The Physician Assistant (PA) Profession Exam 1 Practice

These questions are part of the practice quiz. Start practicing

• When did the first PA class graduate?
• A patient presents with sudden focal neurologic deficit lasting less than 24 hours and symptoms resolve. What is the diagnosis?
• Which statement best describes the PANRE-LA administration schedule?
• Which statement best describes the role of cognitive-behavioral therapy (CBT) in generalized anxiety disorder management when pharmacotherapy is used?
• For adolescent contraception, which method is appropriate to reduce unintended pregnancy and has no estrogen exposure?
• Move to 'Supervision' to 'collaboration' is part of which modernization?
• Which spirometry pattern defines obstructive lung disease?
• First-line pharmacotherapy for generalized anxiety disorder often includes which class of medication?
• When obtaining informed consent, which elements must be disclosed?
• A patient presents with acute pleuritic chest pain and dyspnea; Wells score suggests a high probability of pulmonary embolism. What is the next best diagnostic test?
• The first-line management of hyperkalemia with ECG changes includes which medication?
• In substance use disorders, which treatment modality supports withdrawal and relapse prevention?
• Eliminate physician delegation is part of which modernization?
• To sit for the PANCE, a graduate must come from a physician assistant program accredited by which body?
• Which biomarker is commonly obtained within the first hour to assess perfusion in suspected sepsis?
• First-line drugs in TB RIPE regimen are?
• In 2024, which state's law changed the title from 'physician assistants' to 'physician associates'?
• A patient with fever, cough, and lobar consolidation on chest radiograph is diagnosed with community-acquired pneumonia. Which organism is most likely in an outpatient elderly patient?
• In bipolar disorder, what is the rationale for not using antidepressants as monotherapy during mania?
• In chronic kidney disease, which therapy can slow progression in patients with albuminuria?
• Which event occurred in 1987?
• What is the regulatory term currently used for PAs in states and the District of Columbia?
• Which test is completed in a single 5 hour session with a 45 minute break and a 15 minute tutorial?
• In patients with risk factors where estrogen-containing therapies are of concern, which contraception method is preferred?
• Which physician is associated with suggesting non-physician clinical support personnel to help alleviate care disparities?
• A patient with new-onset atrial fibrillation and a CHA2DS2-VASc score of 4 without contraindications. What is the recommended stroke prophylaxis?
• In evidence-based medicine, how is sensitivity defined?
• What is the AAPA?
• What is the mission of ARC-PA?
• Which is the next step in evaluation for a patient with epigastric pain and alarm features?
• Which organization articulated the Six Key Elements of a Modern PA Practice Act?
• Title change is part of which modernization?
• Which medication is commonly used as first-line symptomatic treatment for Parkinson disease?
• Meningitis in adults requires empiric antibiotics promptly. Which adjunctive therapy is often given to reduce neurologic complications?
• Which statement best characterizes a medical specialist?
• In the management of thyroid storm, when should iodine be administered?
• What is a Generalist?
• Which class of medications is first-line for reducing cardiovascular events in patients with established atherosclerotic disease and type 2 diabetes?
• Which statement reflects a PAEA mission related to educating PAs who will practice evidence-based, patient-centered medicine?
• Which symptom cluster is classically associated with severe aortic stenosis?
• Which of the following is NOT a typical PA general task?
• In suspected osteomyelitis, which imaging modality is most sensitive in early disease?
• How many questions are provided per quarter for the PANRE-LA?
• In hyperosmolar hyperglycemic state, which characteristic best distinguishes it from diabetic ketoacidosis?
• A 62-year-old man presents with sudden-onset chest pain, diaphoresis, and hypotension. ST-segment elevation in inferior leads II, III, and aVF is noted. What is the most appropriate next step in management?
• What is the most appropriate initial step in management after resuscitation for suspected esophageal variceal bleeding?
• ART should be started immediately after HIV diagnosis unless there are what?
• Which statement best describes the PA-physician relationship today?
• National PA Day was established in which year?
• Compared with specialists, generalist PAs typically:
• What term describes the regulatory framework used in foundational modernization?
• A 50-year-old with chest pain and a positive troponin but non-diagnostic ECG. What is the appropriate next step?
• PA prescriptive authority was granted in which year?
• Which acid-base disturbance is characteristic of diabetic ketoacidosis?
• What is the common goal all PAs are working toward?
• According to the six key elements, who determines the scope of practice for PAs?
• In scabies, which area is a typical location for burrows?
• What does Primary Care include?
• Which option best describes Category I CME criteria as cited?
