PANCE (Physician Assistant National Certifying Exam (NCCPA)) — Free Online Mock Test
NCCPA-administered for newly-graduated PAs. 300 Q in 5 blocks (60 each), 5h total. Pass ~350/800. · Official language: English.
Elite
United States
Medical Licensing
300 questions
300 min
50 distinct variants
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PANCE section breakdown
The PANCE mock test on Wrexa Edge replicates the real exam's section structure — same names, same question count per section, same time limits. Inter-section breaks are enforced.
PANCE scoring & marking scheme
Strategy: PANCE has no negative marking. Attempt every question — blank answers cost you potential marks but cannot pull your score down.
Scale: PANCE (200-800, pass ~350).
How PANCE is conducted
Mode
Standard — practice without proctoring on Wrexa Edge, or enable optional webcam proctoring to simulate test-day conditions.
Test format
Linear / fixed-form — every candidate sees the same number of questions per section.
Backtracking
Allowed — you can revisit and change answers within a section.
Mark for review
Available — flag tough questions and return to them before submitting the section.
Tools available during the PANCE exam
Wrexa Edge renders these tools inside the mock test exactly as they appear on the real PANCE exam — same shortcuts, same behaviour.
PANCE time strategy
With 300 questions in 300 minutes, you have about 60 seconds per question on average. Successful candidates aim for the following pacing on each section:
Wrexa Edge's analytics show your actual time-per-question after every mock so you can spot which sections you're losing time on.
PANCE topics covered
Across the 50 Wrexa Edge variants of PANCE, the following topics appear most often (sample distribution from one variant):
PANCE (300 Q)
- Biology — Fundamentals · 60
- Chemistry — Fundamentals · 40
- Clinical — Cardiology · 4
- Clinical — Respiratory · 4
- Clinical — Gastroenterology · 4
- Clinical — Endocrinology · 4
- Clinical — Neurology · 4
- GI — Hepatology · 4
Sample PANCE questions
A preview of real practice questions from the Wrexa Edge PANCE bank — the same style, phrasing and difficulty you'll face on test day. Full solutions unlock free inside the mock.
PANCE (300 Q) · Step 2 — SAH Workup
Q1. A "thunderclap" headache with neck stiffness in an alert patient requires:
Why: Correct answer: D — Non-contrast head CT first, then LP if CT negative — to rule out subarachnoid hemorrhage. Topic: Step 2 — SAH Workup.
PANCE (300 Q) · Step 2 — PE Workup
Q2. A patient with suspected pulmonary embolism, hemodynamically stable, Wells score = 5 (high) should undergo:
Why: Correct answer: A — CT pulmonary angiography (gold standard). Topic: Step 2 — PE Workup.
PANCE (300 Q) · Step 2 — Pulmonary TB
Q3. A homeless man presents with weight loss, night sweats, hemoptysis, and cavitary upper-lobe infiltrates on CXR. Next step:
Why: Correct answer: B — Isolate in negative-pressure room, collect 3 sputum samples for AFB smear/culture, start empiric 4-drug TB therapy if confirmed. Topic: Step 2 — Pulmonary TB.
PANCE (300 Q) · Step 2 — Variceal Bleed
Q4. A patient with hematemesis (variceal source suspected) and known cirrhosis requires:
Why: Correct answer: C — IV octreotide + IV ceftriaxone (SBP prophylaxis) + urgent EGD with band ligation. Topic: Step 2 — Variceal Bleed.
PANCE (300 Q) · Step 2 — H. pylori
Q5. Triple therapy for H. pylori eradication (standard PPI-based):
Why: Correct answer: D — PPI + amoxicillin + clarithromycin × 14 days (or substitute metronidazole if PCN allergy). Topic: Step 2 — H. pylori.
PANCE (300 Q) · Step 2 — Colorectal Cancer Screening
Q6. A 55-year-old with new constipation, weight loss, and microcytic anemia should undergo:
Why: Correct answer: A — Colonoscopy — to rule out colorectal cancer (iron-deficiency anemia + change in bowel habits = red flag). Topic: Step 2 — Colorectal Cancer Screening.
These are a handful of the 15000 unique PANCE questions across all 50 Wrexa Edge variants — start a free mock to attempt the full set with instant scoring.
PANCE difficulty calibration
Elite tier. Elite-tier: among the toughest exams in its category. Most successful candidates prepare for 6-12+ months.
NCCPA-administered for newly-graduated PAs. 300 Q in 5 blocks (60 each), 5h total. Pass ~350/800. · Official language: English.
Verified content — Wrexa Edge's PANCE bank has been deeply curated with real exam-aligned content (estimated 100% syllabus coverage).
How Wrexa Edge prepares you for PANCE
Real test-day interface
Our vignette skin mirrors the actual PANCE testing software — same timer, palette, tools, and navigation.
50 distinct variants
15000 unique practice questions, each variant a fresh test — not just shuffled options.
Detailed analytics
Scaled score, section accuracy, topic-wise heatmap, time-per-question — see where to focus after every attempt.
Spaced repetition (Notebook)
Wrong answers and flagged questions flow into an SM-2 spaced-repetition deck so you actually retain what you learn.
