Pass your PANRE exam (on the first try) with Rosh Review practice questions written by (and for) PA-Cs! All PANRE board review questions include detailed explanations, teaching images, and more to make sure you perform your best on exam day.
Start studying right away with a PANRE practice exam by selecting the subjects you’d like to review, number of questions, and either “tutor” or “test” mode. In tutor mode, you can review detailed explanations after answering a question correctly or incorrectly with teaching images and hyperlinked references to further solidify your knowledge before test day.
Save time figuring out what to study with NCCPA-formatted exam questions, including answer explanations, just like the ones you’ll see on the actual PANRE exam. All PANRE practice test questions are continuously being written, updated, and peer-reviewed so you can feel confident that you’re reviewing the most relevant and accurate information for your recertification exam.
After completing your practice exams, your personal analytics dashboard will show how many practice questions you’ve completed, illuminate any knowledge gaps, and predict your likelihood of passing your PANRE exam, so you can prep for the topics that need the most work. If you’d like to review any specific PANRE review questions from previous practice exams, simply use the built-in search feature to locate them quickly.
We believe in you and we believe in Rosh Review. To boost your confidence before your PANRE exam, all Rosh Review question banks also include Educators on Call and a speedy support team to make sure all your bases are covered before exam day. Plus, your subscription also includes a Pass Guarantee—if you don’t pass your exam, you don’t pay (or your subscription is extended for free until you do)!
Aligned with the NCCPA format and updated blueprint. Authored & peer-reviewed by PA-Cs.
Each question is written to resemble the format and topics on the exam, meaning you won’t see any negatively phrased questions, no “all of the following except,” no “A and B”…you know what we mean. Most importantly, all questions include selective distractors (incorrect answer choices), which will help you think critically.
A 75-year-old woman with a history of hypertension presents to the emergency department with right upper quadrant pain that has been gradually worsening over the past day. Her vital signs are T 103°F (39.4°C), BP 100/60 mm Hg, HR 100 bpm, RR 22/min, and SaO2 97% on room air. Physical exam reveals scleral icterus and right upper quadrant tenderness without rebound or guarding. A bedside right upper quadrant ultrasound demonstrates a common bile duct measuring 1 cm. Laboratory results are pending. What is the definitive management of this condition?
The patient presents with severe (suppurative) ascending cholangitis and requires biliary decompression with endoscopic retrograde cholangiopancreatography (ERCP). Ascending (or acute) cholangitis is a bacterial infection of the biliary system and is most frequently associated with common bile duct stones and obstruction. The disease classically presents with the Charcot triad (fever, jaundice, and right upper quadrant pain). However, only 50–75% of patients present classically, so clinicians must maintain a high index of suspicion for this life-threatening condition. While administration of broad-spectrum antibiotics is appropriate, those with signs of severe disease, including persistent abdominal pain, hypotension despite adequate fluid resuscitation, fever greater than 102°F (38.9°C), and confusion, warrant urgent ERCP.
Seventy to eighty percent of patients with ascending cholangitis will respond to broad-spectrum antibiotics (A) such as piperacillin-tazobactam. However, definitive management of this condition consists of biliary decompression. Cholecystectomy (B) may be required after disease resolution to prevent recurrent episodes but is no longer part of the definitive management of ascending cholangitis due to its highly associated mortality. Percutaneous transhepatic cholangiography (D) can be considered if ERCP is unavailable, unsuccessful, or contraindicated.
Understanding why an answer choice is incorrect is just as important as knowing why one is correct. That’s why every Rosh Review question includes detailed explanations for the correct and incorrect answer choices. These comprehensive summaries link the most important components of a topic—from risk factors to diagnostics and treatment—giving you the context to build relationships between them.
Custom illustrations and tables help further clarify the core concepts. When information is presented visually, you can focus on meaning, easily reorganize and group similar ideas, and make better use of your memory.
Your personal analytics allow you to see your progress at all times, so you can create an efficient and effective learning strategy and stay on pace with your plan.
Deep insights to determine your strengths and weaknesses so you can spend your time on the subjects that matter.
Discover how your answer choices align with those selected by learners across the country.
Using data generated by previous users, your Qbank gives a prediction of how likely you are to pass your exam.
After each explanation is a straightforward question with a simple, memorizable answer that reinforces the corresponding topic.
These bulleted reviews focus on condensed, high-yield concepts about the main topic, from patient presentation to preferred management.