Free PANRE Practice Test

The Physician Assistant National Recertifying Examination, commonly known as the PANRE, is a comprehensive and wide-ranging assessment for men and women looking to enter this burgeoning field of healthcare.

In the task area of pharmaceutical therapeutics, you will need knowledge of the following areas: mechanism of action, indications for use; contraindications; side effects; adverse reactions; follow-up and monitoring of pharmacologic regimens; risks, clinical presentation, and treatment of drug interactions; drug toxicity; methods to reduce medication errors; cross-reactivity of similar medications; and recognition and treatment of allergic reactions. The skills covered in this section of the PANRE include selecting pharmacological therapy for selected medical conditions, monitoring pharmacologic regimens and adjusting as appropriate, and evaluating and reporting adverse reactions. In the task area related to applying basic science concepts, the required knowledge includes human anatomy and physiology, underlying pathophysiology, and microbiology and biochemistry. The skills necessary to succeed in this task area include recognizing normal and abnormal anatomy and physiology, relating pathophysiologic principles, correlating abnormal physical examination findings, and correlating abnormal results of diagnostic tests to a given disease process.

The content of the PANRE can also be classified according to the organ systems: cardiovascular (16% of the exam); pulmonary (12%); endocrine (6%); EENT (eyes, ears, nose, and throat) (9%); gastrointestinal/nutritional (10%); genitourinary (6%); musculoskeletal (10%); reproductive (8%); neurologic system (6%); psychiatry/behavioral (6%); dermatologic (5%); hematologic (3%); and infectious diseases (3%). The PANRE was developed by the National Commission on Certification of Physician Assistants.

Practice Questions

1. A 22 year-old patient in a mental health lock-down unit under suicide watch appears happy about being discharged. Which of the following is probably happening?

A: The patient is excited about being around family again.
B: The patient's suicide plan has probably progressed.
C: The patient's plans for the future have been clarified.
D: The patient's mood is improving.

2. A central venous pressure reading of 11cm/H(2)0 of an IV of normal saline is determined by the P.A. caring for the patient. The patient has a diagnosis of pericarditis. Which of the following is the most applicable:

A: The patient has a condition of hypovolemia.
B: Not enough fluid has been given to the patient.
C: Pericarditis may cause pressures greater than 10cm/H(2)0 with testing of CVP.
D: The patient may have a condition of arteriosclerosis.

3. A P.A. consults with a male patient that has a diagnosis of CAD and COPD. The patient is currently taking Ventolin, Azmacort, Aspirin, and Theophylline. The patient complains of upset stomach, nausea and feeling uncomfortable. The P.A. should:

A: Monitor the patient for theophylline toxicity.
B: Recommend the patient position himself in right sidelying.
C: Recommend the patient schedule a P.A.'s visit in one week.
D: Recommend a hold on the drug-Azmacort

4. A P.A. reviewed the arterial blood gas reading of a 25 year-old male. The P.A. should be able to conclude the patient is experiencing which of the following conditions?

Bicarbonate ion-25 mEq/l
PaCO2-29 mmHg
PaO2-54 mmHg

A: metabolic acidosis
B: respiratory acidosis
C: metabolic alkalosis
D: respiratory alkalosis

5. A P.A. is assessing a 18 year-old female who has recently suffered a TBI. The P.A. notes a slower pulse and impaired respiration. The patient is experiencing which of the following conditions?

A: Increased intracranial pressure
B: Increased function of cranial nerve X
C: Sympathetic response to activity
D: Meningitis

Answer Key

1. (B) The suicide plan may have been decided.

2. (C) >10cm/H(2)0 may indicate a condition of pericarditis

3. (A) Theophylline toxicity may be occurring.

4. (D) Respiratory alkalosis-elevated pH, and low carbon dioxide levels, no compensation noted.

5. (A) The patient is at high risk of developing increased intracranial pressure (ICP).

PANRE test blueprint and breakdown


Last Updated: 03/01/2017

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