Sample PANRE / PANRE-LA Questions
This document provides sample questions using the format of those found on the PANRE and on the PANRE-LA. A critique and references will be provided for every PANRE-LA question.
DownloadMaintaining NCCPA board certification signifies the ongoing commitment of PAs to meet established standards of clinical knowledge and cognitive skills throughout their careers. The 10-year certification maintenance process includes five two-year cycles during which all Board Certified PAs must earn and log 100 Continuing Medical Education (CME) credits and submit a certification maintenance fee by 11:59 p.m. PT, December 31 of their certification expiration year. In addition, PAs must pass the Physician Assistant National Recertifying Exam® (PANRE) or the Physician Assistant National Recertifying Exam-Longitudinal Assessment (PANRE-LA®) by the end of the 10th year of their certification maintenance cycle.
The two-year interval for earning and logging CME fosters PAs staying abreast of the fast-paced, ever-changing world of medicine. Passing a periodic recertification is one way that PAs can demonstrate they are maintaining the core medical knowledge deemed important for all PAs, regardless of their practice discipline. Extensive research supports a combination of these two elements for helping to identify knowledge gaps and retaining knowledge.
Visit the pages below to learn more about recertification options, (CME), how to regain certification, and more.
The recertification exam measures the core medical knowledge that is relevant for all clinically practicing PAs, regardless of their specialty or practice setting. Passing the exam helps PAs demonstrate they are staying up-to-date on core medical topics.
PAs now have two options for meeting their recertification exam requirement, and PAs should choose the option that best suits their individual preferences. Both exam options are based on the same content blueprint. With either option, PAs must also meet the Continuing Medical Education requirements. The fee is the same ($350) regardless of the option selected.

PANRE is the traditional recertification exam that is administered in one setting at Pearson VUE test centers. You’re eligible to take PANRE in the 9th or 10th year of the certification maintenance cycle. Here are some highlights of the PANRE process.
Click the button below to find exam administration dates for PANRE.
PANRE-LA is an alternative to the traditional PANRE that was adopted following the two-year Pilot Alternative to PANRE. It incorporates elements of a longitudinal assessment and is designed to help PAs identify and address knowledge gaps in core medical content. Feedback from PAs who participated in the Pilot helped to inform the design of PANRE-LA. Here are some highlights of the assessment.
PANRE-LA may help remove some of the stress and anxiety of taking the recertification assessment, as it can be completed:
Examinations administered outside of a proctored testing center employ a variety of measures to ensure copywritten exam content is protected and no examinee is given an unfair advantage by accessing proprietary exam content. NCCPA collects and uses data collected from the exam software (e.g., response data, IP address) from existing information (i.e., information collected through an individual’s interactions with NCCPA), and information received from third parties to prevent, detect, investigate, and remediate exam-related misconduct, such as cheating, fraud, deception, or collusion among examinees.
For more information, please watch our exam security video: Click Here for Exam Security Video
Visit our Key Dates webpage for application windows and quarterly start and dates.
Click the links below to download the PANRE-LA Resources. These resources include: Fact Sheet, PANRE-LA blueprint, PANRE sample questions, Podcast, Tutorial, and a message from the NCCPA President and CEO on PANRE-LA.
Experience the insights of our dedicated volunteers as they share their experiences in the “PANRE-LA Volunteer Video.” Hear firsthand from Board Certified PAs who make NCCPA’s mission possible.
To honor those who have demonstrated a longstanding commitment to lifelong learning, patient care, and the certification process, NCCPA will confer the PA-C Emeritus® designation on eligible PAs who apply for it.
PAs must apply for PA-C Emeritus® while still certified. The designation will take effect after their NCCPA board certification expires.
Board Certified PAs who apply for the PA-C Emeritus designation will be so designated following the expiration of their PA-C board certification provided they meet the following requirements:
Proceeds from the one-time $50 application fee will benefit the PA Foundation’s expansion of the NCCPA Endowed Scholarship which is awarded to PA students.
Like NCCPA board certification, the PA-C Emeritus designation shall be maintained on two-year, calendar year cycles.
Maintenance requires the completion of a reapplication process prior to the PA-C Emeritus designation expiration date, which will include attestation that the PA continues to meet the requirements established for initial eligibility. The PA-C Emeritus designation shall be suspended if the PA regains board certification and may be restored upon expiration of the regained certification if the PA meets the requirements for PA-C Emeritus status at that time.
PAs with the PA-C Emeritus designation must comply with all applicable provisions of the NCCPA Code of Conduct.
The PA-C Emeritus designation is not the equivalent of PA-C board certification. Those designated as PA-C Emeritus are not considered board certified by NCCPA and may not hold themselves out as such.
Further, the PA-C Emeritus designation may not be used in any clinical setting or in the context of any clinically related interaction, including clinical volunteer service.
Doing so – or committing any violation of the Code of Conduct or other act that would trigger NCCPA disciplinary review for Board Certified PAs — will result in review in accordance with NCCPA’s Policies and Procedures for PA Disciplinary Matters.
PAs who have lost certification may regain it by fulfilling CME requirements, paying any outstanding fees, and passing PANRE
Exception: PAs who have lost eligibility for certification due to NCCPA disciplinary proceedings must first apply to reestablish eligibility.
Next steps?
You can log your CME credits, apply and pay for the exam online at your personal record.