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Exam Number : PANCE
Exam Name : Physician Assistant National Certifying
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The material on NCCPA's certification and recertification exams can be organized in two dimensions:
Organ systems and the diseases, disorders and medical exams physician assistants encounter within those systems; and
The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and exams.



Please note that while the subject matter covered on the certification and recertification exams is the same, there is some difference in the nature of the questions on those exams. Generally, the questions on the initial certification test are more specific, while questions on the recertification test tend to address broader clinical issues. This difference is most apparent in the questions related to applying basic science concepts and reflects the different functions of the two exams.



Note: Because of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) publication, NCCPA will adapt its content blueprints, disease and disorder lists, and psychiatry-related terminology within test questions to conform to DSM-5 classifications and diagnostic criteria for all of our examinations.

In NCCPA examinations, psychiatry-related terminology within test questions will include the DSM-5 terminology followed by the DSM-IV-TR terminology in parentheses. Example: illness anxiety disorder (hypochondriasis)



Based on delays in implementation of DSM-5 guidelines within the field of psychiatry, NCCPA will continue to present psychiatry-related terminology within test questions in the manner outlined above until further notice.



Beginning in 2019, there was a new content blueprint released for the Physician Assistant National Certifying test (PANCE). The content blueprint provides guidance on the information assessed on the Physician Assistant National Certifying test (PANCE). The examination is categorized in two dimensions:

Knowledge of the diseases and disorders physician assistants encounter; and Knowledge and skills related to tasks physician assistants perform when treating patients.

The detailed listings provided under each of these two categories represent examples of the material that may be covered on PANCE. It is not possible to include all syllabus on a single exam, and it may be possible that some questions on the test cover content that is not listed in the examples.



The content blueprint for PANCE is based on information provided from certified physician assistants who participate in profession-wide practice analysis studies. Certified PAs are involved throughout the test development process, including: reviewing results of the practice analysis, writing questions that appear on PANCE, reviewing exams before they are administered, reviewing performance data for test questions, and developing recommendations for the passing standard. Certified PAs work with NCCPA to continuously review the content included on PANCE to ensure it is relevant and current, as the practice of medicine changes and treatment guidelines are revised or new ones introduced.



Cardiovascular System 13%

Dermatologic System 5%

Endocrine System 7%

Eyes, Ears, Nose, and Throat 7%

Gastrointestinal System/Nutrition 9%

Genitourinary System (Male and Female) 5%

Hematologic System 5%

Infectious Diseases 6%

Musculoskeletal System 8%

Neurologic System 7%

Psychiatry/Behavioral Science 6%

Pulmonary System 10%

Renal System 5%

Reproductive System (Male and Female) 7%

History Taking and Performing Physical test 17%

Using Diagnostic and Laboratory Studies 12%

Formulating Most Likely Diagnosis 18%

Managing Patients

Health Maintenance, Patient Education, and Preventive Measures 10%

Clinical Intervention 14%

Pharmaceutical Therapeutics 14%

Applying Basic Scientific Concepts 10%

Professional Practice 5%



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Three killed in crash after Monona police chase remembered by their pals as 'vibrant, loving' americans | Killexams.com Resources

Rashad Nelson turned into days away from fatherhood. Aaron Willis left behind a daughter and an unborn infant. Aajayah Ray became a “very loving tomboy.”

The Dane County medical Examiner's office on Friday established the identities of the three americans who were killed Monday nighttime when their car crashed right into a tree because the driver tried to elude Monona police. Autopsies have been accomplished Wednesday and Thursday, but the trigger and manner of demise are pending, the scientific examiner's workplace said in an announcement.

friends of the three recognized them Thursday to the Wisconsin State Journal, describing the three as “bright, loving and compassionate people.”

“I’ve spent vacation trips with these youngsters, and that they’ve helped me and given me first rate advice and helped me dwell grounded in my time of want,” pal Crystal Wilson spoke of. “They were adored and adored by everybody they got here in contact with.”

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At about 9 p.m. Monday, officers tried to pull over a automobile near the corner of Nichols street and Monona force in Monona. The vehicle fled, and police pursued. At some aspect, the Dane County Sheriff’s office deployed a tire-deflation gadget to cease the vehicle, and it crashed on the nook of Femrite pressure and Buckeye street within the city of Cottage Grove, in line with the state department of Justice’s Division of crook Investigation, which is investigating the incident.

It’s now not clear why police sought to tug the car over, nor why the driver selected to pace away. Citing the ongoing investigation, officials haven’t released many details of the crash. however the incident has renewed scrutiny of policies that govern when legislation enforcement can pursue fleeing automobiles.

in the wake of the crash, Monona has tightened its coverage on police hobbies, as a minimum for now, the third time the metropolis has re-evaluated the coverage on the grounds that 2020.

