PANCE exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives
The material on NCCPA's certification and recertification exams can be organized in two dimensions:
Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and
The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments.
Please note that while the subject matter covered on the certification and recertification exams is the same, there is some difference in the nature of the questions on those exams. Generally, the questions on the initial certification exam are more specific, while questions on the recertification exam tend to address broader clinical issues. This difference is most apparent in the questions related to applying basic science concepts and reflects the different functions of the two exams.
Note: Because of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) publication, NCCPA will adapt its content blueprints, disease and disorder lists, and psychiatry-related terminology within test questions to conform to DSM-5 classifications and diagnostic criteria for all of our examinations.
In NCCPA examinations, psychiatry-related terminology within test questions will include the DSM-5 terminology followed by the DSM-IV-TR terminology in parentheses. Example: illness anxiety disorder (hypochondriasis)
Based on delays in implementation of DSM-5 guidelines within the field of psychiatry, NCCPA will continue to present psychiatry-related terminology within test questions in the manner outlined above until further notice.
Beginning in 2019, there was a new content blueprint released for the Physician Assistant National Certifying Examination (PANCE). The content blueprint provides guidance on the information assessed on the Physician Assistant National Certifying Examination (PANCE). The examination is categorized in two dimensions:
Knowledge of the diseases and disorders physician assistants encounter; and Knowledge and skills related to tasks physician assistants perform when treating patients.
The detailed listings provided under each of these two categories represent examples of the material that may be covered on PANCE. It is not possible to include all syllabus on a single exam, and it may be possible that some questions on the exam cover content that is not listed in the examples.
The content blueprint for PANCE is based on information provided from certified physician assistants who participate in profession-wide practice analysis studies. Certified PAs are involved throughout the exam development process, including: reviewing results of the practice analysis, writing questions that appear on PANCE, reviewing exams before they are administered, reviewing performance data for exam questions, and developing recommendations for the passing standard. Certified PAs work with NCCPA to continuously review the content included on PANCE to ensure it is relevant and current, as the practice of medicine changes and treatment guidelines are revised or new ones introduced.
Cardiovascular System 13%
Dermatologic System 5%
Endocrine System 7%
Eyes, Ears, Nose, and Throat 7%
Gastrointestinal System/Nutrition 9%
Genitourinary System (Male and Female) 5%
Hematologic System 5%
Infectious Diseases 6%
Musculoskeletal System 8%
Neurologic System 7%
Psychiatry/Behavioral Science 6%
Pulmonary System 10%
Renal System 5%
Reproductive System (Male and Female) 7%
History Taking and Performing Physical Examination 17%
Using Diagnostic and Laboratory Studies 12%
Formulating Most Likely Diagnosis 18%
Managing Patients
Health Maintenance, Patient Education, and Preventive Measures 10%
Clinical Intervention 14%
Pharmaceutical Therapeutics 14%
Applying Basic Scientific Concepts 10%
Professional Practice 5%
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PANCE
Physician Assistant National Certifying
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QUESTION: 375
Which of the following syndromes corresponds to: chromosomal deficit of #13?
1. Dubin-Johnson syndrome
2. Patau's syndrome
3. Edward's syndrome
4. Down syndrome
Answer: B
Section 19: Sec Nineteen (376 to 400) Details: Urinary System Practice Exam
QUESTION: 376
The renal medulla is composed of tissue called .
1. Renal pyramids
2. Nephrons
3. Renal sinus
4. Renal pelvis
Answer: A
QUESTION: 377
Juxtaglomerular cells combine with cells to form the juxtagomerular apparatus in the kidney.
1. Macula densa
2. Renal pelvis
3. Nephron
4. Renal sinus Answer: A QUESTION: 378
Which of the following is not in the sequence of proper kidney blood flow? The starting point is the renal artery and the finishing point is the renal vein.
1. Arciform artery
2. Afferent arteriole
3. Interlobar vein
4. Arciform vein
Answer: C
QUESTION: 379
Which is found in the highest concentration in the urine?
1. Uric acid
2. Urea
3. Glucose
4. Creatinine
Answer: B
QUESTION: 380
The primary function of the ascending loop of Henle in the kidney is?
1. The active re-absorption of sodium
2. The active re-absorption of chloride ions
3. The passive re-absorption of potassium
4. The passive re-absorption of urea
Answer: B
QUESTION: 381
The middle layer of the urinary bladder is identified as .
1. Mucous coat
2. Submucous coat
3. Muscular Coat
4. Sphincter Coat
Answer: B
QUESTION: 382
The micturition reflex center is located in the .
1. Pons
2. Midbrain
3. Lumbar plexus
4. Sacral plexus
Answer: D
QUESTION: 383
Which of the following match with the definition: a poor output of urine?
1. Oliguria
2. Pyruia
3. Enuresis
4. Diuresis
Answer: A
QUESTION: 384
Capillary loops located in the medulla are also known as .
1. Vasa recta
2. Urea collectors
3. Trigone
4. Macula densa
Answer: A
QUESTION: 385
The primary function of the descending loop of Henle in the kidney is?
1. Reabsorption of sodium ions
2. Reabsoption of water by osmosis
3. Secretion of hydrogen ions
4. Secretion of potassium ions
Answer: B
QUESTION: 386
Which of the following is not considered a part of the male urethra?
1. Prostatic
2. Membranous
3. Vasapore
4. Penile
Answer: C
QUESTION: 387
When glucose if found in urine it is called .
1. Glucosuria
2. Uremia
3. Ureteritis
4. Glucose intolerance
Answer: A
QUESTION: 388
The one of the functions occurring at the distal convoluted tubule in the kidney is?
1. Passive secretion of hydrogen ions
2. Passive secretion of potassium ions
3. Limited re-absorption of water
4. No re-absorption of sodium
Answer: B
QUESTION: 389
ADH has which of the following effects on the distal convoluted tubule?
1. Decrease water re-absorption
2. Increase water re-absorption
3. Decrease the concentration of urine
4. Increase the urine volume
Answer: B
QUESTION: 390
Which of the following is not associated with the role of the kidneys?
1. Release of erythropoietin (hormone)
2. Release of renin (enzyme)
3. Release of Vitamin E
4. Activate Vitamin D
Answer: C
QUESTION: 391
Each kidney contains approximately nephrons.
1. 10 million
2. 1 million
C. 100,000
D. 10,000
Answer: B
QUESTION: 392
The release of Angiotension II causes which of the following to occur?
1. Increased filtration rate
2. Decreased glomerular hydrostatic pressure
3. Increase synthesis of Vitamin E
4. Increased release of erythropoietin
Answer: A
QUESTION: 393
Which of the following is an effect of a diuretic?
1. Decreased Cardiac Output
2. Increased fluid volume
3. Increased sodium re-absorption
4. Increased chloride ion re-absorption
Answer: A
QUESTION: 394
Which of the following is not considered a loop diuretic?
1. Bumetadine (BUMEX)
2. Furosemide (LASIX)
3. Chlorthiazide (DIURIL)
4. Ethacrynic Acid (EDECRIN)
Answer: C
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