PANCE Practice Test

Maintained and Updated as of 2023

329 practice multiple choice questions for the NCCPA’s PANCE exam for physicians assistants

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The Physician Assistant National Certifying Exam (PANCE) is administered by the NCCPA. In the United States, all prospective physician assistants must pass this exam. PANCE covers a variety of basic and medical questions and uses a 360-question multiple choice test format.

Topic breakdown:

  • Cardiovascular System (16%)
  • History Taking and Performing Physical Examinations (16%)
  • Dermatologic System (5%)
  • Using Laboratory & Diagnostic Studies (14%)
  • Eyes, Ears, Nose & Throat (9%)
  • Formulating Most Likely Diagnosis (18%)
  • Endocrine System (6%)
  • Health Maintenance (10%)
  • Gastrointestinal System/Nutrition (10%)
  • Clinical Intervention (14%)
  • Genitourinary System (6%)
  • Pharmaceutical Therapeutics (18%)
  • Hematologic System (3%)
  • Applying Basic Science Concepts (10%)
  • Infectious Diseases (3%)
  • Musculoskeletal System (10%)
  • Neurologic System (6%)
  • Psychiatry/Behavioral (6%)
  • Pulmonary (12%)
  • Reproductive System (8%)

This free practice test features 329 realistic multiple choice questions for the NCCPA’s PANCE exam for physician assistants. This comprehensive practice test will help you not only review key physician assistant and foodservice concepts, but also familiarize yourself with the multiple choice exam format that you will encounter on test day.

Each category also covers the Task Areas specified in the content blueprint:

  • History Taking & Performing Physical Examinations
  • Using Laboratory & Diagnostic Studies
  • Formulating Most Likely Diagnosis
  • Health Maintenance
  • Clinical Intervention Pharmaceutical Therapeutics
  • Applying Basic Science Concepts.

Already a PA? Brush up on your testing skills with our PA Recertifying Exam (PARNE) practice test with dozens of review questions.

Disclaimer: This content is provided for informational purposes only and is intended only as a supplemental study resource. It has not been edited, fact checked or updated. This content is neither affiliated with nor endorsed by the NCCPA. These questions were written by a third party test prep company and licensed by PracticeQuiz for use on this site. Please use at your own discretion.


There are 300 questions on the PANCE exam divided across five blocks of 60 questions each.

The PANCE exam is five hours long.

Earning a passing grade on the PANCE exam grants the test taker NCCPA PANCE certification.

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