The PANRE and PANRE-LA Interactive Blueprint (Effective 2023)

Interactive Content Blueprint for the 2024/2025 Physician Assistant National Recertifying Examination (PANRE) and PANRE-LA

Below are the diseases and disorders that may be covered on the 2024/2025 PANRE and PANRE-LA, with links to corresponding Smarty PANCE blueprint lessons and exams. The blueprint also specifies the performance expectation(s) at which each disease and disorder will be assessed.

Attention PANRE-LA test-takers! Above each organ system blueprint (below), you'll now find a system-specific "PANRE-LA Smart Search" bar. This highly specialized search tool allows you to quickly locate relevant information within the corresponding organ system content.

Our PANRE-LA Smart Search is engineered to deliver lightning-fast, real-time results tailored to each specific organ system. This means you can efficiently navigate the PANRE-LA blueprint system specific content and find the answers you need in record time.

For a more comprehensive search, our PANRE-LA global search tool allows you to search across all PANRE-LA blueprint content lessons and PEARLS tables.

With this precision search functionality at your fingertips, you'll be better equipped than ever to tackle the PANRE-LA exam with confidence.

Smarty PANCE is not sponsored or endorsed by, or affiliated with, the National Commission on Certification of Physician Assistants. Information on the performance expectations, along with the official NCCPA PANRE and PANRE-LA Content Blueprint, are accessible on the NCCPA website.

Visit the following link to read my blog post on the history, development, eligibility requirements, and test format of the new PANRE and PANRE-LA exams.

Smart Blueprints PANRE Search and Sort PANRE Trello Board PANRE-LA Rapid Search 📄 NCCPA PANRE Blueprint

The PANRE and PANRE-LA Blueprint Breakdown:

The NCCPA PANRE/PANRE-LA Blueprint includes approximately 378 topics. These topics are divided into four performance expectation levels, and I have included the approximate number of topics in each level. I have combined H&P + Diagnosis, as all topics that require knowledge of H&P also require knowledge of the diagnosis. FYI, there are ~482 topics on the NCCPA PANCE Blueprint.

  • History and Physical + Diagnosis (139 topics):
    • History and physical: Given a stated/differential condition, the PA knows the associated signs, symptoms, history, and physical examination components, complications, risk factors for and risks caused by the stated/differential condition.
    • Diagnosis: Given the signs, symptoms, history, risk factors, physical examination findings, and/or appropriate study results/interpretations, the PA is able to determine the most likely diagnosis.
  • Intervention (Basic) (194 topics): The PA is able to manage a disease/disorder with a basic/straightforward presentation, including referral to a specialist, and complications of the management intervention.
  • Intervention (Complex) (45 topics):  The PA is able to manage a disease/disorder made complex by other factors and/or increasing in severity and complications of management or intervention.

Key Dates for PANRE-LA 

Below are the posted quarterly date ranges when PAs who are registered for PANRE-LA can log in to answer questions. The NCCPA will send email notifications when questions are available and when deadlines are approaching. Make sure to add these to your calendar.

  • You must apply in the 6th year of your recertification cycle

Application windows

  • For PAs due to recertify in 2028: July 1, 2024 – December 18, 2024
  • For PAs due to recertify in 2029: July 1, 2025 – December 18, 2025

Click here to add these dates to your Google Calendar

2024

Quarter Starts

Quarter Ends

Tuesday, January 2 Monday, March 11
Monday, April 1 Monday, June 10
Monday, July 1 Tuesday, September 10
Tuesday, October 1 Tuesday, December 10
2025

Quarter Starts

Quarter Ends

Thursday, January 2 Monday, March 10
Tuesday, April 1 Tuesday, June 10
Tuesday, July 1 Wednesday, September 10
Wednesday, October 1 Wednesday, December 10

I have created tables of these disorders sorted by PANRE and PANRE-LA performance expectations, which can be accessed at the bottom of this page (or click that link).

Click here to access our interactive 2024 PANRE/PANRE-LA Blueprint Google Spreadsheet (with tabs for performance expectation), or download our interactive blueprint in MS Word format for further editing. Additional versions of all blueprints and study plans are accessible here.

NEW! Have you tried the PANRE and PANRE-LA Smart Search?
Content Area Percent Allocation*
Cardiovascular System 12%
Dermatologic System 5%
Endocrine System 8%
Eyes, Ears, Nose, and Throat 8%
Gastrointestinal System/Nutrition 10%
Genitourinary System 5%
Hematologic System 4%
Infectious Diseases 7%
Musculoskeletal System 8%
Neurologic System 5%
Psychiatry/Behavioral Science 7%
Pulmonary System 10%
Renal System 4%
Reproductive System 5%
Emergent Topics (Legal, Ethical, DEI) 2%

