PANCE Practice Test 2026 — Free PANCE Exam Prep Questions
The PANCE is NCCPA's entry-level certifying exam for graduates of accredited physician assistant programs. It tests clinical knowledge across organ systems and the tasks PAs perform, from history and physical exam to pharmacotherapy. Our original clinical-vignette questions follow the official PANCE blueprint task categories and explain every option.
A 63-year-old woman has a mechanical bileaflet mitral valve prosthesis placed 4 years ago and has now developed atrial fibrillation. She dislikes INR monitoring and asks to switch from warfarin to a direct oral anticoagulant. Her creatinine clearance is 75 mL/min. Which anticoagulation plan is most appropriate?
PANCE format, scoring & key facts
Facts last verified Oct 4, 2026. Source: www.nccpa.net/become-certified/pance-blueprint/. Always confirm details with NCCPA before your exam.
When can you take the PANCE?
Plan backwards from your exam date
What the PANCE covers
Every PrepBanq PANCE test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | ≈ Questions on exam | Our practice questions |
|---|---|---|---|
History Taking and Performing Physical ExaminationPertinent history elements, exam techniques and expected findings for common conditions. | 16% | ~48 | 4 questions → |
Using Diagnostic and Laboratory StudiesChoosing and interpreting labs, imaging and other diagnostic tests. | 10% | ~30 | 3 questions → |
Formulating Most Likely DiagnosisIntegrating history, exam and test findings to reach the most likely diagnosis. | 18% | ~54 | 4 questions → |
Health Maintenance, Patient Education, and Preventive MeasuresScreening, immunization, risk-factor reduction and patient education across the lifespan. | 11% | ~33 | 3 questions → |
Clinical InterventionNonpharmacologic management including procedures, surgery referral, emergencies and follow-up. | 16% | ~48 | 4 questions → |
Pharmaceutical TherapeuticsDrug selection, mechanisms, dosing, adverse effects, interactions and monitoring. | 15% | ~45 | 4 questions → |
Applying Basic Scientific ConceptsPathophysiology, anatomy and physiology underlying clinical findings. | 8% | ~24 | 2 questions → |
Professional PracticeLegal and ethical issues, patient safety, communication and health care systems. | 6% | ~18 | 1 questions → |
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PANCE FAQ
How many questions are on the PANCE?
The PANCE has 300 questions and you have 5 hours to finish. Question types: Multiple choice (five blocks of 60 questions, 60 minutes per block).
How long is the PANCE exam?
Testing time for the PANCE is 5 hours.
What is the passing score for the PANCE?
PANCE passing standard: Scaled score of 350. Score range: 200–800.
What is on the PANCE?
The PANCE covers History Taking and Performing Physical Examination (about 16%), Using Diagnostic and Laboratory Studies (about 10%), Formulating Most Likely Diagnosis (about 18%), Health Maintenance, Patient Education, and Preventive Measures (about 11%), Clinical Intervention (about 16%), Pharmaceutical Therapeutics (about 15%), Applying Basic Scientific Concepts (about 8%), Professional Practice (about 6%).
Who administers the PANCE?
The Physician Assistant National Certifying Exam (PANCE) is administered by NCCPA.
Is there a free PANCE practice test?
Yes. PrepBanq has 3 free PANCE practice tests with 25 exam-style questions in the real PANCE formats, and every answer is explained. No credit card is needed.
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