PANRE case studies
PANRE · Put your knowledge to work in context.
The Physician Assistant National Recertifying Examination (PANRE) is the assessment Certified PAs use to demonstrate continuing core medical knowledge and maintain NCCPA certification. Beginning in 2023, PAs have two recertification assessment options. The traditional PANRE is administered at Pearson VUE test centers. PANRE-LA is a longitudinal, take-at-home alternative that delivers 25 questions per quarter; each question carries a five-minute time limit, and PAs may consult online or printed references while answering. The PANRE case studies are 5 cases and about 3,809 words.
1Falls, Bruising, and the Decision to Keep Anticoagulation
A 74-year-old woman with permanent atrial fibrillation (CHA2DS2-VASc 5: prior TIA, hypertension, diabetes, age 65-74, female) has taken apixaban 5 mg twice daily for three years. Weight 62 kg, creatinine 1.1 mg/dL, eGFR 55.
762 words, about 4 min2Dyspnea in a Long-Time Smoker: When the Spirometry Doesn't Explain Everything
A 62-year-old man with a 45 pack-year smoking history presents with two years of progressive exertional dyspnea, a daily productive cough, and two courses of prednisone plus antibiotics for "bronchitis" in the past 12 months. He has unintentionally lost 12 lb.
741 words, about 4 min3A Negative H. pylori Test on a PPI: Interpreting a Test That Was Set Up to Fail
A 52-year-old man has 10 weeks of burning epigastric pain that worsens before meals and eases with food. Omeprazole 20 mg daily was started six weeks ago, with maybe 40% improvement.
744 words, about 4 min4Type 2 Diabetes with CKD, Hypoglycemia, and a Contrast Procedure Next Week
A 68-year-old woman with a 12-year history of type 2 diabetes has an A1c of 9.3%. eGFR 36 mL/min/1.73 m², urine albumin-to-creatinine ratio 340 mg/g, potassium 4.9 mmol/L, BMI 31.
781 words, about 4 min5Agitation on Postoperative Day 3: Delirium, Not the Onset of Dementia
An 80-year-old man is on postoperative day 3 after open reduction and internal fixation of a hip fracture. He lived alone, drove, and managed his own finances before the fall.
781 words, about 4 min