Built for PA Students & Practicing PAs

Study smarter.
Show up ready.

3,500+ board-quality questions, spaced repetition, timed exam simulation, and an AI tutor that explains every answer — built for PA students and practicing PAs preparing for the PANCE and PANRE.

No credit card required
3 free questions daily
Cancel anytime
PANCE & PANRE modes
3,500+
Board-Quality Questions
13
NCCPA Organ Systems
8
EOR Rotation Modes
$10.83
Per Month (Annual Plan)
Why FirstPassPA

Everything you need.
Nothing you don't.

Most PA board prep is bloated, overpriced, or built for physicians. FirstPassPA is designed from the ground up for the way PA students actually study.

01
100% NCCPA-Aligned

Every question is mapped to the official PANCE and PANRE content blueprints by organ system and difficulty — the same framework NCCPA uses to build the real exam.

02
Study Smarter, Not Longer

SM-2 spaced repetition surfaces questions you struggle with more often and backs off on ones you've mastered — so every study session is maximally efficient.

03
Understand, Don't Memorize

Every answer choice includes a reason why it's right or wrong. Our AI tutor can go deeper on any concept, mechanism, or clinical pearl — instantly.

04
Know Where You Stand

Live analytics show your accuracy by organ system, session trends, mastery progress, and blueprint coverage — so you always know what to study next.

Features

Every tool your
board prep needs.

From your first practice question to a full 300-question timed simulation — FirstPassPA adapts to where you are in your prep.

📋
3,500+ Practice Questions

3,500+ high-yield, clinically accurate questions across all 13 NCCPA organ systems — for PA students on the PANCE and practicing PAs recertifying for the PANRE. Every distractor includes "why it's wrong" reasoning.

Pro
🧠
SM-2 Spaced Repetition

A research-backed spaced repetition algorithm — questions you struggle with resurface sooner; mastered cards return only when review is due. Your study time goes where it matters most.

Pro
Timed Exam Simulation

Simulate real NCCPA exam conditions with 1–5 block sessions. Blueprint-weighted question selection for PANCE or PANRE mode. Between-block summaries, pause/resume, and per-block scoring.

Pro
🏥
End-of-Rotation (EOR) Mode

8 clinical rotation-specific question sets — Family Medicine, Internal Medicine, Surgery, Pediatrics, OB/GYN, Psychiatry, Emergency Medicine, and Women's Health. Prep for your EOR exams between shifts.

New
🤖
AI Clinical Tutor

Powered by Claude. Ask why an answer is correct, how a drug works, what differentiates two diagnoses, or drill deeper into any mechanism — without leaving the question. Like having a faculty member on call.

Pro
📊
Analytics Dashboard

Accuracy by organ system, 14-day activity trends, session history, mastery badges, blueprint coverage rings, and spaced repetition progress — all in one place. Know exactly what to study next.

Pro
Bookmarking

Star any question while studying to save it for later. Build a personal review list of questions you want to revisit, then practice from your bookmarks as a dedicated mode.

Pro
🃏
Flashcards & Mnemonics

50 high-yield flashcards and 40 mnemonics covering the concepts most likely to appear on the PANCE. Filterable by organ system. AI tutor available on every card.

Pro
🧪
NCCPA Lab Reference

Complete searchable lab reference values — CBC, BMP, LFTs, ABG, cardiac markers, CSF, and more — available on every question screen. No more tab-switching.

Free

Aligned to the official NCCPA exam blueprint.

Questions are distributed by organ system weight exactly as NCCPA specifies for the PANCE — so you spend the most time on the highest-yield material. Switch to PANRE mode for adjusted weights.

⚠ Important Disclaimer

FirstPassPA is an independent study tool. We are not affiliated with, endorsed by, or sponsored by NCCPA. PANCE® and PANRE® are registered trademarks of the National Commission on Certification of Physician Assistants.

PANCE Blueprint Distribution
♥ Cardiovascular
16%
◈ Pulmonary
14%
⬡ Gastrointestinal
10%
◆ Musculoskeletal
10%
⚗ Endocrinology
8%
◎ Neurology
8%
◉ Reproductive
8%
+ 6 more systems
26%
End-of-Rotation Mode

Prep for your EOR exams
between shifts.

Each clinical rotation has its own focused question set — so you can review the most tested concepts for your current rotation, not everything at once.

🏠
Family Medicine
Outpatient primary care
🏥
Internal Medicine
Inpatient medicine
🔪
Surgery
Surgical conditions
👶
Pediatrics
Peds-specific presentations
🤰
OB/GYN
Obstetrics & gynecology
🧠
Psychiatry
Behavioral health
🚑
Emergency Med
Acute & emergency care
Women's Health
Preventive & women's care

Simple, affordable pricing.

Less than a single review book. Cancel anytime. Full access from day one.

Built by PA-Cs · 3,500+ questions across all 13 NCCPA blueprint systems

Monthly
$14.99
per month
  • All 3,500+ questions
  • Timed exam simulation
  • Spaced repetition (SM-2)
  • AI tutor on every question
  • EOR rotation modes
  • Analytics dashboard
  • Bookmarks & flashcards
  • Cancel anytime
Get Monthly →
⭐ Best Value
Annual
$129.99
per year
Save 28% — just $10.83/month
  • Everything in Monthly
  • Lowest price guaranteed
  • Ideal for full PANCE prep cycle
  • Lock in before price increases
  • Cancel anytime
Get Annual — $129.99 →
⚠️

Not affiliated with NCCPA. FirstPassPA LLC is an independent study tool. PANCE® and PANRE® are registered trademarks of the National Commission on Certification of Physician Assistants. Use of our platform does not guarantee exam passage. Results depend on individual study effort and preparation.

FAQ

Common questions.

Is FirstPassPA affiliated with NCCPA?
No. FirstPassPA LLC is an independent study tool and is not affiliated with, endorsed by, or sponsored by the National Commission on Certification of Physician Assistants (NCCPA). PANCE® and PANRE® are registered trademarks of NCCPA.
How are the questions written?
All 3,500+ questions are written to mimic the style and difficulty of actual PANCE/PANRE questions — clinically grounded, mapped to NCCPA organ systems, and tagged by difficulty. The bank covers both PANCE (students) and PANRE (practicing PAs recertifying). Every answer choice includes clinical reasoning explaining why it is right or wrong.
What's the difference between PANCE mode and PANRE mode?
The PANCE and PANRE use slightly different organ system weights. In PANRE mode, questions are weighted with heavier emphasis on Cardiovascular (18%) and Endocrinology (9%), reflecting the PANRE blueprint for physicians recertifying. Toggle between modes at any time from the header.
What are EOR mode questions?
End-of-Rotation (EOR) mode gives you a focused set of questions tailored to each clinical rotation — Family Medicine, Internal Medicine, Surgery, Pediatrics, OB/GYN, Psychiatry, Emergency Medicine, and Women's Health. Great for studying between shifts during your clinical year.
Does my progress save if I close the app?
Yes. All your progress — question history, accuracy by system, spaced repetition data, bookmarks, streak, and exam date — is saved locally and persists across sessions. Sign up for an account to keep your data backed up.
Can I cancel my subscription?
Yes, cancel anytime. You'll keep Pro access until the end of your current billing period. Email [email protected] and we'll handle it promptly.
Is there a free version?
Yes. Free accounts get 3 practice questions per day, access to the lab reference tool on every question, and the ability to track your exam countdown. No credit card required to start.
⚠ Not affiliated with NCCPA. FirstPassPA is an independent study tool. PANCE® and PANRE® are registered trademarks of the National Commission on Certification of Physician Assistants.

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