Cardiovascular System


Cardiovascular System – 12%

Performance Expectation

History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Abdominal aortic aneurysm · · ·
Acute myocardial infarction: non-ST-segment elevation myocardial infarction (NSTEMI) · · ·
Acute myocardial infarction: ST-segment elevation myocardial infarction (STEMI) · · · ·
Acute myocarditis · ·
Acute pericarditis · ·
Angina pectoris (stable and unstable angina) · · ·
Aortic dissection · ·
Arterial embolism/thrombosis · · ·
Atrial fibrillation · · ·
Atrial flutter · ·
Atrioventricular block · ·
Bacterial endocarditis · · ·
Bradycardia (stable and unstable) · · ·
Bundle branch block · ·
Cardiac arrest · · ·
Cardiac tamponade · ·
Cardiogenic shock · · ·
Congenital heart disease · ·
Coronary artery disease · · · ·
Deep venous thrombosis · · · ·
Diastolic heart failure · · · ·
Dilated cardiomyopathy · ·
Dyslipidemia · · · ·
Essential hypertension · · · ·
Hypertensive emergency · · ·
Hypotension · · ·
Hypertrophic cardiomyopathy · ·
Orthostatic hypotension · · ·
Paroxysmal supraventricular tachycardia · · ·
Pericardial effusion · ·
Peripheral artery disease · · · ·
Phlebitis and thrombophlebitis · · ·
Premature atrial/ventricular contractions · ·
Rheumatic heart disease · ·
Secondary hypertension · · ·
Systolic heart failure · · · ·
Thoracic aortic aneurysm · ·
Torsades de pointes · · ·
Valvular disorders (regurgitation, prolapse,

stenosis)

· ·
Varicose veins · · ·
Venous insufficiency · · ·
Ventricular fibrillation · · ·
Ventricular tachycardia · · ·
Cardiology Exam Take Exam

Dermatologic System


Dermatologic System – 5%
Performance Expectation
History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Acne vulgaris · · ·
Actinic keratosis · · ·
Alopecia · ·
Atopic dermatitis · · ·
Basal cell carcinoma · ·
Bites (animal, insect, human) · · ·
Burns · · ·
Cold injuries · ·
Contact dermatitis · · ·
Dermatophyte infections · · ·
Drug eruptions · · ·
Erythema multiforme · ·
Hidradenitis suppurativa · · ·
Lipomas · ·
Localized skin infections (cellulitis, erysipelas, abscesses, impetigo, carbuncles, furuncles) · · · ·
Melanoma · · ·
Molluscum contagiosum · · ·
Necrotizing soft-tissue infection · · ·
Onychomycosis · · ·
Paronychia · · ·
Pigmentation disorders (vitiligo, acanthosis, melasma) · ·
Pilonidal disease · · ·
Pityriasis rosea · ·
Psoriasis · · ·
Rosacea · · ·
Roseola · ·
Seborrheic dermatitis · · ·
Severe cutaneous adverse reactions (toxic epidermal necrolysis, Stevens-Johnson syndrome, staphylococcal scalded skin syndrome) · ·
Skin infestations (scabies, lice) · · ·
Squamous cell carcinoma · ·
Ulcers (pressure, diabetic) · · ·
Urticaria · · ·
Dermatology Exam Take Exam

Endocrine System


Endocrine System – 8%

Performance Expectation

History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Benign thyroid nodules · ·
Cushing syndrome · ·
Diabetes insipidus / SIADH · ·
Hyperparathyroidism · ·
Hyperthyroidism and thyrotoxicosis · · ·
Hypertriglyceridemia · · ·
Hypoparathyroidism · ·
Hypothyroidism · · · ·
Metabolic syndrome, obesity · · · ·
Osteoporosis · · ·
Primary adrenal insufficiency · ·
Thyroid cancer · ·
Thyroiditis · ·
Type 1 diabetes mellitus, diabetic ketoacidosis · · · ·
Type 2 diabetes mellitus, hyperosmolar hyperglycemic syndrome · · · ·
Vitamin D deficiency · · ·
Endocrine System Exam Take Exam

Eyes, Ears, Nose, and Throat


Eyes, Ears, Nose, and Throat: 8%

Performance Expectation

History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Acute epiglottitis · · ·
Acute glaucoma · ·
Acute pharyngitis · · · ·
Acute/chronic otitis media · · · ·
Acute/chronic sinusitis · · · ·
Allergic rhinitis · · · ·
Angioedema · · ·
Aphthous ulcers · ·
Blepharitis · · ·
Cataract · ·
Chalazion · · ·
Conjunctivitis · · ·
Corneal abrasion · · ·
Corneal ulcer · · ·
Dental pain/abscess · · ·
Epistaxis · · ·
Eustachian tube dysfunction · · ·
Foreign body in ear · · ·
Foreign body in eye · · ·
Foreign body in nose · · ·
Hearing loss · ·
Hordeolum · · ·
Hyphema · ·
Labyrinthitis · ·
Laryngitis · · ·
Macular degeneration ·
Mastoiditis · · ·
Meniere disease · ·
Nystagmus · ·
Ocular trauma · · ·
Leukoplakia · · ·
Orbital cellulitis · · ·
Otitis externa (acute, malignant) · · ·
Papilledema · ·
Parotitis · · ·
Peritonsillar abscess · · ·
Retinal detachment · ·
Retinal vascular occlusion · ·
Retinopathy (diabetic, hypertensive) · ·
Subconjunctival hemorrhage · ·
Temporomandibular disorders · ·
Tinnitus · ·
Tympanic membrane perforation · · ·
Vertigo · · ·
Eyes, Ears, Nose, and Throat Exam Take Exam

