANRE-LA.

Clinical Practice Question

Your patient is a 58-year-old man with hypertension who presents with sudden, severe tearing chest pain radiating to the back. BP is 180/100 mmHg in the right arm and 140/85 mmHg in the left arm. HR is 95 bpm. A diastolic decrescendo murmur is heard along the left sternal border. He is hemodynamically stable.

Which diagnostic study is most appropriate to confirm the suspected diagnosis?

A. Transthoracic echocardiography
B. CTA of the chest with IV contrast
C. Chest radiography
D. MRI of the chest without contrast

Answer and Explanation

Correct answer: B. CTA of the chest with IV contrast.

CTA is the preferred initial imaging study for suspected acute aortic dissection in a hemodynamically stable patient because it rapidly demonstrates the intimal flap and the true and false lumens.

Transthoracic echocardiography may be useful at the bedside but has limited visualization of the descending thoracic aorta. Chest radiography may show a widened mediastinum but cannot confirm or exclude dissection. MRI is accurate but is slower and less practical for an acutely symptomatic patient.

Begin immediate anti-impulse therapy with IV beta-blockade while arranging definitive imaging. In practice, CTA provides the best balance of speed, availability, and diagnostic accuracy in a stable patient.

A Simple Study Plan

If you select the traditional PANRE, schedule preparation backward from your examination date. Complete organ-system review first, then use the five full-length practice exams to assess pacing and knowledge gaps.

If you select PANRE-LA, divide the course into quarterly objectives. Review one or two major systems each month, complete targeted question sets, and maintain a running list of missed concepts. Use the immediate feedback from PANRE-LA to direct your next study block.

For earlier-career PAs comparing pance prep courses, PAtopia provides separate preparation resources for the PANCE, PACKRAT, EOC, and EOR examinations:

• Study PAtopia on the web
• Download PAtopia for iOS
• Download PAtopia for Android

About the Author

Jeremy Boroff, MPAS, PA-C is an emergency medicine physician assistant with 24 years of clinical Emergency Medicine experience. He develops PANRE, PANCE, EOR, and specialty CME review materials for physician assistants and writes board-style clinical questions focused on practical diagnosis and management.

When deciding between PANRE-LA and traditional PANRE, match the format to your schedule, testing preferences, and available CME funds. A structured review course can support either pathway while providing up to 100 AAPA Category 1 credits through the PANRE Clinical Review Module. Optional Amazon and Apple gift card add-ons from $100 to $1,500 are available as paid additions to the purchase price.

The PANRE Review Course offers 100 hours of AAPA Category 1 CME credit, includes 30 months of access, and provides more than 2,500 PANRE practice questions. The course is $399.99. Amazon and Apple gift card add-ons from $100–$1,500 are available at checkout. These gift cards are paid add-ons, not free gifts. The gift card amount is added to the purchase price.

If you are preparing for the PANRE, a course that combines exam review with CME can simplify your recertification planning. The PANRE Review Course with Gift Card includes five full-length practice examinations, 1,200 questions across those exams, additional system-based question modules, cited explanations, and a complete PANRE Study Library.

The 100 AAPA Category 1 CME credits apply specifically to the PANRE Review Course. They do not automatically apply to every CME Review Courses product. The separate Pharmacology course has its own credit designation.

Six Facts About AAPA Category 1 CME Credit

Fact 1: Category 1 credit must be formally designated

AAPA Category 1 CME is not simply any educational activity related to medicine. The activity must be reviewed and designated for the appropriate credit by an approved organization.

AAPA describes Category 1 CME as clinical and professional education that maintains, develops, or increases the knowledge, skills, and professional performance used by PAs in patient care, public health, and the profession.

For an online course, look for a clear accreditation statement identifying:

• The sponsoring or accrediting organization
• The type of CME credit
• The number of credits available
• The activity approval or reference number
• The completion requirements

The PANRE Review Course is designated for AAPA Category 1 CME as an enduring material activity. You must complete the course requirements and claim only the credit that matches your participation.

Fact 2: Category 1 and Category 2 are not interchangeable

Category 1 CME has been formally reviewed and designated by an approved accreditor. Category 2 CME is medically related education that has not been formally designated for Category 1 credit.

Examples of activities that may qualify as Category 2 include reading medical journals, reviewing textbooks, participating in informal case conferences, and completing independent study without Category 1 designation.

Category 2 credit can still be useful. However, it does not replace the Category 1 portion of the NCCPA CME requirement. If you are planning your two-year cycle, do not assume that all medical education counts as Category 1.

Fact 3: NCCPA requires 100 CME credits every two years

Under the current NCCPA maintenance process, certified PAs must earn and log 100 CME credits during each two-year cycle, including at least 50 Category 1 CME credits.

The remaining 50 credits may be Category 1, Category 2, or a combination of both. PAs must also meet the other NCCPA maintenance requirements, including the recertification examination schedule and certification maintenance fee.

The PANRE Review Course’s 100 AAPA Category 1 CME credits can cover the full 100-credit total for a two-year cycle if you complete and claim the entire activity. That gives you a single structured education plan instead of accumulating small activities from multiple sources.

Fact 4: Self-assessment and PI-CME may receive additional NCCPA weighting

Not all Category 1 activities are weighted the same way by NCCPA.

NCCPA applies additional weighting to certain activities:

• AAPA Category 1 Self-Assessment CME receives a 50% increase when logged with NCCPA.
• The first 20 eligible PI-CME credits in a two-year cycle are doubled.

This additional weighting applies only when the activity has the required self-assessment or performance-improvement designation. A standard Category 1 course should not be entered as self-assessment or PI-CME unless the provider specifically designates it that way.

The PANRE Review Course provides regular AAPA Category 1 CME credit. Do not apply a self-assessment or PI-CME multiplier to these credits unless the course documentation specifically states that such a designation applies.

Fact 5: You must verify and log the credit correctly

After completing a CME activity, review the provider’s completion documentation before logging the credit. Confirm the activity title, provider, sponsor, credit type, and number of credits earned.

For NCCPA certification maintenance, you can log CME through the NCCPA portal. AAPA Category 1 credits earned through AAPA’s Learning Central may also be transferred through AAPA’s PA Portfolio system when eligible.

NCCPA may audit Category 1 CME submissions. Keep documentation for completed Category 1 activities and make sure the information you report matches the provider’s documentation. You should also check your state’s requirements because state licensing boards may have separate documentation and audit rules.

Fact 6: State requirements may differ from NCCPA requirements

NCCPA certification maintenance and state license renewal are related but separate obligations.

Many state licensing boards recognize current NCCPA certification as part of their CME process, but requirements vary. A state may require specific subject areas, a different credit structure, additional controlled-substance education, or documentation that is not required by NCCPA.

Before purchasing or claiming CME, check with your state medical board. Nurse practitioners should also confirm acceptance with their state board of nursing or certification organization. AAPA Category 1 credit may be accepted by some NP authorities, but acceptance is not uniform.