• Which factor is considered protective in suicide risk assessment?
• First-line therapy for C. difficile infection is which agents?
• Which finding is most characteristic of Crohn disease?
• Rotator cuff tears in older adults are most likely managed initially with which approach?
• Which national organization represents PA educational programs in the United States?
• What is an essential initial management step in acute pancreatitis?
• Which organization would assume responsibility for eligibility requirements, the setting of a passing standard, and other conditions for initial certification and periodic recertification?
• Which statement reflects a PAEA mission related to recruiting and retaining PA students?
• The 12-month well-child visit should assess which milestones?
• In septic patients with AKI who are hemodynamically unstable, which renal replacement therapy is preferred?
• Management option for Guillain-Barré syndrome includes which therapy?
• What is the classic feature of scabies?
• Which signs indicate compartment syndrome requiring urgent fasciotomy?
• Co signature requirements are determined at what level?
• How does higher disease prevalence affect the negative predictive value (NPV) of a diagnostic test?
• Suicide risk assessment includes evaluating which factors?
• Which item is NOT typically a nonclinical role for PAs?
• What is the PA profession really established upon?
• Which option best describes Category I CME criteria?
• What is the maximum total number of PANRE attempts allowed during the recertification cycle?
• In type 2 diabetes management for patients with obesity and cardiovascular risk, which medication class is associated with both benefits?
• A conscious patient with hypoglycemia should receive which initial treatment?
• Category II CME typically includes which type of events?
• Ischemic stroke within 4.5 hours is a candidate for which therapy if no contraindications exist?
• In appendiceal inflammation, Rovsing's sign is positive when palpation of which quadrant elicits RLQ pain?
• Which combination of findings is most consistent with diabetic ketoacidosis?
• Which of the following is NOT listed as an activity of the AAPA?
• Which statement best reflects state laws and regulations regarding PA collaboration?
• Which sign supports appendiceal inflammation?
• National PA Day is observed on which date?
• In an inferior ST-elevation myocardial infarction, which artery is most commonly involved?
• After passing PANCE, what designation can PAs use?
• Who was the rural practitioner who trained his own office assistant Buddy Treadwell, forming an early PA relationship?
• Which drug is NOT part of RIPE therapy?
• Which statement accurately describes Category II CME?
• A minimum of 50 CMEs must come from which category?
• Which respiratory pattern is commonly observed in diabetic ketoacidosis?
• Who was the nation's first Black/African American PA?
• Which finding is classically associated with Kawasaki disease?
• In 2021, what advancement did LAPA achieve related to home health?
• PAs must maintain their NCCPA certification by completing how many CME hours every 2 years?
• Which organization sets standards and accredits PA educational programs in the United States?
• Which of the following is a committee of LAPA?
• Which components are recommended for withdrawal and relapse prevention in substance use disorders beyond medication-assisted therapy?
• What term does AAPA designate for the regulatory term used in PA practice acts?
• Who is commonly credited as the founder of the PA profession?
• A febrile patient with flank pain and fever is suspected to have acute pyelonephritis. What is a typical initial management approach in nonpregnant adults?
• According to the six key elements, at what level is the number of PAs a physician may practice with determined?
• Nephrotic syndrome classically presents with which combination of findings?
• How early can you pass the PANRE-LA?
• In bipolar disorder, why should antidepressants not be used as monotherapy during mania?
• In foundational modernization, which item is determined at the practice level?
• Which test is administered throughout the year?
• A patient with suspected esophageal variceal bleeding should receive which initial therapy?
• Which of the following is an element of foundational modernization?
• Which finding is NOT typical of nephrotic syndrome?
• Which statement is true about the first PA class graduation?
• Which vaccines are part of routine adult immunization schedules and recommended for adults with chronic conditions?
• In suspected sepsis, which action should be performed prior to antibiotic administration?
• A 68-year-old man with COPD presents with increased dyspnea and purulent sputum production. What is initial management?
• Which modernization involves removal of the legal tether between a physician assistant and a physician?
• Which option best describes the initial priority in a patient with hematemesis and hypotension?
• In major depressive disorder, what is a typical time frame to expect symptom improvement after initiating SSRI therapy?
• Which statement best captures a milestone in PA history?
• Which vaccination is recommended annually for adults with chronic conditions?
• What are the two most common etiologies of acute pancreatitis?
• Which organization sets eligibility requirements for initial certification and recertification for PANCE?
• Neonatal resuscitation steps begin with drying, warming, and stimulation, followed by which initial intervention if needed?
• Which statement best describes LAPA's role?
