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United States · Certification exam

Free PANCE practice questions

Here are 20 free, original PANCE-style questions: short clinical vignettes with five answer options, covering the organ systems in the NCCPA blueprint plus professional practice. Each answer comes with a plain-English explanation of why it’s right and why the others are wrong. We use 70% (14 right) as a practice target, which is our own goal, not an NCCPA rule. The real PANCE has 300 questions and a scaled passing score of 350.

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Updated October 2026 · Written from official sources, listed at the bottom of this page

Question 1 of 20

A 68-year-old man with long-standing hypertension has sudden, severe, tearing chest pain that goes through to his back. His blood pressure is 178/96 mm Hg in the right arm and 142/80 mm Hg in the left arm. A chest x-ray shows a widened mediastinum. Which of the following is the most likely diagnosis?

Sample of the exam: same format, 20 questions.

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Everything else, in one place

OverviewPANCE: the PA national certifying examQuestions and passingHow many questions are on the PANCE, and what’s the passing score?BookingHow to apply for and schedule the PANCECostHow much does the PANCE cost?Blueprint and study guidesPANCE study guide: the official content blueprintWhere to learnWhere to study for the PANCE
Sources: NCCPA and 1 more. Checked October 2026.

Rules and fees can change, so check the official site before your test.