Why 100 Category 1 Credits Matter When You Are Preparing for PANRE

The PANRE is an examination requirement within the NCCPA recertification process. CME does not replace the examination, but it supports the separate education requirement that accompanies certification maintenance.

A single course can be practical when it serves both purposes:

1. It reviews the clinical topics tested on the PANRE.
2. It provides a structured way to earn Category 1 CME.
3. It allows you to study over an extended access period.
4. It reduces the need to coordinate several unrelated CME activities.
5. It lets you use an employer CME allowance toward clinically relevant education.

The PANRE Review Course includes practice questions across the major medical systems, full-length mock exams, detailed rationales, and cited references. This is more efficient than collecting unrelated CME activities that do not reinforce your exam preparation.

PANRE Practice Question

Your patient is a 58-year-old woman who presents to the emergency department with sudden dyspnea and pleuritic right-sided chest pain 5 days after total knee arthroplasty. HR is 118/min, BP is 128/76 mm Hg, RR is 26/min, and SaO₂ is 89% on room air. Lung examination is clear. She has unilateral left calf swelling and tenderness. ECG shows sinus tachycardia without ST-segment elevation.

What is the most appropriate next diagnostic step?

A. D-dimer assay
B. CT pulmonary angiography
C. Transthoracic echocardiography
D. Immediate systemic thrombolysis

Correct answer: B. CT pulmonary angiography.

This patient has a high pretest probability for pulmonary embolism based on recent major surgery, tachycardia, hypoxemia, pleuritic chest pain, and unilateral leg findings. She is hemodynamically stable, so CT pulmonary angiography is the appropriate diagnostic study when there is no contraindication to iodinated contrast.

A D-dimer is not useful in a patient with high clinical probability and recent surgery because false-positive results are likely. Transthoracic echocardiography may demonstrate right-heart strain but does not establish the diagnosis in a stable patient. Systemic thrombolysis is reserved for massive PE with hemodynamic compromise or selected high-risk cases.

This type of question tests both recognition and management. Reviewing the rationale is important because PANRE questions often require you to distinguish the correct next step from a test or treatment that may be appropriate in a different clinical setting.

Use Your CME Budget Efficiently

The PANRE Review Course with Gift Card combines board-style preparation and CME fulfillment in one purchase:

• 100 AAPA Category 1 CME credits
• More than 2,500 PANRE practice questions
• Five full-length practice examinations
• 1,200 questions across the five mock exams
• 30 months of course access
• Online, self-paced study
• Amazon or Apple gift card add-ons from $100–$1,500

The Amazon and Apple options are paid CME gift card add-ons. They are not complimentary gifts, rebates, or free items. You select the gift card brand and denomination at checkout, and the add-on amount is included in the total purchase price. Gift cards are delivered by email after processing.

Review the PANRE Review Course with 100 AAPA Category 1 CME

Continue Studying With PAtopia

For additional board-style practice, use PAtopia’s web version in any browser. PAtopia includes PANCE prep courses, PACKRAT review, EOC preparation, and all seven major EOR subjects.

You can also study on mobile:

• Download PAtopia for iOS
• Download PAtopia for Android

PAtopia is separate from the PANRE CME course and is designed for question-based PA exam preparation. Use it alongside the PANRE Review Course when you want additional practice blocks and system-based review.

CME reminder: Confirm your current NCCPA earning window, review your state licensing requirements, and claim only the credit supported by the provider’s documentation. Requirements can change, so verify current policies directly with NCCPA and AAPA.

About the Author

Jeremy Boroff, MPAS, PA-C, has 24 years of emergency medicine experience and extensive experience educating physician assistants and other healthcare professionals. He is the founder of CME Review Courses and develops clinical review content for PAs preparing for the PANCE, PANRE, and other professional examinations. His education materials emphasize practical decision-making, evidence-based management, and efficient CME completion for practicing clinicians.

If you are a PA planning for the PANRE and also trying to use your CME allowance efficiently, the purchase structure matters. The PANRE Review Course with Gift Card combines exam preparation, CME completion, and an optional Amazon or Apple gift card add-on in one online package.

Course Price, Access, CME, and Practice Content

• Base course price: $399.99
• Access: 30 months from purchase
• CME: Up to 100 hours of AAPA Category 1 CME through the PANRE Review Course
• Question bank: 2,500+ board-style practice questions
• Full-length practice exams: Five 240-question exams, or 1,200 questions total
• Gift card add-ons: $100–$1,500
• Delivery: Online, self-paced, and mobile-friendly

The 100 hours of AAPA Category 1 CME apply specifically to the PANRE Review Course. They do not refer to the separate Pharmacology CME course. To claim credit, complete the module content, pass the post-test with the required score, and complete the activity evaluation. Claim only the amount of credit that matches your participation.

The activity is designated through the American Academy of Physician Associates, with approval listed through August 26, 2027, under AAPA reference number CME-2016187. Review the current course details on the PANRE Review Course with Gift Card page.

Amazon and Apple Gift Cards Are Paid Add-Ons

This point requires clear explanation: the Amazon and Apple gift cards are not free gifts.

They are optional, paid add-ons that increase the total price of your purchase. The base course is listed at $399.99. If you select a $100 Amazon or Apple gift card, your package total becomes the course price plus the $100 add-on. A $1,500 gift card adds $1,500 to the course price.

Examples:

• PANRE Review Course: $399.99
• Course plus $100 gift card: $499.99
• Course plus $500 gift card: $899.99
• Course plus $1,500 gift card: $1,899.99

The available add-on amount is selected at checkout. You can also purchase the PANRE Review Course without a gift card. Check your employer’s CME policy before purchasing because organizations differ in how they handle bundled educational expenses and add-ons.

Amazon gift cards are processed and emailed within approximately two to three business days. The course page states that gift card packages are nonrefundable after processing. CME Review Courses is not affiliated with Amazon.

Apple gift cards are also paid add-ons available in multiple tiers up to $1,500. They are processed and delivered by email within approximately two to three business days. CME Review Courses is not affiliated with Apple.

How to Maximize Your CME Budget

1. Start with the amount of CME you actually need

Before selecting an add-on, check your NCCPA certification maintenance timeline, employer allowance, and any state-specific requirements that apply to you. The PANRE Review Course can provide up to 100 hours of AAPA Category 1 CME, which may cover a substantial portion of a two-year CME cycle.

The course is designed for practicing PAs preparing for the traditional PANRE or PANRE-LA. It covers the clinical content areas represented in the NCCPA Blueprint and provides question-based review across multiple organ systems.

2. Separate educational value from the add-on amount

The primary purchase is the PANRE preparation and CME activity. The gift card is an optional paid addition. Select the amount based on your approved CME budget, not simply on the largest available tier.

For example, if your employer allows $900 for CME and you want the course, a $500 gift card would bring the total to approximately $899.99 before any applicable taxes or fees. That may fit your allowance, but you should confirm the policy first.

3. Use the 30-month access period strategically

Thirty months of access gives you time to use the course across more than one study phase. You can begin with a diagnostic practice block, identify weak systems, complete the educational content, and return later for additional full-length exams.

