Latest PDF of PANRE: Physician Assistant National Recertifying Exam

Physician Assistant National Recertifying test Practice Test

PANRE test Format | Course Contents | Course Outline | test Syllabus | test Objectives

Test Detail:
The Physician Assistant National Recertifying test (PANRE) is a standardized test administered by the National Commission on Certification of Physician Assistants (NCCPA). It is designed to assess the knowledge and skills of certified physician assistants seeking recertification. Below is a detailed description of the test, including the number of questions and time allocation, course outline, test objectives, and test syllabus.

Number of Questions and Time:
The PANRE test consists of multiple-choice questions and is divided into two sections: Core Clinical Medicine (300 questions) and Organ System-Based Medicine (150 questions). The total number of questions is 450. Candidates are given a specific time limit of 4 hours and 5 minutes to complete the exam.

Course Outline:
The PANRE test covers a comprehensive range of medical knowledge and skills required for the practice of physician assistants. The test content is organized into the following key areas:

1. Core Clinical Medicine:
- Internal Medicine
- Pediatrics
- Obstetrics and Gynecology
- Surgery
- Emergency Medicine
- Psychiatry and Behavioral Health
- Professional Practice

2. Organ System-Based Medicine:
- Cardiovascular System
- Respiratory System
- Musculoskeletal System
- Gastrointestinal System
- Genitourinary System
- Endocrine System
- Hematologic System
- Neurologic System
- Dermatologic System
- Ophthalmology
- Otolaryngology
- Infectious Diseases

Exam Objectives:
The PANRE test aims to assess the knowledge and skills of certified physician assistants in various medical disciplines and their ability to apply this knowledge in clinical practice. The key objectives of the test include:

1. Evaluating clinical reasoning skills: Assessing the candidate's ability to analyze patient cases, interpret clinical data, and make appropriate diagnoses and treatment decisions.

2. Assessing medical knowledge: Testing the candidate's understanding of fundamental medical concepts, disease processes, diagnostic techniques, and treatment modalities across different medical specialties.

3. Ensuring currency in medical practice: Validating that the candidate's medical knowledge is up to date and aligned with current best practices, guidelines, and evidence-based medicine.

Exam Syllabus:
The PANRE test syllabus covers a wide range of medical subjects and skills essential for the practice of physician assistants. The syllabus includes, but is not limited to, the following areas:

- Anatomy and Physiology
- Pathophysiology
- Pharmacology
- Diagnostic Techniques
- Clinical Decision-Making
- Patient Assessment
- Medical Procedures and Interventions
- Disease Management
- Professional and Legal Issues in Healthcare

Candidates should refer to official NCCPA resources or consult with professional organizations for accurate and up-to-date information on the exam, including registration, preparation, and study materials.

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PANRE
Physician Assistant National Recertifying Exam
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Question: 60
A patient comes to the office presenting with paroxysmal or sustained hypertension, severe headaches, palpitations, flushing, heat intolerance, and hyperglycemia. Further laboratory results reveal that the patient�s levels of
epinephrine and norepinephrine are excessive. Based on these findings, the patient is most likely diagnosed with:
1. Hypothyroidism
2. Hyperthyroidism
3. Pheochromocytoma
4. Addison�s disease
Answer: C
Pheochromocytoma is a catecholamine-producing hormone, which is manifested by the increased levels of epinephrine and norepinephrine in the system. Without appropriate treatment, pheochromocytoma can cause hypertensive retinopathy, nephropathy, and cardiac enlargement, resulting in congestive heart failure.
Question: 61
Which of the following laboratory findings support the diagnosis of
hypoparathyroidism?
1. Serum calcium = 10.0 mg/dL; Serum potassium = 5.5 mg/dL
2. Serum calcium = 8.7 mg/dL; Serum potassium = 3.0 mg/dL
3. Serum calcium = 11.0 mg/dL; Serum phosphorus =2.0 mg/dL
4. Serum calcium = 7.5 mg/dL; Serum phosphorus = 5.5 mg/dL
Answer: D
A patient with hypoparathyroidism has hypocalcemia and hyperphosphatemia. The other options are not correct.
Question: 62
Which of the following is not a typical sign and symptom of renal cell carcinoma?
1. Abdominal mass
2. Hematuria
3. Flank pain
4. Oliguria
Answer: D
Renal cell carcinoma is the most common malignancy of the kidney. Renal tumors in the early stages are asymptomatic. A presentation of abdominal mass may indicate renal cell carcinoma. The symptoms of renal cell carcinoma include hematuria, flank pain, and palpable flank mass.
Question: 63
A patient is scheduled to undergo needle biopsy of the kidney. Which of the
following is an important consideration before letting the patient undergo this procedure?
1. Adequate fasting for at least 8 hours prior to procedure
2. Establish an IV line for hydration
3. Monitoring vital signs
4. Ensure that coagulation studies have been carried out
Answer: D
Preparations must be done before the patient undergoes biopsy. The most important is the suspension of anticoagulant medications at least one week before the procedure. Anticoagulant studies should be carried out at least two weeks before the procedure. IV line, vital signs, and fasting are also important preparations, but ensuring that coagulation studies are normal is more significant.
Question: 64
The Bartholin gland is responsible for secreting mucus to lubricate the vagina.
Where is it specifically located?
1. Anterior wall of the vagina
2. Above the urethral and vaginal opening
3. Below and to the left and right of the vaginal opening
4. Extends from the vulva to the cervix
Answer: C
The Bartholin gland is located below and to the left and right of the vaginal opening. Option A refers to the Skene�s gland, option B refers to the clitoris, while option D refers to the vagina.
Question: 65
The clinical feature of interstitial cystitis includes all of the following, except:
1. Continuous bladder pain
2. Nocturia
3. Frequent urinary urgency
4. Bacterial infection
Answer: D
Interstitial cystitis is the inflammation of the bladder in the absence of bacterial infection. It is believed to be caused by an autoimmune process that alters the cells of the bladder lining. The disease is characterized by frequent urination, dysuria, nocturia, and continuous perineal, vaginal, or suprapubic pain.

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Physician Assistant National Recertifying test Practice Test

PANRE test Format | Course Contents | Course Outline | test Syllabus | test Objectives

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