Optional proctoring
Browser-based face-api detection (no install) — turn it on to simulate a high-stakes environment.
Free to start
No credit card. Sign up, pick a variant, and your first PANCE mock starts in under a minute.
PANCE study plan
A phase-by-phase roadmap from your first concept to test-ready. Stretch or compress each phase to fit the time you have before your attempt.
1
Phase 1 — Learn the syllabus
Weeks 1–4
- Work through every section — PANCE (300 Q) — from your core study material
- Make short notes and a formula/fact sheet you can revise quickly
- Attempt topic questions right after finishing each area
2
Phase 2 — Practice & sectionals
Weeks 5–8
- Solve previous-year and practice questions section by section
- Time yourself on PANCE (300 Q) and your weakest areas
- Keep an error log and revisit every mistake weekly
3
Phase 3 — Full-length mocks
Weeks 9–12
- Take full-length PANCE mocks in the real test interface
- Analyse accuracy, time per question and silly mistakes after each mock
- Revise from notes and re-attempt only weak-topic questions
Where PANCE can take you
A strong PANCE result opens up these careers and higher-study paths:
Clinical practice
A pass grants the licence required to practise and treat patients in your jurisdiction.
Residency & specialisation
Qualifies you for residency, postgraduate training and specialist certification.
Hospital & public health roles
Positions across hospitals, public-health services and research institutions.
Frequently asked questions
- What is the PANCE exam pattern?
- Physician Assistant National Certifying Exam (NCCPA) contains 300 questions across 1 section: PANCE (300 Q). Total duration is 300 minutes (about 60 seconds per question).
- Does PANCE have negative marking?
- No — PANCE has no negative marking. Each correct answer is worth 1 mark, so attempt every question.
- How is PANCE scored?
- Scaled score range: 0 to 800. PANCE (200-800, pass ~350).
- How can I practise PANCE online for free?
- Wrexa Edge gives you 10 free full-length PANCE mock tests — with instant scoring, detailed explanations and analytics — plus 40 more with Pro. Start practising in under a minute, no card required.
- What is the difficulty level of PANCE?
- PANCE is rated Elite difficulty on Wrexa Edge. Elite-tier: among the toughest exams in its category. Most successful candidates prepare for 6-12+ months. NCCPA-administered for newly-graduated PAs. 300 Q in 5 blocks (60 each), 5h total. Pass ~350/800. · Official language: English.
- How long is the PANCE exam?
- PANCE runs for 300 minutes total. On Wrexa Edge the timer is enforced exactly as on the real exam — including mandatory inter-section breaks.
- What topics are covered in PANCE?
- PANCE is split into: PANCE (300 Q). Each section is timed and weighted separately. NCCPA-administered for newly-graduated PAs. 300 Q in 5 blocks (60 each), 5h total. Pass ~350/800. · Official language: English.
- What tools or aids are allowed during PANCE?
- Built-in lab values reference table (USMLE-style).
- Is the PANCE test adaptive?
- No — PANCE is a fixed-form (linear) test. Every candidate sees the same number of questions per section.
- How many PANCE mock tests does Wrexa Edge offer?
- Wrexa Edge generates 50 distinct PANCE variants — each with different question content, not just shuffled options — the first 10 free for everyone and 40 more with Pro. That's 15000 unique practice questions in the real test-day interface.
- Is there a free PANCE test series 2026?
- Yes. The Wrexa Edge PANCE test series for 2026 gives you 10 free full-length mock tests (50 in total) plus subject-wise and topic-wise tests — instant scoring and detailed analysis, no card required.
- Are PANCE previous year question–style papers included?
- Every PANCE mock is modelled on the official exam pattern and the style of previous years' papers — the same 300-question structure, sections and marking — so your practice mirrors the real paper you'll sit.
- Which is the best free PANCE mock test online?
- Wrexa Edge's PANCE mock test replicates the real exam interface, timing and marking scheme, with instant score, section-wise analysis and 50 fresh variants — a strong free choice for 2026 preparation.
- Can I take the PANCE mock test on mobile?
- Yes. PANCE mock tests run in any browser on mobile, tablet or desktop — no app or download needed. Start on your phone and your progress and analytics sync when you sign in.
- What is the PANCE syllabus?
- The PANCE syllabus maps to its 1 section: PANCE (300 Q). Wrexa Edge's mock tests cover the complete syllabus topic by topic — see the topics-covered breakdown above — so you practise every area at real exam difficulty.
- What is the eligibility for PANCE?
- Eligibility for PANCE — age, qualification and number of attempts — is set by the official conducting body and can change each cycle, so always confirm the current official notification before applying. Wrexa Edge focuses on realistic PANCE practice: 10 free full-length mocks in the exact exam pattern, ready whenever you are.
- When is the PANCE exam and how should I prepare?
- Official PANCE exam dates are announced by the conducting body for each cycle — check the latest notification for the current schedule. To be ready, follow a phased study plan and take full-length timed mocks; Wrexa Edge gives you 10 free PANCE mocks with instant scoring so you can track your readiness week by week.
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