A practical schedule is:

• Month 1: Complete a baseline question set.
• Months 2–6: Review weaker organ systems.
• Months 7–12: Complete additional question modules and track performance.
• Months 13–24: Work through the full-length practice examinations.
• Months 25–30: Complete targeted remediation and final exam preparation.

The course includes performance tracking, question flagging, and repeated access to the online materials. That makes the package useful beyond a single weekend review period.

4. Compare the course with other PANCE prep courses carefully

Many PANCE prep courses and PANRE resources focus primarily on question volume. That can be useful, but it does not always include AAPA Category 1 CME.

When comparing products, look at four separate variables:

1. Is the course designed for PANRE, PANCE, or both?
2. How many questions are included?
3. How long does access remain active?
4. Does the course offer recognized CME credit?

The PANRE Review Course combines 2,500+ questions, five 240-question practice examinations, 30 months of access, and up to 100 hours of AAPA Category 1 CME in one package.

Study Tip: Use Questions to Direct Your Review

Do not begin by rereading every topic from the beginning. Start with a timed question block. Classify each missed question as one of three problems:

• Knowledge deficit
• Misinterpretation of the vignette
• Failure to identify the next best step

Then review the explanation and cited source. This approach is more efficient than repeatedly reading material you already know.

For additional short practice blocks, use the PAtopia web version, the PAtopia iOS app, or the PAtopia Android app. PAtopia is a separate study resource and should not be confused with the PANRE Review Course’s AAPA Category 1 CME activity.

Clinical Practice Question

Vignette

Your patient is a 68-year-old man with fever, dysuria, and left flank pain. He is confused and appears ill. Vital signs are: T 39.2°C, HR 124/min, BP 84/52 mm Hg, RR 26/min, and SaO₂ 94% on room air. Laboratory testing shows WBC 19,000/mm³ and lactate 4.6 mmol/L. You administer broad-spectrum IV antibiotics and 30 mL/kg of crystalloid. His MAP remains 58 mm Hg.

Which of the following is the next best intervention?

A. Administer IV furosemide
B. Begin a norepinephrine infusion
C. Administer an additional dose of broad-spectrum antibiotics
D. Start dopamine as first-line vasopressor therapy
E. Obtain CT angiography of the chest

Answer and Explanation

B. Begin a norepinephrine infusion.

This patient has septic shock with persistent hypotension after adequate initial fluid resuscitation. Norepinephrine is the first-line vasopressor to restore vascular tone and maintain MAP, generally targeting at least 65 mm Hg.

Furosemide would worsen intravascular depletion. Additional antibiotics should not delay hemodynamic support. Dopamine is not preferred because of its higher risk of tachyarrhythmias. CT angiography of the chest does not address the immediate shock state.

This is the type of next-step management question that should be part of your PANRE review routine: identify the syndrome, assess the immediate threat, and select the intervention that changes short-term mortality or stabilization.

Confirm the Details Before Checkout

The CME with Gift Card package is structured as follows:

• $399.99 base price
• Optional paid Amazon or Apple add-ons from $100 to $1,500
• 30 months of course access
• Up to 100 hours of AAPA Category 1 CME through the PANRE Review Course
• 2,500+ practice questions
• Five full-length 240-question practice exams
• Gift card delivery by email, generally within two to three business days

Nurse practitioners should verify whether their state board or employer accepts AAPA Category 1 credit for their specific renewal requirements. Physicians may find the clinical content useful, but the AAPA Category 1 designation is intended for PAs; physicians should confirm how the activity applies to their own CME requirements.

Author Credentials

Jeremy Boroff, MPAS, PA-C, has 24 years of Emergency Medicine experience and has worked extensively as a clinician, educator, and medical education author. He is the founder of CME Review Courses and develops board-style review content for practicing physician assistants, including PANRE preparation and Category 1 CME activities.

PANCE®, PANRE®, and PANRE-LA are trademarks of the National Commission on Certification of Physician Assistants. CME Review Courses is not affiliated with NCCPA, Amazon, or Apple.

If you are approaching recertification, you have two assessment options: PANRE-LA or the traditional PANRE. Both evaluate core medical knowledge using the same NCCPA PANRE/PANRE-LA Content Blueprint, but the testing experience is substantially different.

Your decision should be based on your certification-cycle timeline, schedule, testing preferences, and ability to maintain a consistent review routine.

Course Details at a Glance

• Price: $399.99 for the PANRE Review Course
• Access: 30 months
• CME: Up to 100 hours of AAPA Category 1 CME through the PANRE Clinical Review Module
• Deliverables: More than 2,500 board-style practice questions, 15 body-system modules, full-length mock exams, answer rationales, cited references, downloadable study materials, and performance tracking
• Optional add-ons: Paid Amazon or Apple Gift Cards from $100 to $1,500

The gift card add-ons are not free gifts. The amount you select is added to the total purchase price. Review your employer’s CME policy before choosing an add-on.

Explore the PANRE Review Course and CME gift cards

PANRE-LA vs. Traditional PANRE: The Core Difference

The traditional PANRE is a single, proctored examination completed at a Pearson VUE testing center. PANRE-LA is an online, longitudinal assessment completed over multiple quarters.

According to NCCPA’s current certification-maintenance information, both options require you to maintain your CME and complete the applicable recertification assessment before the end of your 10-year certification cycle. The application fee is currently the same for both options.

Feature	Traditional PANRE	PANRE-LA
Testing environment	Pearson VUE testing center	Online using a compatible device
Timing	Years 9 or 10 of the certification cycle	Apply in year 6; questions administered during years 7–9
Question structure	240 questions in four 60-question blocks	25 questions per quarter
Time per question	60 minutes per 60-question block	Five minutes per question
References	Closed-book testing environment	Printed or online references permitted
Participation	One scheduled examination event	Complete at least eight of 12 available quarters
Feedback	Results are typically available after testing	Immediate feedback, rationale, and references
Content	Same NCCPA recertification content	Same NCCPA recertification content

Who May Prefer PANRE-LA?

PANRE-LA may be appropriate if you prefer a distributed assessment rather than one high-stakes examination day.

You may be a good fit for PANRE-LA if you:

• Prefer shorter assessment sessions spread across several years
• Can protect time each quarter to complete the required questions
• Like using references to verify uncertain answers
• Want immediate feedback after each question
• Prefer identifying knowledge gaps gradually
• Have difficulty scheduling travel or a full day away from clinical practice

PANRE-LA is not an open-book shortcut. You still need a working knowledge of the material. Each question has a five-minute limit, so you must recognize the relevant diagnosis, management issue, or next-best step before consulting a reference.

NCCPA provides 12 quarters for the assessment. You must complete at least eight quarters, including participation requirements during the earlier years of the process. Your final performance is based on your best eight quarters. If you do not complete the PANRE-LA successfully, NCCPA provides a traditional PANRE pathway before certification expiration under its current policies.

A practical PANRE-LA strategy is to divide each quarterly question set into two or three planned sessions. Complete the questions early enough to review the rationales and correct knowledge gaps before the quarter closes.

