Content Blueprint for the Physician Assistant National Recertifying Examination (PANRE) and the Pilot Alternative to PANRE (effective January 2019)

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Content Blueprint for the Physician Assistant National Recertifying Examination (PANRE) and the Pilot Alternative to PANRE (effective January 2019) Information on how the blueprint was developed may be accessed using the following link: PANRE and Pilot Alternative to PANRE Content Blueprint (effective January 2019) - Introduction Organized by Level of Assessment The diseases and disorders that may be covered on PANRE and the Pilot Alternative to PANRE are provided below and are sorted based on the level of assessment. In addition to covering the topics listed below, up to 2% of the questions on PANRE and the Pilot Alternative to PANRE may cover professional practice (legal and ethical) issues. Due to the limited number of questions on PANRE and the Pilot Alternative to PANRE, it is not possible to include all topics on a single exam. The percentage allocations are approximate and may vary slightly with each exam. Content Area Percent Allocation* Cardiovascular System 13% Dermatologic System 6% Endocrine System 6% Eyes, Ears, Nose, and Throat 8% Gastrointestinal System/Nutrition 11% Genitourinary System 5% Hematologic System 4% Infectious Diseases 6% Musculoskeletal System 9% Neurologic System 7% Psychiatry/Behavioral Science 5% Pulmonary System 10% Renal System 3% Reproductive System 7% * Percentages may vary slightly with each exam. The content blueprint arranged by content area instead of assessment level may be accessed using the following link: PANRE and Pilot Alternative to PANRE Content Blueprint (effective January 2019) organized by content area NCCPA Recertification Blueprint Effective January 2019 Page 1 of 10

Level 1 Diseases and Disorders The following diseases and disorders may be assessed at Level 1 on the PANRE and the Pilot Alternative to PANRE. Level 1 is defined as follows: Level 1: Recognize most likely diagnosis using signs, symptoms, and risks; refer appropriately. Cardiovascular System Level 1 Abdominal aortic aneurysm Acute/subacute bacterial endocarditis Aortic stenosis Atrioventricular block Bundle branch block Cardiogenic shock Diastolic heart failure Hypertrophic cardiomyopathy Iliac artery occlusion Mitral regurgitation Mitral valve prolapse Pericardial effusion Prinzmetal variant angina Sick sinus syndrome Thoracic aortic aneurysm Dermatologic System Level 1 Basal cell carcinoma Erythema multiforme Melanoma Squamous cell carcinoma Toxic epidermal necrolysis, Stevens-Johnson syndrome Endocrine System Level 1 Benign thyroid nodules Cushing syndrome Diabetes insipidus Hyperparathyroidism Hypoparathyroidism Primary adrenal insufficiency Thyroid cancer Eyes, Ears, Nose, and Throat Level 1 Cataract Corneal ulcer Glaucoma Hearing loss Hyphema Labyrinthitis Nystagmus Oral leukoplakia Orbital blowout fracture Papilledema Parotitis Retinal detachment Tinnitus NCCPA Recertification Blueprint Effective January 2019 Page 2 of 10

Gastrointestinal System/Nutrition Level 1 Acute hepatitis Anal abscess/fistula Celiac disease Cholangitis Chronic hepatitis Cirrhosis Colon cancer Esophageal varices Ingestion of caustic substance Intussusception Ischemic bowel disease Large-bowel obstruction Mallory-Weiss tear Pyloric stenosis Toxic megacolon Genitourinary System Level 1 Bladder cancer Fecal incontinence Hydrocele/varicocele Paraphimosis/phimosis Prostate cancer Testicular cancer Hematologic System Level 1 Acute/chronic lymphocytic leukemia Anemia of chronic disease Factor V Leiden hypercoagulability Hemolytic anemia Hodgkin lymphoma Hypocoagulable states Non-Hodgkin lymphoma Sickle cell anemia Thrombotic thrombocytopenic purpura Infectious Diseases Level 1 HIV infection Rabies Tetanus Musculoskeletal System Level 1 Acute/chronic osteomyelitis Avascular necrosis Cauda equina syndrome Compartment syndrome Fractures and dislocations: knee/patella, ankle/foot, forearm/wrist/hand, shoulder, hip, spine Kyphosis Rotator cuff tear Scoliosis Slipped capital femoral epiphysis Spinal disk herniation Systemic lupus erythematosus NCCPA Recertification Blueprint Effective January 2019 Page 3 of 10