Gastrointestinal System/Nutrition


Gastrointestinal System/Nutrition: 10%

Performance Expectation

History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Acute cholecystitis · · ·
Acute hepatitis · ·
Acute liver failure · ·
Acute pancreatitis · · ·
Anal abscess/fistula · · ·
Anal fissure · · ·
Appendicitis · · ·
Celiac disease · · ·
Cholangitis · ·
Cholelithiasis · · ·
Chronic hepatitis · · ·
Chronic pancreatitis · ·
Cirrhosis · ·
Colon cancer · · ·
Constipation · · · ·
Diverticulitis and diverticulosis · · ·
Dysphagia · · ·
Esophageal varices · · ·
Esophagitis · · ·
Fecal incontinence · · ·
Food allergies · · ·
Food intolerances (gluten, lactose) · · ·
Foreign body ingestion · · ·
Gastritis · · ·
Gastroesophageal reflux disease · · · ·
Gastrointestinal bleeding · · ·
Hemorrhoids (internal, external) · · ·
Hernias · · ·
Infectious diarrhea · · ·
Inflammatory bowel disease · · ·
Intussusception · ·
Irritable bowel syndrome · · ·
Ischemic bowel disease · ·
Large-bowel obstruction · ·
Nonalcoholic fatty liver disease · · ·
Noninfectious diarrhea · · ·
Pancreatic cancer · · ·
Peptic ulcer disease · · ·
Pyloric stenosis · ·
Small-bowel obstruction · · ·
Toxic ingestion (caustic substances, medications) · · ·
Toxic megacolon · ·
GI and Nutrition Exam Take Exam

Genitourinary System


Genitourinary System: 5%

Performance Expectation

History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Acute prostatitis · · ·
Bacterial cystitis · · · ·
Benign prostatic hyperplasia · · ·
Bladder cancer · ·
Chronic prostatitis · ·
Epididymitis · · ·
Hydrocele and varicocele · ·
Interstitial cystitis · ·
Nephrolithiasis and urolithiasis · · ·
Orchitis · · ·
Overactive bladder · · ·
Paraphimosis/phimosis · ·
Prostate cancer · · ·
Testicular cancer · ·
Testicular torsion · · ·
Urethritis · · ·
Urinary incontinence · · ·
Genitourinary and Renal System Exam Take Exam

Hematologic System


Hematologic System: 4%

Performance Expectation

History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Acute/chronic lymphocytic and myeloid leukemia · ·
Anemia of chronic disease · ·
Folate deficiency anemia · · ·
Hemolytic anemia · ·
Hodgkin lymphoma · ·
Hypercoagulable states (pregnancy-induced, trauma, COVID-19, DVT, Factor V Leiden) · ·
Hypocoagulable states · ·
Immune thrombocytopenic purpura · ·
Iron deficiency anemia · · · ·
Non-Hodgkin lymphoma · ·
Sickle cell anemia · ·
Vitamin B12 deficiency anemia · · ·
Hematologic System Exam Take Exam

Infectious Diseases


Infectious Diseases: 7%

Performance Expectation

History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Candidiasis · · ·
Chlamydial infections · · ·
Coronavirus infections · · ·
Epstein-Barr virus infections · · ·
Gonococcal infections · · ·
Herpes simplex virus infection · · ·
HIV infection · ·
Human papillomavirus infections · · ·
Influenza · · ·
Malaria · ·
Measles · ·
Mumps · ·
Rabies · ·
Respiratory syncytial virus infection · · ·
Rubella · ·
Septic disorders (sepsis, septic shock, systemic inflammatory response syndrome) · · ·
Syphilis · · ·
Tetanus · ·
Tick-borne diseases (Lyme disease, Rocky Mountain spotted fever, anaplasmosis) · · ·
Tuberculosis · · ·
Varicella-zoster virus infections (chickenpox, herpes zoster) · · ·
Infectious Disease Exam Take Exam

Musculoskeletal System


Musculoskeletal System: 8%

Performance Expectation

History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Acute osteomyelitis · · ·
Avascular necrosis · ·
Bursitis · · ·
Carpal tunnel syndrome · · ·
Compartment syndrome · · ·
Fibromyalgia · ·
Fractures and dislocations:

Fractures and dislocations of the ankle and foot

Fractures and dislocations of the knee

Fractures and dislocations of the hip

Fractures and dislocations of the forearm, wrist, and hand

· · ·
Ganglion · ·
Gout and pseudogout · · ·
Inflammatory arthropathy (rheumatoid arthritis [including juvenile], psoriatic arthritis) · ·
Lateral/medial epicondylitis · · ·
Osgood-Schlatter disease · ·
Osteoarthritis · · ·
Rotator cuff tear · · ·
Scoliosis · ·
Septic arthritis · · ·
Slipped capital femoral epiphysis/congenital hip dysplasia · ·
Spinal disk herniation · · ·
Spinal stenosis · ·
Sprain and strain injuries

Soft tissue injuries of the knee

Soft tissue injuries of the ankle and foot

Soft tissue injuries of the shoulder

Soft tissue injuries of the forearm, wrist, and hand

Back strain and sprain 

· · ·
Systemic lupus erythematosus · ·
Temporal arteritis (giant cell arteritis) · · ·
Tendinitis (infectious, non-infectious) · · ·
Musculoskeletal System Exam Take Exam

Neurologic System


Neurologic System: 5%

Performance Expectation

History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Bell palsy · · ·
Cauda equina syndrome · ·
Cerebral aneurysm · ·
Delirium · ·
Encephalopathy · ·
Essential tremor · · ·
Headache disorders (cluster headache, migraine, tension headache, pseudotumor cerebri) · · ·
Hydrocephalus ·
Major neurocognitive disorder and dementia · ·
Meningitis and encephalitis · ·
Neuromuscular disorders (Guillain-Barre syndrome, myasthenia gravis, multiple sclerosis, amyotrophic lateral sclerosis (ALS), muscular dystrophy, botulism, Parkinson's disease) · ·
Peripheral neuropathy · · ·
Radiculopathy · · ·
Seizure disorders · · ·
Stroke and transient ischemic attack · · · ·
Syncope · · ·
Traumatic brain injury (intracranial hemorrhage, concussion, post-concussion syndrome) · · ·
Neurologic System Exam Take Exa2m

Psychiatry/Behavioral Science:


Psychiatry/Behavioral Science: 7%

Performance Expectation

History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Abuse and neglect (child abuse, adult abuse, spouse, or partner abuse) · · ·
Acute stress disorder · · ·
Adjustment disorders (bereavement and grief reaction) · · ·
Anxiety disorders (generalized anxiety disorder, panic disorder) · · · ·
Bipolar disorders · ·
Depressive disorders (major depressive disorder, major depressive disorder with peripartum onset, major depressive disorder with seasonal pattern, post-partum) · · · ·
Disruptive, impulse-control, and conduct disorders (oppositional defiant disorder, conduct disorder) · ·
Feeding and eating disorders (anorexia nervosa, bulimia nervosa, binge-eating disorder, mixed disorder) · ·
Neurodevelopmental disorders (autism spectrum disorder, attention-deficit/hyperactivity disorder) · ·
Non-substance-related addictive disorders · ·
Obsessive-compulsive disorder · ·
Post-traumatic stress disorder · · ·
Schizophrenia · ·
Substance use disorders (illicit substances, prescription drugs, alcohol, tobacco) · · ·
Suicide/homicide (risk, attempt, ideation) · · ·
Psychiatry and Behavioral Science Exam  Take Exam

Pulmonary System


Pulmonary System: 10%

Performance Expectation

History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Acute bronchiolitis · · ·
Acute bronchitis · · ·
Acute respiratory distress syndrome · · ·
Hypersensitivity reactions (allergies, anaphylaxis) · · ·
Asthma · · · ·
Chronic obstructive pulmonary disease (chronic bronchitis, emphysema, chronic obstructive asthma) · · · ·
Croup · · ·
Cystic fibrosis · ·
Foreign body aspiration · · ·
Lung cancer · · ·
Pertussis · · ·
Pleural effusion · · ·
Pneumonia (bacterial, fungal, viral) · · · ·
Pneumothorax · · ·
Pulmonary embolism · · · ·
Pulmonary hypertension · ·
Pulmonary nodules · ·
Sleep apnea · · ·
Pulmonary System Exam Take Exam

Renal System


Renal System: 4%
Performance Expectation
History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Acute kidney injury (prerenal, postrenal, intrinsic, rhabdomyolysis) · · ·
Chronic kidney disease · · · ·
Electrolyte abnormalities · · ·
Pyelonephritis · · ·
Renal cell carcinoma · ·
Renal and Genitourinary System Exam Take Exam