Who May Prefer Traditional PANRE?

The traditional PANRE may be a better fit if you want to prepare for one defined examination date and finish the assessment in a single event.

You may prefer traditional PANRE if you:

• Perform well under timed, closed-book conditions
• Want to complete the assessment in one scheduled session
• Prefer a concentrated study period
• Do not want a multiyear quarterly commitment
• Can travel to a Pearson VUE testing center
• Are comfortable answering mixed clinical questions without outside references

The traditional PANRE consists of four 60-question blocks. Each block allows 60 minutes, with scheduled breaks and a tutorial period. The total appointment is approximately five hours.

Preparation should include timed blocks that approximate this structure. Reviewing isolated questions while checking references will not adequately prepare you for the pacing, concentration, and decision-making required on test day.

How the Same Review Course Supports Both Paths

The assessment formats differ, but the clinical content overlaps. A focused PANRE review course can support either pathway when you use it according to your testing format.

For PANRE-LA preparation:

1. Complete smaller question sets consistently.
2. Use rationales to identify recurring knowledge gaps.
3. Practice locating information quickly in one or two reliable references.
4. Track errors by organ system and clinical task.
5. Avoid waiting until the end of the quarter.

For traditional PANRE preparation:

1. Start with a baseline mixed question set.
2. Review each major NCCPA content area.
3. Use timed, closed-book 60-question blocks.
4. Practice changing topics rapidly.
5. Analyze incorrect answers rather than simply reviewing correct ones.

The course includes more than 2,500 board-style questions, 15 body-system modules, five full-length practice examinations with 240 questions each, answer explanations, cited sources, and 30 months of access. You can study by organ system early in your preparation and transition to mixed practice later.

Although PANCE prep courses are primarily designed for initial certification, many of the same study methods apply to PANRE preparation: active recall, clinical vignettes, error tracking, and timed practice. However, a dedicated PANRE course is more appropriate when your goal is recertification.

The Value of 100 AAPA Category 1 CME Credits

The PANRE Review Course provides up to 100 hours of AAPA Category 1 CME through the PANRE Clinical Review Module. These credits apply specifically to the PANRE Review Course. They do not automatically apply to every CME Review Courses product.

To claim credit, complete the course requirements, including the post-test and evaluation, and claim only the amount commensurate with your participation. Review current NCCPA CME and certification-maintenance requirements before logging your credit.

The 100-credit package can help you address a significant portion of a two-year CME cycle while reviewing the same clinical domains relevant to PANRE and PANRE-LA.

The Pharmacology Review Course is a separate CME activity with its own credit designation. Do not assume that completing one product awards the credit associated with another product.

For physicians, AAPA Category 1 credit may generally be reported as Category 2 CME rather than Category 1 physician CME. Nurse practitioner acceptance varies by state board and employer. NPs should verify requirements with their state board of nursing before purchase.

How to Maximize Your CME Budget With Gift Card Add-Ons

The CME with Gift Card package allows you to purchase the PANRE Review Course and add an Amazon or Apple Gift Card in amounts from $100 to $1,500.

These are paid add-ons, not complimentary gifts. The selected gift card amount increases the total purchase price. The course itself is priced at $399.99, and the add-on is selected separately at checkout.

This option may be useful if your employer provides a defined CME allowance and permits the purchase structure. Before ordering:

• Confirm that your employer allows this type of CME expenditure.
• Select an add-on that fits your available budget.
• Verify whether your organization has restrictions on gift cards.
• Remember that gift card purchases are subject to the product’s stated terms.

Common PANRE Review Mistakes

Treating PANRE-LA as an open-book shortcut

References can support your reasoning, but they cannot replace preparation. Five minutes is not enough time to search broadly for every question.

Waiting until the final year

Traditional PANRE preparation becomes compressed when started only a few weeks before the examination. PANRE-LA also requires ongoing participation. Start early enough to identify weak systems and correct them.

Studying only familiar conditions

Your daily clinical practice may not expose you to every NCCPA content area. Review renal medicine, dermatology, infectious disease, psychiatry, hematology, endocrine disorders, and other areas outside your routine practice.

Reading without answering questions

Passive review creates familiarity but does not prove that you can apply information to a clinical vignette. Use questions to test diagnosis, treatment, contraindications, screening, and next-best-step decisions.

Ignoring the testing format

For PANRE-LA, practice five-minute decisions with limited reference searching. For traditional PANRE, complete timed, closed-book blocks.

Practice Question: Traditional PANRE Style

Clinical vignette: Your patient is a 68-year-old man with atrial fibrillation who presents with sudden left-sided weakness and aphasia. Symptoms began 75 minutes ago. HR is 118/min and irregular, BP is 174/96 mmHg, SaO₂ is 97% on room air, and glucose is 104 mg/dL. Noncontrast CT shows no hemorrhage.

What is the most appropriate next step?

A. Administer IV alteplase after confirming no contraindication
B. Start warfarin immediately
C. Perform a lumbar puncture
D. Administer aspirin and defer further evaluation

Correct answer: A. Administer IV alteplase after confirming no contraindication.

The patient has an acute ischemic stroke with disabling neurologic deficits and presentation within the thrombolysis window. IV thrombolysis is appropriate after rapid assessment of contraindications.

Warfarin is not an immediate treatment for acute stroke. Lumbar puncture is unnecessary and delays treatment. Aspirin may be used when thrombolysis is not given or after the appropriate post-thrombolysis interval, but it is not the best initial answer here.

Practice Question: PANRE-LA Style

Clinical vignette: Your patient is a 27-year-old woman with lower abdominal pain, fever, dyspareunia, and mucopurulent cervical discharge. Temperature is 38.3°C. Pelvic examination demonstrates cervical motion tenderness and bilateral adnexal tenderness. Pregnancy testing is negative.

What is the most appropriate treatment?

A. Oral fluconazole alone
B. Empiric treatment for PID with coverage for gonorrhea, chlamydia, and anaerobes
C. Immediate diagnostic laparoscopy in all cases
D. Observation until cervical cultures return

Correct answer: B. Empiric treatment for PID with coverage for gonorrhea, chlamydia, and anaerobes.

Pelvic inflammatory disease should be treated empirically when pelvic or lower abdominal pain is accompanied by cervical motion, uterine, or adnexal tenderness and no better alternative diagnosis is identified.

Fluconazole treats vulvovaginal candidiasis, not PID. Diagnostic laparoscopy is reserved for selected cases, including diagnostic uncertainty or failure of outpatient treatment. Waiting for cultures increases the risk of complications and does not reflect standard initial management.

Bottom Line

Choose PANRE-LA if you prefer distributed testing, immediate feedback, reference-supported questions, and a structured quarterly process. Choose the traditional PANRE if you prefer one proctored examination, closed-book testing, and a concentrated preparation period.

Whichever path you select, begin with the official NCCPA timeline and content requirements. Then use a structured PANRE review course to build clinical recall, practice the correct testing format, and address weak areas.