Neurologic System Level 1 Cerebral aneurysm Delirium Encephalitis Guillain-Barré syndrome Major neurocognitive disorder/dementia Multiple sclerosis Parkinson disease Seizure disorders Spontaneous intracranial hemorrhage Traumatic intracranial hemorrhage Psychiatry/Behavioral Science Level 1 Anorexia nervosa, Bulimia nervosa Attention-deficit/hyperactivity disorder Bipolar disorder Child/elder abuse, Spouse/partner abuse Non substance-related addictive disorders Post-traumatic stress disorder Substance use disorders: illicit substances, prescription drugs, alcohol, tobacco Pulmonary System Level 1 Lung cancer Pulmonary nodules Renal System Level 1 Acid-base disorders Acute kidney injury (Acute renal failure) Reproductive System Level 1 Abruptio placentae Amenorrhea Breast cancer Cervical cancer Dysfunctional uterine bleeding Endometriosis Gestational diabetes Hypertension disorders in pregnancy Ovarian cysts Placenta previa Postpartum hemorrhage Premature rupture of membranes Prenatal diagnosis and care/preconception counseling Rh incompatibility Sexual/physical abuse in pregnancy NCCPA Recertification Blueprint Effective January 2019 Page 4 of 10

Level 2 Diseases and Disorders The following diseases and disorders may be assessed at Level 2 on the PANRE and the Pilot Alternative to PANRE. Level 2 is defined as follows: Level 2: Make appropriate diagnosis by recognizing signs, symptoms, risks and/or interpreting results of diagnostic studies, and have knowledge of first-line treatment. Cardiovascular System Level 2 Acute myocardial infarction: non ST-segment elevation myocardial infarction (NSTEMI) Acute myocardial infarction: ST-segment elevation myocardial infarction (STEMI) Acute pericarditis Aortic dissection Arterial embolism/thrombosis Atrial flutter Cardiac tamponade Hypertensive emergency Orthostatic hypotension Paroxysmal supraventricular tachycardia Peripheral artery disease Phlebitis/thrombophlebitis Premature atrial/ventricular contractions Secondary hypertension Systolic heart failure Temporal arteritis Torsades de pointes Unstable angina Varicose veins Venous insufficiency Ventricular fibrillation Ventricular tachycardia Dermatologic System Level 2 Acne vulgaris Actinic keratosis Acute urticaria, Drug eruptions Atopic dermatitis Burns Contact dermatitis Herpes simplex virus Hidradenitis suppurativa Impetigo Lipomas/epidermal inclusion cysts Molluscum contagiosum Onychomycosis, Dermatophyte infections Paronychia Pilonidal disease Pityriasis rosea Pressure ulcers Psoriasis Rosacea Scabies, Lice infestation Seborrheic dermatitis Spider bites Endocrine System Level 2 Hyperthyroidism/thyrotoxicosis Thyroiditis NCCPA Recertification Blueprint Effective January 2019 Page 5 of 10

Eyes, Ears, Nose, and Throat Level 2 Acute epiglottitis Acute/chronic sinusitis Allergic rhinitis Aphthous ulcers Blepharitis Chalazion Conjunctivitis Corneal abrasion Epistaxis Eustachian tube dysfunction Foreign body in ear Foreign body in eye Foreign body in nose Hordeolum Laryngitis Mastoiditis Meniere disease Orbital cellulitis Otitis externa Peritonsillar abscess Tympanic membrane perforation Vertigo Gastrointestinal System/Nutrition Level 2 Acute/chronic cholecystitis Acute/chronic pancreatitis Anal fissure Appendicitis Cholelithiasis Diverticulitis/diverticulosis Esophagitis Fecal impaction Food allergies Foreign body ingestion Gastritis Gastroesophageal reflux disease Hemorrhoids Hernias Infectious diarrhea Inflammatory bowel disease Intentional overdose of medication Irritable bowel syndrome Noninfectious diarrhea Peptic ulcer disease Small-bowel obstruction Genitourinary System Level 2 Acute prostatitis Bacterial cystitis Benign prostatic hyperplasia Chronic prostatitis Epididymitis Erectile dysfunction Nephrolithiasis/urolithiasis Orchitis Testicular torsion Urethritis Urinary incontinence Hematologic System Level 2 Folate deficiency anemia Iron deficiency anemia Vitamin B12 deficiency anemia NCCPA Recertification Blueprint Effective January 2019 Page 6 of 10

