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Free PANCE Exam Prep

Physician Assistant National Certifying Examination (PANCE)

Pass your PANCE exam without spending hundreds on expensive prep courses. Free study guides, practice questions, flashcards, and related exam resources.

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Your Study Path

PANCE NCCPA Physician Assistant Exams License: Complete Roadmap

Follow this path to maximize your chances of passing on the first try

1

Phase 1You are here

Build a high-yield organ-system map from the official PANCE blueprint.

40
hours
2

Phase 2

Intensive review of cardio, pulmonary, GI, MSK, and neuro domains.

90
hours
3

Phase 3

Integrate clinical reasoning with mixed-system timed question sets.

70
hours
4

Phase 4

Complete full-length 5-block simulations and targeted remediation.

55
hours
Estimated total study time
255 hours
That's about 26 weeks at 10 hours/week

Can You Take the PANCE Exam?

Check if you meet the basic eligibility requirements

Age
Education
Graduate from an ARC-PA accredited physician assistant program
Experience
No post-graduation work-hour requirement for initial PANCE eligibility
Additional Requirements
  • Schedule exam within 180-day eligibility window after approval
  • Testing available at Pearson VUE centers (300+ locations)
  • Follow NCCPA identity and scheduling rules in exam account

PANCE Quick Facts

Time to Get Licensed

10-16 weeks for most candidates

From start to license in hand

Exam Provider

Pearson VUE

In-Person Only
Schedule Your Exam

Retake Policy

Candidates may take PANCE once in any 90-day period or three times in a calendar year, with a maximum of six attempts total within six years of first eligibility.

Total Cost Breakdown

Exam Fee$550
Application FeeIncluded in NCCPA exam application process
Total Estimated Cost$550+ depending on prep resources selected
Why Choose Us

Free PANCE Prep That Actually Works

The official pass rate is 91.5% first-time pass rate in 2025 for graduates of U.S. programs (NCCPA PANCE Pass Rates).. Our students do better.

320 Practice Questions

Blueprint-balanced PANCE practice covering all NCCPA organ systems.

AI-Powered Learning

Adaptive explanations for differential diagnosis and management decisions.

2026 Updated

Aligned to current NCCPA blueprint, scoring, and attempt rules.

Free Access

Start free before booking your PANCE appointment with Pearson VUE.

Compare:
Kaplan $300+Achievable $200+OpenExamPrep $0

What You'll Study

15 chapters covering everything you need to pass

PANCE Exam Details

Physician Assistant National Certifying Examination (PANCE)

Administered by National Commission on Certification of Physician Assistants (NCCPA)

Official Source
Scaled score 350 (200-800 scale)
Passing Score
300
Questions
5
Hours
$550
Exam Fee
Study time: 180-320 hours
Prerequisites: Graduate from an ARC-PA accredited PA program and complete NCCPA exam application requirements.
Valid for: NCCPA certification maintenance required after initial certification

Exam Content Breakdown

Based on the official National Commission on Certification of Physician Assistants (NCCPA) content outline

Cardiovascular System11%

Cardiac and vascular diagnosis, management, and risk stratification.

Dermatologic System4%

Skin disorders, lesions, and urgent dermatologic presentations.

Endocrine System6%

Diabetes, thyroid, adrenal, and metabolic endocrine conditions.

Eyes, Ears, Nose, and Throat6%

ENT and ophthalmic complaints from routine to emergent.

Gastrointestinal/Nutrition8%

GI disease, hepatobiliary issues, and nutrition-related disorders.

Genitourinary System4%

Renal/urologic and urinary tract clinical management.

Hematologic System5%

Anemia, coagulopathy, and blood disorder evaluation.

Infectious Diseases7%

Infectious diagnosis, antimicrobial selection, and prevention.

Musculoskeletal System8%

MSK injury, rheumatologic conditions, and functional care.

Neurologic System7%

Neurologic assessment, stroke, seizures, and neuropathology.

Psychiatry/Behavioral7%

Psychiatric diagnosis, risk evaluation, and treatment planning.

Pulmonary System9%

Respiratory disease and acute pulmonary care priorities.

Renal System5%

Kidney disorders, fluid/electrolyte issues, and renal management.

Reproductive System7%

Reproductive and sexual health across patient populations.

Professional Practice6%

Ethics, legal standards, communication, and patient safety.

What's Included

15 Chapters

Complete exam coverage

Practice Quizzes

With detailed explanations

Free to Start

No credit card required

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What's Next After the PANCE?

After passing the PANCE, you can pursue these career paths

PANRE

Maintain PA-C certification within NCCPA recertification cycles.

CAQ

Pursue NCCPA Certificates of Added Qualifications after clinical experience.

Coming Soon

Specialty Practice

Move into emergency medicine, surgery, primary care, or subspecialty PA roles.

Coming Soon

PANCE Exam FAQ

Official National Commission on Certification of Physician Assistants (NCCPA) Resources

Verify information with these official sources

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