The CME Review Courses PANRE package combines exam preparation with up to 100 hours of AAPA Category 1 CME, 30 months of access, and optional paid Amazon or Apple cme gift cards ranging from $100 to $1,500. Confirm your employer’s policies, verify current NCCPA requirements, and use the course consistently rather than waiting until the final weeks.

Review the PANRE Course and CME Gift Card Options

Educational content only. Confirm current eligibility, deadlines, scoring policies, and certification requirements directly with NCCPA.

Course price: $399.99
Access: 30 months
Practice content: More than 2,500 board-style questions
Full-length exams: Five 240-question practice exams
CME: Up to 100 AAPA Category 1 CME credits through the PANRE Clinical Review Module
Optional add-ons: Paid Amazon or Apple gift cards from $100 to $1,500

The gift card options are paid add-ons. They increase the total purchase price and are not free gifts, discounts, rebates, or additional CME. Review your employer’s CME policy before selecting an add-on.

Preparing for the PANRE while working full-time requires more than collecting review materials. You need a plan that matches your recertification pathway, identifies knowledge gaps, and uses your CME budget for a clinically relevant activity.

Below are five common PANRE review mistakes and the more efficient approach for avoiding each one.

Mistake 1: Using PANCE Preparation as Your Primary PANRE Strategy

PANCE preparation and PANRE preparation overlap clinically, but they serve different points in a PA’s career.

The PANCE is an initial certification examination for PA students and recent graduates. PANRE is a recertification assessment for practicing PAs. A PANCE resource may still help with foundational review, but relying on PANCE prep courses alone can leave your preparation poorly organized for recertification.

PANRE review should address broad clinical reasoning across the organ systems and task areas identified in the NCCPA Blueprint. This includes cardiovascular, pulmonary, gastrointestinal, endocrine, infectious disease, neurology, psychiatry, dermatology, musculoskeletal, renal, reproductive, hematologic, and emergency medicine topics.

Your clinical practice may be concentrated in one specialty. The PANRE is not. A PA practicing primarily in orthopedics may need to spend more time on cardiology, infectious disease, or endocrine management than on familiar musculoskeletal conditions.

Better approach

Begin with mixed board-style questions. Sort missed items by:

• Organ system
• Diagnosis versus management
• Pharmacology
• Diagnostic sequencing
• Misread stem or incorrect prioritization

Then direct your study time toward weak areas rather than reviewing only familiar material.

Mistake 2: Relying on Passive Review

Reading notes can create a false sense of competence. Recognizing that you have seen information before does not confirm that you can retrieve and apply it under exam conditions.

PANRE questions require you to identify the key clinical finding, select the next best step, and distinguish the correct option from plausible distractors. Active recall is more efficient than repeated rereading.

A practical daily routine is:

1. Complete 20 to 40 questions before viewing explanations.
2. Mark questions answered incorrectly or by guessing.
3. Read the rationale for the correct answer and each distractor.
4. Record the clinical principle behind the error.
5. Revisit the topic later in a mixed question set.

A question bank is most useful when the explanations teach decision-making. The goal is not merely to increase the number of questions completed. The goal is to improve your ability to recognize patterns and choose appropriate management.

PANRE-Style Clinical Vignette

Your patient is a 63-year-old man who is two days postoperative from total knee arthroplasty. He develops sudden dyspnea and pleuritic right-sided chest pain. His HR is 112/min, BP is 128/76 mm Hg, RR is 24/min, and SaO₂ is 91% on room air. Lung examination is clear. His left calf is swollen and tender. He has no known renal disease or contrast allergy.

Which diagnostic study is most appropriate next?

A. D-dimer assay
B. CT pulmonary angiography
C. Bilateral lower-extremity venous ultrasound only
D. Exercise stress testing
E. Transthoracic echocardiography as the first test

Correct answer: B. CT pulmonary angiography

CT pulmonary angiography is correct because this patient has a high pretest probability for acute pulmonary embolism based on recent surgery, tachycardia, hypoxemia, pleuritic chest pain, and unilateral leg findings. He is hemodynamically stable and has no stated contraindication to iodinated contrast.

D-dimer testing is less useful with high clinical suspicion and recent surgery. Lower-extremity ultrasound alone may identify DVT but does not directly assess the pulmonary vasculature. Exercise stress testing is inappropriate during an acute presentation concerning for PE. Transthoracic echocardiography may help evaluate right-heart strain, particularly in an unstable patient, but it is not the preferred initial confirmatory study here.

Mistake 3: Studying for PANRE and PANRE-LA With the Same Testing Strategy

Traditional PANRE and PANRE-LA assess overlapping clinical content, but the testing environments differ.

Feature	Traditional PANRE	PANRE-LA
Format	Single, proctored examination	Online longitudinal assessment
Questions	240 questions in one testing session	25 questions per quarter
References	Closed-book	Open-book, with permitted references
Timing	Concentrated exam-day performance	Repeated quarterly participation
Preparation emphasis	Pacing, endurance, and mixed-system review	Consistent review and efficient reference use

The traditional PANRE is generally taken during years 9 and 10 of the certification cycle. PANRE-LA is an alternative longitudinal pathway conducted over multiple quarters. Confirm your eligibility, deadlines, scoring requirements, and current policies directly with the NCCPA PANRE-LA information page.

PANRE-LA is not an open-book shortcut. Five minutes per question is limited when you must interpret a vignette, identify the relevant issue, search a reference, and make a decision. You still need a broad knowledge base.

Better approach

If you plan to take the traditional PANRE, use timed mixed blocks and full-length practice exams. Practice remaining focused across a long testing session.

If you plan to participate in PANRE-LA, establish a consistent weekly or monthly review routine. Use references selectively and practice identifying the central clinical problem before searching.

Mistake 4: Taking Full-Length Exams Too Late

A full-length exam should identify problems early enough for you to correct them. Waiting until the final week may reveal weaknesses without leaving sufficient time to address them.

The PANRE Review Course includes five full-length 240-question practice exams. Use them as progress checkpoints:

• Exam 1: Establish a baseline.
• Exam 2: Reassess your highest-priority weak areas.
• Exam 3: Practice pacing across mixed systems.
• Exam 4: Identify persistent errors.
• Exam 5: Simulate test-day conditions.

Do not review only the total score. Analyze performance by organ system, question type, and timing. A missed question may reflect a knowledge gap, a misread stem, incorrect sequencing, or fatigue.

For traditional PANRE preparation, complete at least one simulation under closed-book, timed conditions. For PANRE-LA preparation, use the full-length exams to identify content gaps, then convert those gaps into shorter, focused question blocks.

Mistake 5: Separating PANRE Preparation From CME Planning

Purchasing one product for exam preparation and another for CME can increase cost and divide your attention. A focused activity can support both goals when its credit designation matches your needs.

The PANRE Review Course costs $399.99, includes 30 months of access, and provides more than 2,500 board-style questions. It also includes five full-length 240-question exams and a complete PANRE Study Library.

The up to 100 AAPA Category 1 CME credits apply specifically to the PANRE Clinical Review Module within the PANRE Review Course. They do not automatically apply to the separate Pharmacology Course or other CME products. To earn the available credit, complete the required educational content, pass the post-test, and complete the activity evaluation. Claim only the credit commensurate with your participation.