• In AKI due to sepsis, which renal replacement therapy is commonly initiated when indicated?
• A child presents with high fever, conjunctivitis, rash, and strawberry tongue; which condition is most likely?
• In what year did the first six states pass legislation authorizing PA practice?
• Gout crystals under polarized light are which shape and birefringence?
• Endocarditis prophylaxis is recommended for which patient populations undergoing dental procedures?
• Define a Physician Assistant.
• To be eligible for PANCE, one must graduate from an ARC-PA accredited program.
• How does disease prevalence affect the positive predictive value of a test?
• Pre-eclampsia is diagnosed by which combination of findings?
• Authorizing PAs to practice is a direct responsibility of which level?
• What is the basic radiographic sign of left lower lobe pneumonia on chest X-ray?
• In a patient with heart failure with reduced ejection fraction (EF 25%), which medication classes have demonstrated mortality benefit?
• Which nerve is most at risk with an anterior shoulder dislocation?
• According to the six key elements, at what level are cosignature requirements determined?
• If a PA does not pass the PANRE-LA, how many opportunities are there to take the traditional PANRE in year 10?
• Eliminating physician delegation refers to what?
• In which year was the first PA class established?
• What is the definitive therapy for symptomatic severe aortic stenosis?
• Which hydrogen ion–producing state is most likely to cause an anion gap metabolic acidosis?
• Which electrolyte disturbance is commonly associated with diuretic use?
• The PA licensure compact is part of which modernization?
• Thyroid storm management includes which combination of therapies?
• Which sign of compartment syndrome is a late and unreliable indicator?
• Metronidazole is considered what role in the management of C. difficile infection?
• Which statement best describes the role of aspirin in acute coronary syndrome management?
• In an acute asthma exacerbation, what is the first-line fast-acting bronchodilator therapy?
• If CT angiography is contraindicated, which diagnostic test is used to evaluate suspected pulmonary embolism?
• In what year was The American Association of Physician Assistants incorporated?
• Which accomplishment occurred in 2018 related to AAPA's progress on practice acts?
• The PA scope of practice is determined by which of the following?
• A dehydrated patient develops prerenal acute kidney injury. Which laboratory pattern is most likely?
• The PANCE examination is administered by which organization?
• In suspected bacterial meningitis, which adjunctive therapy is often given to reduce neurologic complications when antibiotics are started?
• Which statement defines specificity in diagnostic testing?
• In acute decompensated heart failure treated with IV diuretics, which electrolyte abnormality is most common and requires monitoring?
• How will modernized PA laws help patients and strengthen healthcare teams?
• Guillain-Barré syndrome typically presents with which clinical feature?
• ARC-PA's philosophy emphasizes high quality education for whom?
• Which contraception methods are contraindicated or used with caution in patients with estrogen-containing therapies?
• In nephrotic syndrome, which lipid abnormality is commonly observed?
• Which statement best describes how PA scope of practice is determined?
• Which statement about PAEA is correct?
• PANRE-LA is administered in how many quarters over the certification maintenance cycle?
• The organization now known as American Academy of PAs was originally named what?
• Which diagnosis is suggested by polyuria, polydipsia, weight loss, and Kussmaul respirations with anion gap metabolic acidosis?
• In 2020, which progress did LAPA achieve?
• A child with fever, irritability, and a bulging fontanelle requires urgent evaluation to rule out which condition?
• Which statement is true about the PANRE (non-LA) scheduling?
• Which of the following is among the AAPA's activities?
• In severe hypothyroidism with bradycardia and fatigue, which medication is standard therapy to replace deficient thyroid hormone?
• In chronic kidney disease with albuminuria, which therapy slows disease progression?
• In a patient with type 2 diabetes and obesity, which medication class has demonstrated cardiovascular benefit and potential weight loss?
• Which item reflects a 2021-2022 LAPA activity?
• All 50 states were authorized to practice PA in which year?
• A suspected anaphylactic reaction requires which immediate intervention?
• An elderly patient with exertional syncope has a harsh crescendo-decrescendo systolic murmur best heard at the right second intercostal space. What is the most likely diagnosis?
• Which of the following is a foundational modernization element?
• A patient has urinary frequency, dysuria, and fever. A positive urine culture confirms which condition?
• HIV management should begin ART when?
• A 34-year-old man presents with fever, productive cough, and lobar consolidation on chest X-ray. Which organism should be considered as a common cause in older adults?
• In hyperosmolar hyperglycemic state, what is a key initial management step?
• Which scenario is most likely to cause lactic acidosis contributing to anion gap metabolic acidosis?