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PANRE/PANRE-LA Question Banks

Certificate of Added Qualification (CAQ)


Just like the actual exam

Aligned with the NCCPA format and CAQ blueprints. 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.

  • Must address important content
  • Must be well structured


A 20-year-old man is seen in the emergency department for sudden-onset left-sided severe headache with associated syncope, nausea, and vomiting. He has a history of migraines but states this feels different from his usual headaches. A noncontrast CT scan of his head today is negative for hemorrhage. What is the most appropriate next step in management?

A Emergent MRI
B Neurosurgery consult for aneurysm clipping
C Perform a lumbar puncture
D Repeat a CT scan with contrast

Subarachnoid hemorrhage (SAH) classically presents with a sudden severe thunderclap headache, which patients may describe as “the worst headache of my life.” The headache can be lateralized and may be associated with a syncopal episode, nausea, and vomiting. Vitreous (preretinal) hemorrhage, called Terson syndrome, or seizure may also be present and are poor prognostic indicators. Almost half of patients report a sudden and severe headache one to three weeks before the SAH…   Read More


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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.

  • Created for optimal learning and recall
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  • Focus on the essential information


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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.

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One Step Further

Taking your learning to the next level

After each explanation is a straightforward question with a simple, memorizable answer that reinforces the corresponding topic.

  • Strengthens your knowledge
  • Stands alone from the main explanation so you’re not rereading content


What finding on cerebrospinal fluid analysis is concerning for hemorrhage?

Reveal Answer

Subarachnoid Hemorrhage

  • Patient will be complaining of abrupt onset of "worst headache of their life" or thunderclap headache
  • Diagnosis is made by noncontrast CT scan. Blood will appear white in color on the CT.
  • If CT negative, and suspicion high, lumbar puncture
  • Most commonly caused by a ruptured aneurysm
  • Hunt & Hess classification classifies severity of subarachnoid hemorrhage to predict mortality
  • Treatment is supportive and nimodipine (decreases vasospasm)

Rapid Review

Keeping things simple

These bulleted reviews focus on condensed, high-yield concepts about the main topic, from patient presentation to preferred management.

  • Cover the fundamentals in one list
  • Allow you to quickly scan the must-know information


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Attending Physician

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