Optional cme gift cards are available through Amazon and Apple in amounts from $100 to $1,500. The selected amount is added to the course price.

For example:

• Course only: $399.99
• Course plus $100 add-on: $499.99
• Course plus $500 add-on: $899.99
• Course plus $1,500 add-on: $1,899.99

The gift card is a separate paid component. It does not increase the number of CME credits and is not a free gift, discount, or rebate. Confirm that your employer permits this type of purchase before using CME funds.

A More Efficient Daily PANRE Routine

A short, consistent routine is more useful than irregular marathon sessions.

1. Complete a focused question block

Use 20 to 40 questions. Choose mixed topics for traditional PANRE preparation or shorter, system-based blocks when addressing a specific weakness.

2. Review errors immediately

Read the explanation even when you selected the correct answer by guessing. Identify why the correct option is preferred and why the distractors are less appropriate.

3. Reinforce one topic

Review one related section in the study library, then complete several new questions on that topic. Avoid opening multiple unrelated resources during the same session.

4. Reassess regularly

Use full-length exams to measure progress. Adjust your study plan based on performance data, not familiarity with the material.

PANCE Preparation Versus PANRE Preparation

PA students preparing for initial certification should use resources designed for the PANCE. PAtopia’s web version provides PANCE, PACKRAT, EOC, and EOR preparation resources.

PAtopia is also available through:

• PAtopia for iOS
• PAtopia for Android

These resources are separate from the PANRE Review Course. PAtopia does not provide the up to 100 AAPA Category 1 CME credits associated with the PANRE Clinical Review Module.

Final Checklist

Before purchasing or beginning your review plan, confirm:

• Your certification-cycle year
• Whether traditional PANRE or PANRE-LA fits your schedule
• Your weakest organ systems and task areas
• The required CME amount for your current cycle
• The post-test and evaluation requirements
• Your employer’s policy for paid add-ons
• The total price after selecting a gift card
• That the gift card does not provide additional CME

The PANRE Review Course provides a structured way to combine recertification preparation and CME planning: $399.99, 30 months of access, more than 2,500 board-style questions, five full-length 240-question exams, and up to 100 AAPA Category 1 CME credits through the PANRE Clinical Review Module.

Review the PANRE Review Course and optional gift card add-ons.

Author Box

Jeremy Boroff, MPAS, PA-C

Jeremy Boroff is a physician assistant, educator, CME developer, and founder of CME Review Courses with 24 years of Emergency Medicine experience. He develops PANRE, PANCE, EOR, and specialty review materials focused on practical clinical reasoning, board-style questions, and evidence-informed explanations.

Educational requirements and credit acceptance can change. Confirm current policies with NCCPA, AAPA, your employer, state licensing board, or certifying organization before claiming CME or using CME funds.

Price: $399.99 for the PANRE Review Course
Access: 30 months
CME: Up to 100 AAPA Category 1 CME credits through the PANRE Clinical Review Module
Practice questions: More than 2,500 board-style questions, including five full-length 240-question exams
Optional add-ons: Paid Amazon or Apple gift cards from $100 to $1,500

The Amazon and Apple gift card options are paid add-ons, not free gifts. The amount selected is added to the course price, and the gift card does not provide additional CME credit.

For PAs preparing for PANRE or PANRE-LA, AAPA Category 1 credit can support both exam preparation and NCCPA certification maintenance. However, the terms “Category 1,” “AAPA Category 1,” and “100 credits” should not be treated as interchangeable in every situation.

Here are five facts to review before selecting a PANRE Review Course.

Fact 1: AAPA Category 1 CME is accepted by NCCPA for Category 1 requirements

NCCPA accepts several recognized CME designations for certification maintenance, including AAPA Category 1 CME. This is why the accrediting organization and exact credit designation matter when you select a course.

For a PA who remains continuously certified, NCCPA generally requires:

• 100 total CME credits every two-year cycle
• At least 50 Category 1 CME credits
• The remaining credits as Category 1, Category 2, or a combination

The current NCCPA continuing medical education requirements explain the applicable credit categories and logging requirements.

The PANRE Clinical Review Module within the PANRE Review Course is designated for up to 100 AAPA Category 1 CME credits. This can provide a substantial portion of a PA’s CME requirement while the PA reviews core medical knowledge for recertification.

That does not mean every PA must earn exactly 100 Category 1 credits in a routine cycle. It means the activity offers up to 100 credits that may be claimed based on completion and participation.

Fact 2: The 100-credit PANRE course is different from the routine 50-credit Category 1 minimum

A common misunderstanding is that every PA must earn 100 Category 1 credits during every two-year cycle. For most continuously certified PAs, the standard requirement is 100 total credits, including at least 50 Category 1 credits.

A separate 100-credit Category 1 requirement may apply to a PA who is attempting to regain certification after a lapse. If your certification has expired, review the applicable NCCPA policy before assuming that the routine maintenance rules apply.

The PANRE Review Course can still be useful under either situation because it provides up to 100 AAPA Category 1 CME credits through its PANRE Clinical Review Module. However, you are responsible for confirming:

1. Your current certification status
2. Your CME earning window
3. The number and type of credits you still need
4. Whether you are preparing for traditional PANRE or PANRE-LA
5. Whether the course approval period covers your completion date

The course is listed under AAPA reference number CME-2016187, with approval valid from August 26, 2026, through August 26, 2027. Verify current approval details on the PANRE Review Course product page before beginning the activity.

Fact 3: Category 1 CME is not limited to one educational format

AAPA Category 1 CME may include standard educational activities, self-assessment activities, and performance-improvement activities. These formats have different structures and may receive different treatment when logged with NCCPA.

For example, NCCPA applies additional weighting to certain activities:

• AAPA Category 1 Self-Assessment CME receives a 50% increase when logged with NCCPA.
• The first 20 eligible PI-CME credits in a two-year cycle may be doubled.

The additional weighting applies to the NCCPA certification-maintenance calculation. It does not automatically change the number of credits awarded by the course provider or the number of credits accepted by a state licensing board.

The PANRE Review Course should be evaluated according to the designation stated for the specific activity. Do not assume that every question bank or exam-preparation product is automatically self-assessment CME. The course requirements, credit designation, and completion instructions control what you may claim.

Fact 4: You must complete the activity requirements before claiming the available credit

The PANRE Review Course provides educational content and practice questions, but selecting the course does not automatically award 100 CME credits.

To claim the available AAPA Category 1 CME through the PANRE Clinical Review Module, you must complete the required activity components. These include:

• Reviewing the applicable course content
• Completing the module post-test
• Achieving the required passing score of at least 70%
• Completing the activity evaluation
• Claiming only the credit supported by your participation

This distinction is important when using an online PANRE review course. Access to a question bank is not the same as completion of an accredited CME activity.