Reproductive System


Reproductive System: 5%

Performance Expectation

History & Physical Diagnosis Intervention (Basic) Intervention (Complex)
Abnormal uterine bleeding · · ·
Abruptio placentae · ·
Amenorrhea · · ·
Breast abscess and mastitis · · ·
Breast cancer · · ·
Cervical cancer · · ·
Dysmenorrhea · · ·
Ectopic pregnancy · · ·
Endometriosis · ·
Fertility issues (contraception) · · ·
Gestational diabetes · ·
Hypertension disorders during the perinatal period · · ·
Normal pregnancy (medication use during the perinatal period, prenatal diagnosis/care) · · ·
Menopause · · ·
Ovarian cancer · ·
Ovarian cysts · ·
Ovarian torsion · · ·
Pelvic inflammatory disease · · · ·
Pelvic organ prolapse (uterine prolapse, vaginal prolapse) · ·
Placenta previa · ·
Postpartum hemorrhage · · ·
Pregnancy loss · ·
Premature rupture of membranes · ·
Premenstrual syndrome · · ·
Rh incompatibility · · ·
Sexual dysfunction · · ·
Uterine masses (fibroids, uterine cancers) · ·
Vaginitis · · ·
Reproductive System Exam Take Exam

PANRE and PANRE-LA Blueprint sorted by performance expectation(s)

The blueprint specifies the performance expectation(s) at which each disease and disorder will be assessed. The performance expectations are sorted below and defined as follows:

View and make your own copy of our interactive PANRE/PANRE-LA Google Spreadsheet. Use the tabs at the bottom of the spreadsheet to view by performance expectation(s). The table is dynamic and sortable.

Intervention (Complex) - 45 diseases/disorders

The PA is able to manage a disease/disorder made complex by other factors and/or increasing in severity and complications of management or intervention.

Performance Expectation
Disorders H&P Dx Intervention (Basic) Intervention (Complex) System
Acute myocardial infarction: ST-segment elevation myocardial infarction (STEMI) · · · · Cardiovascular
Coronary artery disease · · · · Cardiovascular
Deep venous thrombosis · · · · Cardiovascular
Diastolic heart failure · · · · Cardiovascular
Dyslipidemia · · · · Cardiovascular
Essential hypertension · · · · Cardiovascular
Peripheral artery disease · · · · Cardiovascular
Systolic heart failure · · · · Cardiovascular
Localized skin infections (cellulitiserysipelas, abscesses, impetigo, carbuncles, furuncles) · · · · Dermatologic
Hypothyroidism · · · · Endocrine
Metabolic syndrome, obesity · · · · Endocrine
Type 1 diabetes mellitus, diabetic ketoacidosis · · · · Endocrine
Type 2 diabetes mellitus, hyperosmolar hyperglycemic syndrome · · · · Endocrine
Acute pharyngitis · · · · EENT
Acute/chronic otitis media · · · · EENT
Acute/chronic sinusitis · · · · EENT
Allergic rhinitis · · · · EENT
Constipation · · · · GI/Nutrition
Gastroesophageal reflux disease · · · · GI/Nutrition
Bacterial cystitis · · · · Genitourinary
Iron deficiency anemia · · · · Hematologic
Stroke/transient ischemic attack · · · · Neurologic
Anxiety disorders (generalized anxiety disorder, panic disorder) · · · · Psychiatry
Depressive disorders (major depressive disorder, major depressive disorder with peripartum onset, major depressive disorder with seasonal pattern, post-partum) · · · · Psychiatry
Asthma · · · · Pulmonary
Chronic obstructive pulmonary disease (chronic bronchitisemphysemachronic obstructive asthma) · · · · Pulmonary
Pneumonia (bacterialfungalviral) · · · · Pulmonary
Pulmonary embolism · · · · Pulmonary
Chronic kidney disease · · · · Renal
Pelvic inflammatory disease · · · · Reproductive

Intervention (Basic): 194 diseases/disorders

The PA is able to manage a disease/disorder with a basic/straightforward presentation, including referral to a specialist, and complications of the management intervention.

