PANRE/PANRE-LA

PANRE Exam Review & Question Bank

Pricing

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.

Must address important content
Must be well structured

Question

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?

A Broad spectrum antibiotics

B Cholecystectomy

C Endoscopic retrograde cholangiopancreatography

D Percutaneous transhepatic cholangiography

Correct Answer Distractors

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.

Created for optimal learning and recall
Help reinforce your knowledge
Focus on the essential information

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.

Focus your learning

Deep insights to determine your strengths and weaknesses so you can spend your time on the subjects that matter.

Compare with your peers

Discover how your answer choices align with those selected by learners across the country.

Find out your probability of passing

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.

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

Q: What is the recommended initial therapy for patients with primary biliary cholangitis?

Reveal Answer

A: Ursodeoxycholic acid.

Acute Cholangitis

Patient presents with right upper quadrant pain, jaundice, fever (Charcot triad)
Diagnosis is made by RUQ ultrasound, CT scan, or ERCP (gold standard)
Most commonly caused by choledocholithiasis that leads to bacterial infection, E. coli
Definitive treatment is ERCP with antibiotics, typically an adjunct
Charcot triad + hypotension and AMS = Reynolds pentad, acute obstruction

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

Rosh Review was an amazing resource to prepare for the PANRE while I worked a full-time clinical job. The content is high-yield and so easy to access. There's nothing else like it out there.

FAQs

Get a little more clarification

Where can I find free PANRE practice questions?

You can access free practice questions with a free trial for the PANRE Qbank—no billing information required. The free trial includes practice questions that align with the PANRE blueprint and include comprehensive answer explanations and beautiful teaching images.

After practicing with these questions, if you decide you're ready for thousands of additional questions to help you confidently prep for the PANRE, you can easily upgrade to a full Qbank subscription.

How do I earn CME with Rosh Review?

If you sign up for an account that is linked to CME, here’s what you need to do:

Complete either all the questions or 1,000 questions in your Qbank (depending on your package)

Once that’s complete, here’s how to claim and download your certificate:

Go to the Account Settings tab (only on desktop/laptop)
Select Claim next to the subscription package name (see an example)
Complete the survey
Download your certificate

You’ll earn up to 100 AMA PRA Cat 1 CME credits.

How do I study for the PANRE when I work in a specialized field?

According to a 2004 study, PAs in specialized practice areas have similar PANRE pass rates. So regardless of your area of practice, your chances of passing a generalized exam like the PANRE are still high. Just make sure you closely review the PANRE Content Blueprint topics. For example, if you practice in dermatology, note that only 6% of the exam covers the dermatologic system. The five topics that make up 51% of the PANRE are cardiovascular (13%), GI (11%), pulmonary (10%), musculoskeletal (9%), and EENT (8%), so pay attention to the order of importance of these topics when you’re studying. And here's how you can use Rosh Review to target specific categories when you study.

Which PA Qbanks should I compare?

These are the companies we suggest trying to make sure you find the Qbank that's right for you. Compare them by signing up for a free trial:

BoardVitals
Exam Master
Hippo Education
Kaplan
NEJM Knowledge+
PAEasy
Rosh Review
UWorld

How to Select the Best PANCE Review Qbank breaks down the selection criteria you can use.

What is the pass guarantee?

We believe in you, and if you use Rosh Review, we're confident you will pass your board exam.

If you complete 100% of the questions in your package and don't pass, you will be refunded the full amount of your subscription costs. Guaranteed. Your score report with your name and numerical score must be emailed Rosh Review at refund@roshreview.com within 60 days of the score report being published.

If you haven't completed all the questions or if you want to prepare to retake your exam, your subscription can be extended through the next exam date free of charge.

How do I get started?

Whether you have a trial account or you purchased a subscription, access Rosh Review by logging in at app.roshreview.com.

To access the Qbank, go to the Create Exam tab to begin making and taking exams made up of questions from the Qbank. You can find any boost exams under the My Exams → Boost Exam tab. Once you've completed and submitted a few exams, you can see your statistics under the Performance Analysis tab.

Who writes the questions and explanations?

The finest people around! Question writers are board-certified clinicians who have all performed well on their certification exams. Answer explanations are derived from the specialty’s authoritative resources with some personal input to simplify the material and synthesize it for greatest comprehension and recall.

If you’re interested in becoming a question writer, tell us a bit about yourself and we'll be in touch.

Do you offer a free trial?

Absolutely! You can try out a number of sample questions in the actual app by creating a free account (no billing information required—we promise). You will get a fully functional account, forever, with a limited number of questions. If you love it, you can easily purchase a full content subscription. You won't be charged at any point during your trial until you make a purchase.

PANRE/PANRE-LA

PANRE Exam Review & Question Bank

Questions

Just like the actual exam

Question

Explanations

Written with a purpose

Illustrations

Created to enhance learning

Powerful Analytics

Track progress, performance, & predictions

Focus your learning

Compare with your peers

Find out your probability of passing

One Step Further

Taking your learning to the next level

Rapid Review

Keeping things simple

Sara Lolar, PA-C

FAQs

Get a little more clarification

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