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.
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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 55-year-old man with a medical history of hypertension presents to the emergency department with 2 days of left lower quadrant pain and a fever of 38.2°C at home. He has not had nausea or vomiting and has been able to tolerate oral intake. He reports some intermittent painless hematochezia over the last year but states he has never had a colonoscopy. His vitals are HR 89 bpm, RR 16/min, and BP 142/90 mm Hg. His abdominal exam is significant for moderate tenderness to palpation of the left lower quadrant without rebound or rigidity. His CBC shows a white blood cell count of 12,000/µL. A CT scan confirms diverticulitis without perforation or abscess formation. Which of the following is the most appropriate next step in the management of this patient’s diverticulitis?
Diverticulosis is one of the most common causes of painless hematochezia in older adults. Approximately 4% of individuals with diverticulosis will go on to develop diverticulitis, an inflammation of the colonic wall that classically presents with left lower quadrant abdominal pain. The majority of diverticulitis involves the sigmoid colon, mimicking the symptoms of appendicitis but on the left side of the abdomen. Diverticulitis is diagnosed by CT scan, preferably with oral and IV contrast, which will show bowel wall thickening. Importantly, colon cancer may have similar findings on CT scan, making diverticulitis difficult to distinguish from colon cancer. CT scan will also reveal the presence of complications such as abscess formation, fistulization, or perforation. Patients with uncomplicated acute diverticulitis may be discharged home on oral antibiotics with coverage for gastrointestinal gram-negative rods and anaerobes. Ciprofloxacin and metronidazole or trimethoprim-sulfamethoxazole and metronidazole are two commonly used regimens. These patients should be given clear return precautions for worsening fever or abdominal pain, as this could indicate treatment failure or the development of complications.
Complicated diverticulitis is indicated by the presence of abscess formation, obstruction, fistulization or perforation. All complicated diverticulitis should be admitted for inpatient intravenous antibiotic treatment (A) and possible surgical intervention. Uncomplicated diverticulitis with the presence of high fever, significant leukocytosis, severe abdominal pain, or inability to tolerate oral intake should also prompt inpatient treatment. Elective colon resection (C) is an option for patients with recurrent diverticulitis or those with high risk of complications from recurrent diverticulitis, such as those with a complicated first episode or with immunosuppression. However, this patient does not have an indication for elective colon resection. Colonoscopy (D) to assess the extent of diverticular disease and exclude colon cancer is indicated in all patients with diverticulitis who have not had a colonoscopy in the last year. This should occur after complete resolution of the diverticulitis. Colonoscopy is not indicated in acute diverticulitis, and colonoscopy before resolution of the diverticulitis increases the risk of bowel perforation and serious complications.
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.