Performance Expectation
Disorders H&P Dx Intervention (Basic) System
Abdominal aortic aneurysm · · · Cardiovascular
Acute myocardial infarction: non-ST-segment elevation myocardial infarction (NSTEMI) · · · Cardiovascular
Angina pectoris (stable and unstable angina) · · · Cardiovascular
Arterial embolism/thrombosis · · · Cardiovascular
Atrial fibrillation · · · Cardiovascular
Bacterial endocarditis · · · Cardiovascular
Bradycardia (stable and unstable) · · · Cardiovascular
Cardiac arrest · · · Cardiovascular
Cardiogenic shock · · · Cardiovascular
Hypertensive emergency · · · Cardiovascular
Hypotension · · · Cardiovascular
Orthostatic hypotension · · · Cardiovascular
Paroxysmal supraventricular tachycardia · · · Cardiovascular
Phlebitis and thrombophlebitis · · · Cardiovascular
Secondary hypertension · · · Cardiovascular
Torsades de pointes · · · Cardiovascular
Varicose veins · · · Cardiovascular
Venous insufficiency · · · Cardiovascular
Ventricular fibrillation · · · Cardiovascular
Ventricular tachycardia · · · Cardiovascular
Acne vulgaris · · · Dermatologic
Actinic keratosis · · · Dermatologic
Atopic dermatitis · · · Dermatologic
Bites (animal, insect, human) · · · Dermatologic
Burns · · · Dermatologic
Contact dermatitis · · · Dermatologic
Dermatophyte infections · · · Dermatologic
Drug eruptions · · · Dermatologic
Hidradenitis suppurativa · · · Dermatologic
Melanoma · · · Dermatologic
Molluscum contagiosum · · · Dermatologic
Necrotizing soft-tissue infection · · · Dermatologic
Onychomycosis · · · Dermatologic
Paronychia · · · Dermatologic
Pilonidal disease · · · Dermatologic
Psoriasis · · · Dermatologic
Rosacea · · · Dermatologic
Seborrheic dermatitis · · · Dermatologic
Skin infestations (scabies, lice) · · · Dermatologic
Ulcers (pressure, diabetic) · · · Dermatologic
Urticaria · · · Dermatologic
Hyperthyroidism and thyrotoxicosis · · · Endocrine
Hypertriglyceridemia · · · Endocrine
Osteoporosis · · · Endocrine
Vitamin D deficiency · · · Endocrine
Acute epiglottitis · · · EENT
Angioedema · · · EENT
Blepharitis · · · EENT
Chalazion · · · EENT
Conjunctivitis · · · EENT
Corneal abrasion · · · EENT
Corneal ulcer · · · EENT
Dental pain/abscess · · · EENT
Epistaxis · · · EENT
Eustachian tube dysfunction · · · EENT
Foreign body in ear · · · EENT
Foreign body in eye · · · EENT
Foreign body in nose · · · EENT
Hordeolum · · · EENT
Laryngitis · · · EENT
Mastoiditis · · · EENT
Ocular trauma · · · EENT
Leukoplakia · · · EENT
Orbital cellulitis · · · EENT
Otitis externa (acute, malignant) · · · EENT
Parotitis · · · EENT
Peritonsillar abscess · · · EENT
Tympanic membrane perforation · · · EENT
Vertigo · · · EENT
Acute cholecystitis · · · GI/Nutrition
Acute pancreatitis · · · GI/Nutrition
Anal abscess/fistula · · · GI/Nutrition
Anal fissure · · · GI/Nutrition
Appendicitis · · · GI/Nutrition
Celiac disease · · · GI/Nutrition
Cholelithiasis · · · GI/Nutrition
Chronic hepatitis · · · GI/Nutrition
Colon cancer · · · GI/Nutrition
Diverticulitis and diverticulosis · · · GI/Nutrition
Dysphagia · · · GI/Nutrition
Esophageal varices · · · GI/Nutrition
Esophagitis · · · GI/Nutrition
Fecal incontinence · · · GI/Nutrition
Food allergies · · · GI/Nutrition
Food intolerances (glutenlactose) · · · GI/Nutrition
Foreign body ingestion · · · GI/Nutrition
Gastritis · · · GI/Nutrition
Gastrointestinal bleeding · · · GI/Nutrition
Hemorrhoids (internal, external) · · · GI/Nutrition
Hernias · · · GI/Nutrition
Infectious diarrhea · · · GI/Nutrition
Inflammatory bowel disease · · · GI/Nutrition
Irritable bowel syndrome · · · GI/Nutrition
Nonalcoholic fatty liver disease (NASH) · · · GI/Nutrition
Noninfectious diarrhea · · · GI/Nutrition
Pancreatic cancer · · · GI/Nutrition
Peptic ulcer disease · · · GI/Nutrition
Small-bowel obstruction · · · GI/Nutrition
Toxic ingestion (caustic substances, medications) · · · GI/Nutrition
Acute prostatitis · · · Genitourinary
Benign prostatic hyperplasia · · · Genitourinary
Epididymitis · · · Genitourinary
Nephrolithiasis and urolithiasis · · · Genitourinary
Orchitis · · · Genitourinary
Overactive bladder · · · Genitourinary
Prostate cancer · · · Genitourinary
Testicular torsion · · · Genitourinary
Urethritis · · · Genitourinary
Urinary incontinence · · · Genitourinary
Folate deficiency anemia · · · Hematologic
Vitamin B12 deficiency anemia · · · Hematologic
Candidiasis · · · Infectious Disease
Chlamydial infections · · · Infectious Disease
Coronavirus infections · · · Infectious Disease
Epstein-Barr virus infections · · · Infectious Disease
Gonococcal infections · · · Infectious Disease
Herpes simplex virus infection · · · Infectious Disease
Human papillomavirus infections · · · Infectious Disease
Influenza · · · Infectious Disease
Respiratory syncytial virus infection · · · Infectious Disease
Septic disorders (sepsis, septic shock, systemic inflammatory response syndrome) · · · Infectious Disease
Syphilis · · · Infectious Disease
Tick-borne diseases (Lyme diseaseRocky Mountain spotted fever, anaplasmosis) · · · Infectious Disease
Tuberculosis · · · Infectious Disease
Varicella-zoster virus infections (chickenpoxherpes zoster) · · · Infectious Disease
Acute osteomyelitis · · · Musculoskeletal
Bursitis · · · Musculoskeletal
Carpal tunnel syndrome · · · Musculoskeletal
Compartment syndrome · · · Musculoskeletal
Fractures and dislocations:

· · · Musculoskeletal
Gout and psuedogout · · · Musculoskeletal
Lateral/medial epicondylitis · · · Musculoskeletal
Osteoarthritis · · · Musculoskeletal
Rotator cuff tear · · · Musculoskeletal
Septic arthritis · · · Musculoskeletal
Spinal disk herniation · · · Musculoskeletal
Sprain and strain injuries

· · · Musculoskeletal
Temporal arteritis (giant cell arteritis) · · · Musculoskeletal
Tendinitis (infectious, non-infectious) · · · Musculoskeletal
Bell palsy · · · Neurologic
Essential tremor · · · Neurologic
Headache disorders (cluster headache, migraine, tension headache, pseudotumor cerebri) · · · Neurologic
Peripheral neuropathy · · · Neurologic
Radiculopathy · · · Neurologic
Seizure disorders · · · Neurologic
Syncope · · · Neurologic
Traumatic brain injury (intracranial hemorrhage, concussion, post-concussion syndrome) · · · Neurologic
Abuse and neglect (child abuse, adult abuse, spouse or partner abuse) · · · Psychiatry
Acute stress disorder · · · Psychiatry
Adjustment disorders (bereavement and grief reaction) · · · Psychiatry
Post-traumatic stress disorder · · · Psychiatry
Substance use disorders (illicit substances, prescription drugs, alcohol, tobacco) · · · Psychiatry
Suicide/homicide (risk, attempt, ideation) · · · Psychiatry
Acute bronchiolitis · · · Pulmonary
Acute bronchitis · · · Pulmonary
Acute respiratory distress syndrome · · · Pulmonary
Hypersensitivity reactions (allergies, anaphylaxis) · · · Pulmonary
Croup · · · Pulmonary
Foreign body aspiration · · · Pulmonary
Lung cancer · · · Pulmonary
Pertussis · · · Pulmonary
Pleural effusion · · · Pulmonary
Pneumothorax · · · Pulmonary
Sleep apnea · · · Pulmonary
Acute kidney injury (prerenal, postrenal, intrinsic, rhabdomyolysis) · · · Renal
Electrolyte abnormalities · · · Renal
Pyelonephritis · · · Renal
Abnormal uterine bleeding · · · Reproductive
Amenorrhea · · · Reproductive
Breast abscess and mastitis · · · Reproductive
Breast cancer · · · Reproductive
Cervical cancer · · · Reproductive
Dysmenorrhea · · · Reproductive
Ectopic pregnancy · · · Reproductive
Fertility issues (contraception) · · · Reproductive
Hypertension disorders during the perinatal period · · · Reproductive
Normal pregnancy (medication use during the perinatal periodprenatal diagnosis/care) · · · Reproductive
Menopause · · · Reproductive
Ovarian torsion · · · Reproductive
Postpartum hemorrhage · · · Reproductive
Premenstrual syndrome · · · Reproductive
Rh incompatibility · · · Reproductive
Sexual dysfunction · · · Reproductive
Vaginitis · · · Reproductive

History & Physical + Diagnosis (139 diseases/disorders)

History & Physical: Given a stated/differential condition, the PA knows the associated signs, symptoms, history, and physical examination components, complications, risk factors for and risks caused by the stated/differential condition.

Diagnosis: Given the signs, symptoms, history, risk factors, physical examination findings, and/or appropriate study results/interpretations, the PA is able to determine the most likely diagnosis.