In an announcement to the Monona city Council Wednesday night, Police Chief Brian Chaney talked about the branch “has determined to quickly focal point our priorities on suspects who we believe to be involved in dangerous and violent criminal offenses. This revision is put in area while individuals of the Monona group and its elected officers have the ability to weigh in on what's top-quality for Monona.”

In constructing guidelines for when they'll pursue fleeing cars, law enforcement and officers weigh the want to apprehend crook suspects with the advantage hazard of chasing them, a pursuit that can threaten the safety of the individuals in the fleeing car as neatly as the public.

In November 2022, the Monona metropolis Council authorized a metamorphosis to the coverage governing when police can have interaction in vehicle events, casting off the requirement that the people being pursued must be suspected of getting committed a violent felony or that they were about to commit one.

the brand new coverage blanketed a dozen components for officers to agree with when determining whether to pursue a fleeing car, together with “even if the suspect represents a major risk to public safety,” “the security of the general public within the enviornment of the pursuit” and no matter if the adult fleeing has been recognized and could be safely arrested later.

That increased a outdated coverage, adopted in 2020, in which the metropolis Council modified the requirement that police have “reasonably-priced suspicion” that a violent prison had been committed to instead permit events if police had “possibly trigger” that such against the law had came about.

“Having a 12 months’s adventure with the ‘old’ policy, personally it became simply a long way too restrictive,” Ald. Doug wood noted. “It became so restrictive that in too many instances individuals could readily refuse to cease for the police even when their emergency lights and sirens were operating. That laissez faire attitude turned into in itself a possibility to public security.”

Chaney on Tuesday declined to assert whether the people fleeing Monday have been suspected of a violent felony.

On Thursday, citing the counsel of metropolis attorneys, Monona Mayor Mary O’Connor referred questions from the State Journal to Chaney. Chaney mentioned he will reply questions concerning the circumstance on Friday.

‘Took care of each person’

Nelson, 30, had been a person of strong religion, something Wilson referred to the two had bonded over in the seven years they’d widely used each different. Nelson and his longtime lady friend, with whom he’d been about to start a household, “stole my coronary heart,” Wilson recalled.

“Rashad adored his complete family and would do anything else to preserve them secure and on track,” she noted. “He took care of everyone who known as on him, and everyone did.”

Nelson’s caring nature extended to 19-year-historic Ray, the “very loving tomboy who Rashad took beneath his wing,” in keeping with Wilson.

“all of us cherished her like family unit. She become candy, wise, respectful and loving every time I saw her or interacted with her.”

“She best had nothing but time to develop,” one other pal, who goes through Sway Dolo, instructed the State Journal via fb Messenger. “She just grew on me.”

friends of Ray have started a GoFundMe crusade to support her mom with funeral costs and different things.

Dolo had prevalent Willis, 30, given that childhood and said he had been “trying to get his lifestyles together” in recent years after the deaths of his mother and sister.

Wilson admired him for his devotion to his family unit, his “heart of gold” and “loyal beyond measure” nature.

“He became a faithful father to his daughter and a loyal man to his massive other,” she spoke of. “i know he’s in heaven with his mom and sister now with angel wings because he become in fact an earth angel.”

car became ‘suspicious’

Authorities haven’t spoke of what brought about the tried site visitors cease in Monona on Monday night that escalated into the chase and crash. In a press release, DCI observed best that police had deemed the vehicle “suspicious.”

The Dane County Sheriff’s office assisted Monona police within the pursuit, however the “ongoing investigation prevents us from offering particular particulars regarding that incident,” sheriff’s office Capt. Kerry Porter noted in an announcement Thursday afternoon.

while particulars of the crash are nonetheless unknown, Porter talked about using highway spikes has proven “protected and beneficial” in ending events, noting that the system is designed to steer clear of causing a blowout by using hollow tubes that act as valves, “releasing air from the tires at a sluggish and managed price.”

The officers involved in Monday’s chase have been positioned on administrative obligation, per company coverage, while DCI investigates the incident with guidance from the Wisconsin State Patrol. Monona police and Dane County Sheriff’s office squad automobiles are geared up with dashboard cameras, DCI observed.

DCI referred to it is going to flip over its reports to the Dane County District legal professional’s workplace when the investigation is concluded.

The Washington, D.C-based mostly Police government research discussion board, which conducts research and makes options on police policy, last year launched a report displaying an increase in the number of deadly crashes involving a police pursuit, from 311 in 2015 to 455 in 2020.

It recommends that departments “should adopt restrictive car pursuit philosophies that permit events most effective for a constrained and critical set of circumstances” and that pursuits should best be allowed “for violent crimes and the place failure to immediately apprehend the suspect presents an impending chance to the public according to the suspect’s criminal moves.”

To engage in a car pursuit, Madison police are required to have probably cause “to accept as true with that the vehicle driver and/or occupant(s) has currently dedicated, is committing, or is set to commit a violent criminal,” beneath that department’s guidelines.

State Journal reporter Chris Rickert contributed to this report.

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