Infectious Diseases Level 2 Acute rheumatic fever Chlamydial infections Epstein-Barr virus infections Gonococcal infections Human papillomavirus infections Lyme disease Measles Mumps Pinworm infestation Rocky Mountain spotted fever Roseola Rubella Syphilis Tuberculosis Vaginal candidiasis Musculoskeletal System Level 2 Back strain/sprain, Lower back injuries Biceps tendinitis Carpal tunnel syndrome de Quervain tenosynovitis Fibromyalgia Ganglion Gout/pseudogout Lateral and medial epicondylitis Osgood-Schlatter disease Osteoarthritis Rheumatoid arthritis Septic arthritis Shoulder bursitis Shoulder tendinitis Soft-tissue injuries: knee, foot/ankle, forearm/wrist/hand Spinal stenosis Neurologic System Level 2 Cluster headache Concussion Essential tremor Meningitis Peripheral neuropathy Postconcussion syndrome Radiculopathy Status epilepticus Syncope Psychiatry/Behavioral Science Level 2 Bereavement/grief reaction Generalized anxiety disorder Major depressive disorder Panic disorder Suicide risk NCCPA Recertification Blueprint Effective January 2019 Page 7 of 10

Pulmonary System Level 2 Acute bronchiolitis Acute bronchitis Acute respiratory distress syndrome Croup Foreign body aspiration Pertussis Pleural effusion Pneumothorax Respiratory syncytial virus infection Sleep apnea Renal System Level 2 Chronic kidney disease Electrolyte disorders Pyelonephritis Reproductive System Level 2 Breast abscess Cervicitis Contraception Dysmenorrhea Ectopic pregnancy Mastitis Menopause Pelvic inflammatory disease Premenstrual syndrome Vaginitis NCCPA Recertification Blueprint Effective January 2019 Page 8 of 10

Level 3 Diseases and Disorders The following diseases and disorders may be assessed at Level 3 on the PANRE and the Pilot Alternative to PANRE. Level 3 is defined as follows: Level 3: Make appropriate diagnosis by recognizing signs, symptoms, risks and/or interpreting results of diagnostic studies and have knowledge of first-line treatment. In addition, have knowledge required to manage well known comorbid conditions, contraindications, and complications. Cardiovascular System Level 3 Angina pectoris (stable angina) Atrial fibrillation Coronary artery disease Deep venous thrombosis Essential hypertension (in adults) Hypercholesterolemia Hypertriglyceridemia Dermatologic System Level 3 Cellulitis, Erysipelas Endocrine System Level 3 Hypothyroidism Metabolic syndrome and obesity Osteoporosis Type 1 diabetes mellitus Type 2 diabetes mellitus Eyes, Ears, Nose, and Throat Level 3 Acute pharyngitis Acute/chronic otitis media Oral candidiasis Gastrointestinal System/Nutrition Level 3 Appendicitis Constipation Gastroesophageal reflux disease Genitourinary System Level 3 Hematologic System Level 3 NCCPA Recertification Blueprint Effective January 2019 Page 9 of 10

Infectious Diseases Level 3 Chickenpox/herpes zoster Influenza Musculoskeletal System Level 3 Neurologic System Level 3 Migraine Stroke/transient ischemic attack Tension headache Psychiatry/Behavioral Science Level 3 Pulmonary System Level 3 Asthma Bacterial pneumonia Chronic bronchitis Emphysema Pulmonary embolism Viral pneumonia Renal System Level 3 Reproductive System Level 3 NCCPA Recertification Blueprint Effective January 2019 Page 10 of 10

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