Performance Expectation
Disorders H&P Dx System
Acute myocarditis · · Cardiovascular
Acute pericarditis · · Cardiovascular
Aortic dissection · · Cardiovascular
Atrial flutter · · Cardiovascular
Atrioventricular block · · Cardiovascular
Bundle branch block · · Cardiovascular
Cardiac tamponade · · Cardiovascular
Congenital heart disease · · Cardiovascular
Dilated cardiomyopathy · · Cardiovascular
Hypertrophic cardiomyopathy · · Cardiovascular
Pericardial effusion · · Cardiovascular
Premature atrial/ventricular contractions · · Cardiovascular
Rheumatic heart disease · · Cardiovascular
Thoracic aortic aneurysm · · Cardiovascular
Valvular disorders (regurgitation, prolapse, stenosis) · · Cardiovascular
Alopecia · · Dermatologic
Basal cell carcinoma · · Dermatologic
Cold injuries · · Dermatologic
Erythema multiforme · · Dermatologic
Lipomas · · Dermatologic
Pigmentation disorders (vitiligoacanthosismelasma) · · Dermatologic
Pityriasis rosea · · Dermatologic
Roseola · · Dermatologic
Severe cutaneous adverse reactions (toxic epidermal necrolysisStevens-Johnson syndrome, staphylococcal scalded skin syndrome) · · Dermatologic
Squamous cell carcinoma · · Dermatologic
Benign thyroid nodules · · Endocrine
Cushing syndrome · · Endocrine
Diabetes insipidus / SIADH · · Endocrine
Hyperparathyroidism · · Endocrine
Hypoparathyroidism · · Endocrine
Primary adrenal insufficiency · · Endocrine
Thyroid cancer · · Endocrine
Thyroiditis · · Endocrine
Acute glaucoma · · EENT
Aphthous ulcers · · EENT
Cataract · · EENT
Hearing loss · · EENT
Hyphema · · EENT
Labyrinthitis · · EENT
Macular degeneration · EENT
Meniere disease · · EENT
Nystagmus · · EENT
Papilledema · · EENT
Retinal detachment · · EENT
Retinal vascular occlusion · · EENT
Retinopathy (diabetic, hypertensive) · · EENT
Subconjunctival hemorrhage · · EENT
Temporomandibular disorders · · EENT
Tinnitus · · EENT
Acute hepatitis · · GI/Nutrition
Acute liver failure · · GI/Nutrition
Cholangitis · · GI/Nutrition
Chronic pancreatitis · · GI/Nutrition
Cirrhosis · · GI/Nutrition
Intussusception · · GI/Nutrition
Ischemic bowel disease · · GI/Nutrition
Large-bowel obstruction · · GI/Nutrition
Pyloric stenosis · · GI/Nutrition
Toxic megacolon · · GI/Nutrition
Bladder cancer · · Genitourinary
Chronic prostatitis · · Genitourinary
Hydrocele and varicocele · · Genitourinary
Interstitial cystitis · · Genitourinary
Paraphimosis/phimosis · · Genitourinary
Testicular cancer · · Genitourinary
Acute/chronic lymphocytic and myeloid leukemia · · Hematologic
Anemia of chronic disease · · Hematologic
Hemolytic anemia · · Hematologic
Hodgkin lymphoma · · Hematologic
Hypercoagulable states (pregnancy-induced, trauma, COVID-19DVT, Factor V Leiden) · · Hematologic
Immune thrombocytopenic purpura · · Hematologic
Non-Hodgkin lymphoma · · Hematologic
Sickle cell anemia · · Hematologic
HIV infection · · Infectious Disease
Malaria · · Infectious Disease
Measles · · Infectious Disease
Mumps · · Infectious Disease
Rabies · · Infectious Disease
Rubella · · Infectious Disease
Tetanus · · Infectious Disease
Avascular necrosis · · Musculoskeletal
Fibromyalgia · · Musculoskeletal
Ganglion · · Musculoskeletal
Inflammatory arthropathy (rheumatoid arthritis [including juvenile], psoriatic arthritis) · · Musculoskeletal
Osgood-Schlatter disease · · Musculoskeletal
Scoliosis · · Musculoskeletal
Slipped capital femoral epiphysis/congenital hip dysplasia · · Musculoskeletal
Spinal stenosis · · Musculoskeletal
Systemic lupus erythematosus · · Musculoskeletal
Cauda equina syndrome · · Neurologic
Cerebral aneurysm · · Neurologic
Delirium · · Neurologic
Encephalopathy · · Neurologic
Hydrocephalus · Neurologic
Major neurocognitive disorder and dementia · · Neurologic
Meningitis and encephalitis · · Neurologic
Neuromuscular disorders (Guillain-Barre syndrome, myasthenia gravis, multiple sclerosis, amyotrophic lateral sclerosis (ALS), muscular dystrophy, botulism, Parkinson's disease) · · Neurologic
Bipolar disorders · · Psychiatry
Disruptive, impulse-control, and conduct disorders (oppositional defiant disorderconduct disorder) · · Psychiatry
Feeding and eating disorders (anorexia nervosabulimia nervosabinge-eating disorder, mixed disorder) · · Psychiatry
Neurodevelopmental disorders (autism spectrum disorderattention-deficit/hyperactivity disorder) · · Psychiatry
Non-substance-related addictive disorders · · Psychiatry
Obsessive-compulsive disorder · · Psychiatry
Schizophrenia · · Psychiatry
Cystic fibrosis · · Pulmonary
Pulmonary hypertension · · Pulmonary
Pulmonary nodules · · Pulmonary
Renal cell carcinoma · · Renal
Abruptio placentae · · Reproductive
Endometriosis · · Reproductive
Gestational diabetes · · Reproductive
Ovarian cancer · · Reproductive
Ovarian cysts · · Reproductive
Pelvic organ prolapse (uterine prolapsevaginal prolapse) · · Reproductive
Placenta previa · · Reproductive
Pregnancy loss · · Reproductive
Premature rupture of membranes · · Reproductive
Uterine masses (fibroidsuterine cancers) · · Reproductive