After completing the activity, log the credit with NCCPA according to its current instructions. AAPA recommends having the program title, provider, number of credits, and sponsoring organization available when logging CME. Keep documentation of completed Category 1 activities for the period required by NCCPA in case of an audit.

The credit belongs to the educational activity. It does not come from the gift card add-on, the purchase transaction, or the number of dollars spent.

Fact 5: AAPA Category 1 credit may not satisfy every state or profession-specific requirement

AAPA Category 1 CME is designed primarily for physician assistant education and is accepted by NCCPA for PA certification maintenance. State licensing boards may apply additional or different requirements.

Nurse practitioners should confirm whether their state board of nursing or certifying organization accepts AAPA Category 1 credit. Acceptance varies by state and by the specific renewal requirement.

Physicians should also verify how the activity is classified under their applicable CME system. Clinical content may be useful, but AAPA Category 1 credit does not automatically satisfy a physician’s Category 1 requirement.

The same principle applies to employer reimbursement. Before purchase, confirm that your organization permits the course and any associated paid add-on.

What the PANRE Review Course includes

The PANRE Review Course is designed for practicing PAs preparing for broad recertification review. The course includes:

• Up to 100 AAPA Category 1 CME credits through the PANRE Clinical Review Module
• More than 2,500 board-style questions
• Five full-length practice exams
• 240 questions per full-length exam
• Detailed rationales and cited sources
• Organ-system review across the current NCCPA Blueprint
• A PANRE study library
• 30 months of access

The five full-length examinations provide 1,200 questions in a comprehensive testing format. The additional question bank allows you to focus on specific areas such as cardiology, pulmonary medicine, gastroenterology, neurology, dermatology, infectious disease, endocrinology, renal medicine, psychiatry, reproductive health, and emergency medicine.

How the paid CME gift card add-ons work

CME Review Courses offers optional cme gift cards through Amazon and Apple. Available amounts range from $100 to $1,500.

These are paid add-ons. They are not free gifts, rebates, discounts, or additional CME.

Examples include:

• Course only: $399.99
• Course plus $100 gift card: $499.99
• Course plus $500 gift card: $899.99
• Course plus $1,000 gift card: $1,399.99
• Course plus $1,500 gift card: $1,899.99

The selected gift card amount increases the total purchase price. It does not increase the number of AAPA Category 1 credits, add practice questions, or alter the access period.

Gift cards are generally processed and delivered by email within two to three business days. Gift card packages are nonrefundable after issuance. CME Review Courses is not affiliated with or sponsored by Amazon or Apple.

PANRE-style clinical practice question

Vignette

Your patient is a 64-year-old man who is two days postoperative from total knee arthroplasty. He develops sudden dyspnea and pleuritic right-sided chest pain. His HR is 114/min, BP is 126/78 mm Hg, RR is 25/min, and SaO₂ is 90% on room air. He has unilateral left calf swelling and tenderness. He is alert and hemodynamically stable, with no history of renal disease or contrast allergy.

Which diagnostic study is most appropriate next?

A. D-dimer assay
B. CT pulmonary angiography
C. Bilateral lower-extremity venous ultrasound only
D. Transthoracic echocardiography as the first test
E. Exercise stress testing

Answer and explanation

B. CT pulmonary angiography is correct. This patient has a high pretest probability for acute pulmonary embolism based on recent surgery, tachycardia, hypoxemia, pleuritic chest pain, and unilateral leg findings. He is stable and has no stated contraindication to iodinated contrast, making CT pulmonary angiography the appropriate next diagnostic study.

D-dimer testing is not useful when the clinical probability is high and postoperative elevation is expected. Lower-extremity ultrasound alone may identify DVT but does not directly evaluate the pulmonary circulation. Echocardiography is useful for assessing right-heart strain, especially in an unstable patient, but it is not the preferred initial confirmatory test here. Stress testing is inappropriate in an acute presentation concerning for PE.

Do not confuse PANCE prep courses with PANRE resources

PANCE prep courses are designed primarily for PA students preparing for initial certification. PANRE preparation is intended for practicing PAs completing recertification requirements.

The content overlaps because both examinations assess core medical knowledge. The preparation context differs. A PA preparing for PANRE should use resources that address broad review, recertification timing, full-length practice, and the current NCCPA Blueprint.

For PA students and recent graduates, PAtopia’s web version provides preparation for the PANCE, PACKRAT, EOC, and EOR examinations. PAtopia is also available through the PAtopia iOS app and PAtopia Android app.

PAtopia is separate from the PANRE Review Course and does not provide the 100 AAPA Category 1 CME credits associated with the PANRE Clinical Review Module.

Final checklist before purchasing

Before selecting a PANRE CME course, confirm:

• The exact AAPA Category 1 credit designation
• The number of credits available
• Your current NCCPA cycle and certification status
• The course completion requirements
• The course approval period
• Your employer’s reimbursement policy
• Whether paid gift card add-ons are permitted
• Whether you need PANRE or PANRE-LA preparation
• Whether the course provides sufficient practice questions and full-length exams

The PANRE Review Course costs $399.99, provides 30 months of access, includes more than 2,500 board-style questions, and offers up to 100 AAPA Category 1 CME credits through the PANRE Clinical Review Module specifically.

Optional Amazon and Apple gift card add-ons range from $100 to $1,500. They are paid additions to the course price and do not provide additional CME.

Review the PANRE Review Course with gift card options or browse CME Review Courses.

Author Box

Jeremy Boroff, MPAS, PA-C

Jeremy Boroff is a physician assistant with 24 years of Emergency Medicine experience. He is an educator, author, CME developer, and founder of CME Review Courses. His review materials emphasize practical clinical reasoning, board-style vignettes, evidence-informed explanations, and efficient preparation for PA certification and recertification examinations.

CME requirements and credit acceptance can change. Verify current requirements with AAPA, NCCPA, your state licensing board, certifying organization, and employer before claiming CME or using CME funds.

Price: $399.99 for the PANRE Review Course
Access: 30 months
CME: Up to 100 AAPA Category 1 CME credits through the PANRE Clinical Review Module
Practice questions: 1,200 board-style questions across five 240-question exams
Optional add-ons: Paid Amazon or Apple gift cards from $100 to $1,500

The gift cards are not free gifts. They are paid add-ons that increase the total purchase price, and they do not provide additional CME credit.

For a PA approaching recertification, the first decision is not which review book to open. It is which NCCPA recertification pathway fits your testing style, schedule, and current point in the 10-year certification cycle: the traditional PANRE or the PANRE Longitudinal Assessment, commonly called PANRE-LA.

Traditional PANRE vs PANRE-LA: The Essential Comparison

Both pathways assess core medical knowledge across the NCCPA Blueprint. The difference is how and when you demonstrate that knowledge.

