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.
Quick Facts
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PANCE NCCPA Physician Assistant Exams License: Complete Roadmap
Follow this path to maximize your chances of passing on the first try
Phase 1You are here
Build a high-yield organ-system map from the official PANCE blueprint.
Phase 2
Intensive review of cardio, pulmonary, GI, MSK, and neuro domains.
Phase 3
Integrate clinical reasoning with mixed-system timed question sets.
Phase 4
Complete full-length 5-block simulations and targeted remediation.
Can You Take the PANCE Exam?
Check if you meet the basic eligibility 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
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
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.
What You'll Study
15 chapters covering everything you need to pass
Chapter 1: Cardiovascular System
7 sections
Chapter 2: Pulmonary System
4 sections
Chapter 3: Gastrointestinal/Nutrition
4 sections
Chapter 4: Musculoskeletal System
4 sections
Chapter 5: Neurologic System
4 sections
Chapter 6: Psychiatry/Behavioral Science
4 sections
Chapter 7: Infectious Diseases
4 sections
Chapter 8: Reproductive System
3 sections
Chapter 9: Endocrine System
3 sections
Chapter 10: Eyes, Ears, Nose, and Throat
3 sections
Chapter 11: Professional Practice
3 sections
Chapter 12: Hematologic System
3 sections
Chapter 13: Renal System
3 sections
Chapter 14: Dermatologic System
3 sections
Chapter 15: Genitourinary System
2 sections
PANCE Exam Details
Physician Assistant National Certifying Examination (PANCE)
Administered by National Commission on Certification of Physician Assistants (NCCPA)
Exam Content Breakdown
Based on the official National Commission on Certification of Physician Assistants (NCCPA) content outline
Cardiac and vascular diagnosis, management, and risk stratification.
Skin disorders, lesions, and urgent dermatologic presentations.
Diabetes, thyroid, adrenal, and metabolic endocrine conditions.
ENT and ophthalmic complaints from routine to emergent.
GI disease, hepatobiliary issues, and nutrition-related disorders.
Renal/urologic and urinary tract clinical management.
Anemia, coagulopathy, and blood disorder evaluation.
Infectious diagnosis, antimicrobial selection, and prevention.
MSK injury, rheumatologic conditions, and functional care.
Neurologic assessment, stroke, seizures, and neuropathology.
Psychiatric diagnosis, risk evaluation, and treatment planning.
Respiratory disease and acute pulmonary care priorities.
Kidney disorders, fluid/electrolyte issues, and renal management.
Reproductive and sexual health across patient populations.
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.
Specialty Practice
Move into emergency medicine, surgery, primary care, or subspecialty PA roles.
PANCE Exam FAQ
Official National Commission on Certification of Physician Assistants (NCCPA) Resources
Verify information with these official sources
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