Feature	Traditional PANRE	PANRE-LA
Testing window	Years 9–10 of the certification cycle	Questions administered during years 7–9
Format	Single-day, closed-book, proctored exam	At-home, online, open-book assessment
Question schedule	240 questions in one sitting	25 questions per quarter
Participation requirement	One examination attempt at a time	Complete at least 8 of up to 12 quarters
Scoring	Passing scaled score of 379	Best-8 cumulative score of 1150
Testing environment	Proctored testing center	Home or another appropriate location using approved technology
Study approach	Concentrated preparation before one high-stakes exam	Repeated preparation and review over multiple quarters

The NCCPA’s PANRE-LA information explains that PANRE-LA participants receive 25 questions each quarter, may use online or printed references, and can skip up to four quarters. Scores are recalculated using the best eight quarters.

The traditional PANRE remains a more concentrated assessment: 240 questions, closed-book, proctored, and completed in a single testing session. You generally take this route during years 9 or 10.

Which path is better for you?

Choose the traditional PANRE if you:

• Prefer to prepare for one defined exam date.
• Perform well in a proctored testing environment.
• Want to complete the assessment in one sitting.
• Are already in years 9–10 of your certification cycle.
• Prefer not to manage quarterly deadlines.

Choose PANRE-LA if you:

• Prefer shorter assessment periods distributed throughout the year.
• Want to use references while answering questions.
• Are eligible during the years 7–9 testing window.
• Prefer ongoing feedback instead of one final exam score.
• Can consistently dedicate time to quarterly preparation.

PANRE-LA is not an easier version of the traditional PANRE. It is a different assessment structure. You still need broad knowledge of the NCCPA Blueprint, including cardiovascular, pulmonary, infectious disease, neurology, psychiatry, dermatology, musculoskeletal, reproductive, gastrointestinal, renal, endocrine, hematology, and emergency medicine topics.

Two Distinct CME Review Course Options

CME Review Courses offers two separate preparation products. Both are designed for practicing PAs and provide access for 30 months.

PANRE Review Course

The PANRE Review Course is designed for PAs preparing for the traditional PANRE while also supporting review for core medical content assessed by PANRE-LA.

The purchase includes:

• $399.99 base price
• 30 months of access
• 1,200 board-style questions
• Five 240-question practice examinations
• Detailed rationales and cited sources
• A comprehensive PANRE Study Library
• Up to 100 AAPA Category 1 CME credits

The 100-credit designation applies specifically to the PANRE Clinical Review Module within the PANRE Review Course. It is not a blanket designation for unrelated courses, and it does not refer to the Pharmacology course.

PANRE-LA Review Course

The PANRE-LA Review Course is a separate course for PAs preparing for the longitudinal assessment.

It includes:

• $399.99 base price
• 30 months of access
• 1,200 board-style questions
• Five 240-question practice examinations
• Organ-system review and cited rationales
• PANRE-LA-focused study organization
• Its own separate designation of up to 100 AAPA Category 1 CME credits

The PANRE Clinical Review Module and the PANRE-LA Module are distinct educational products. If you select the PANRE-LA course, the 100 AAPA Category 1 credits are attributed to the PANRE-LA Module, not the PANRE Clinical Review Module.

Use Your CME Allowance Efficiently

A recertifying PA often needs both exam preparation and a substantial amount of CME. A single purchase can address both needs when the course is completed according to the activity requirements.

The practical strategy is simple:

1. Select the review course that matches your recertification pathway.
2. Use the 30-month access period to build a sustained study schedule.
3. Complete the educational content, post-test, and evaluation.
4. Claim only the AAPA Category 1 credit that matches your participation.
5. Apply the course purchase to your employer’s CME allowance if permitted by your workplace policy.

The base course is $399.99. You may also select an Amazon or Apple gift card add-on in amounts from $100 to $1,500. The add-on is included in the total package price, but it does not increase the CME credit awarded. It also should not be treated as a free promotional item. Confirm that your employer permits this type of CME package before purchase.

Gift cards are delivered by email after processing. CME credit is earned by completing the course requirements, not by selecting a gift card.

PAs should also confirm current NCCPA requirements and their employer’s reimbursement policy. Nurse practitioners may find value in the clinical content, but acceptance of AAPA Category 1 credit for NP licensure or certification varies by state. Physicians may use the clinical material as professional education, but they should verify how their own accrediting body classifies the activity.

PANRE-Style Practice Question

Clinical Vignette

Your patient is a 67-year-old man who presents with sudden-onset pleuritic chest pain and dyspnea. He underwent total knee replacement 10 days ago. His HR is 118/min, BP is 128/74 mm Hg, RR is 26/min, and SaO₂ is 92% on room air. He has no hemoptysis. His lungs are clear to auscultation, and his left calf is mildly swollen and tender.

Which of the following is the most appropriate next step?

A. D-dimer testing
B. Immediate systemic thrombolysis
C. CT pulmonary angiography
D. Outpatient venous duplex ultrasound only
E. Reassurance and follow-up with his surgeon

Correct Answer: C. CT pulmonary angiography

CT pulmonary angiography is correct because this patient has a high clinical suspicion for pulmonary embolism based on recent major surgery, tachycardia, hypoxemia, pleuritic chest pain, and unilateral calf findings. He is hemodynamically stable, so diagnostic imaging should be obtained promptly.

D-dimer testing is not useful when the pretest probability is high. Systemic thrombolysis is generally reserved for massive PE with hemodynamic instability. Venous duplex ultrasound alone does not adequately evaluate suspected pulmonary embolism, and reassurance is inappropriate.

This is the type of core medical knowledge tested across both traditional PANRE and PANRE-LA. A strong review plan should emphasize clinical reasoning, not only memorization of isolated facts.

PANCE Prep Courses Are Not the Same as PANRE Resources

The PANCE is the initial certification examination for PA students and recent graduates. PANCE prep courses are designed around that stage of training.

Practicing PAs preparing for recertification need PANRE-focused or PANRE-LA-focused resources. The exam timing, assessment format, and recertification context are different. If you are already certified and approaching the later years of your cycle, select materials organized for the traditional PANRE or PANRE-LA rather than relying only on an initial-certification review product.

For the current NCCPA topic structure, review the NCCPA PANRE/PANRE-LA core content document.

Bottom Line

Your choice should match your timeline and testing preferences:

• Traditional PANRE: one-day, closed-book, proctored, 240-question exam with a passing scaled score of 379.
• PANRE-LA: at-home, open-book, 25 questions per quarter, at least 8 of up to 12 quarters, with a best-8 cumulative passing score of 1150.
• PANRE Review Course: $399.99, 30 months of access, 1,200 questions, and up to 100 AAPA Category 1 credits through the PANRE Clinical Review Module.
• PANRE-LA Review Course: a separate $399.99 product with 30 months of access, 1,200 questions, and its own up to 100-credit AAPA Category 1 designation through the PANRE-LA Module.
• CME gift cards: optional paid Amazon or Apple add-ons from $100 to $1,500 that increase the total price but do not add CME credit.

Plan around your certification year, then use your CME budget for a course that supports both your exam preparation and your continuing education requirements.

About the Author

Jeremy Boroff, MPAS, PA-C, is the founder of CME Review Courses, an author, educator, and practicing physician assistant with 24 years of emergency medicine experience. He develops board-style clinical education and CME review materials for physician assistants preparing for certification, recertification, and ongoing clinical practice.