Interactive Content Blueprint for the (PANCE)

Interactive Content Blueprint for the Physician Assistant National Certifying Examination (PANCE)

The 2019 PANCE Content Blueprint Checklist

Effective beginning January 2019 for all PANCE administrations

Here is a brand new clickable interactive version of the NCCPA™ PANCE Blueprint (official version here) verbatim with some clarifications in the MSS section. All topics are linked to Smarty PANCE lessons and Blueprint system exams.

It is available here as an online version and as a PDF download.

Smarty PANCE is not sponsored or endorsed by, or affiliated with, the National Commission on Certification of Physician Assistants. 

Medical Content Categories Percentage*
Cardiovascular System 13%
Dermatologic System 5%
Endocrine System 7%
Eyes, Ears, Nose, and Throat 7%
Gastrointestinal System/Nutrition 9%
Genitourinary System (Male and Female) 5%
Hematologic System 5%
Infectious Diseases 6%
Musculoskeletal System 8%
Neurologic System 7%
Psychiatry/Behavioral Science 6%
Pulmonary System 10%
Renal System 5%
Reproductive System (Male and Female) 7%

Medical Content Categories

Cardiovascular System (13%)

Interactive 2019 NCCPA™ PANCE Cardiology System Content Blueprint
Cardiomyopathy

Dilated
Hypertrophic
Restrictive

Conduction disorders/dysrhythmias

Atrial fibrillation/flutter
Atrioventricular block
Bundle branch block
Paroxysmal supraventricular tachycardia
Premature Beats
Sick sinus syndrome
Sinus arrhythmia
Torsades de pointes
Ventricular fibrillation
Ventricular tachycardia

Congenital heart disease

Atrial septal defect
Coarctation of aorta
Patent ductus arteriosus
Tetralogy of Fallot
Ventricular septal defect

Coronary artery disease

Acute myocardial infarction

o Non–ST-segment elevation
o ST-segment elevation

Angina pectoris

o Prinzmetal variant
o Stable
o Unstable

Heart failure

Hypertension

Essential hypertension
Hypertensive emergencies
Secondary hypertension

Hypotension

Cardiogenic shock
Orthostatic hypotension
Vasovagal hypotension

Lipid disorders

Hypercholesterolemia
Hypertriglyceridemia

Traumatic, infectious, and inflammatory heart conditions

Acute and subacute bacterial endocarditis
Acute pericarditis
Cardiac tamponade
Pericardial effusion

Valvular disorders

• Aortic (stenosis/regurgitation)
• Mitral (prolapse/stenosis/regurgitation)
• Pulmonary (stenosis/regurgitation)
• Tricuspid (stenosis/regurgitation)

Vascular disease

Aortic aneurysm/dissection
Arterial embolism/thrombosis
Arteriovenous malformation
Giant cell arteritis
Peripheral artery disease
Phlebitis/thrombophlebitis
Varicose veins
Venous insufficiency
Venous thrombosis

 

Cardiology Exam

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Dermatologic System 5 %

Interactive 2019 NCCPA™ PANCE Dermatology System Content Blueprint
Acneiform eruptions

Acne vulgaris
Folliculitis
Rosacea

Desquamation

Erythema multiforme
Stevens-Johnson syndrome
Toxic epidermal necrolysis

Diseases/disorders of the hair and nails

Alopecia
Onychomycosis
Paronychia

Envenomations and arthropod bite reactions

Exanthems

Erythema infectiosum (fifth disease)
Hand-foot-and-mouth disease
Measles

Infectious diseases

Bacterial

o Cellulitis
o Erysipelas
o Impetigo

Fungal

o Candidiasis
o Dermatophyte infections

Parasitic

o Lice
o Scabies

Viral

o Condyloma acuminatum
o Herpes simplex
o Molluscum contagiosum
o Varicella-zoster virus infections
o Verrucae

Keratotic disorders

Actinic keratosis
Seborrheic keratosis

Neoplasms (benign, malignant, and premalignant)

• Basal cell carcinoma
• Kaposi sarcoma
• Melanoma
• Squamous cell carcinoma

Papulosquamous disorders

Contact dermatitis
Drug eruptions
Eczema
Lichen planus
Pityriasis rosea
Psoriasis

Pigment disorders

Melasma
Vitiligo

Skin integrity

Burns
Lacerations
Pressure ulcers
Stasis dermatitis

Vascular abnormalities

Cherry angioma
Telangiectasia

Vesiculobullous disease

Pemphigoid
Pemphigus

Other dermatologic disorders

Acanthosis nigricans
Hidradenitis suppurativa
Lipomas/epidermal inclusion cysts
Photosensitivity reactions
Pilonidal disease
Urticaria

 

Dermatology Exam

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Endocrine System (7%)

Interactive 2019 NCCPA™ PANCE Endocrine System Content Blueprint
Adrenal disorders

Primary adrenal insufficiency
Cushing syndrome

Diabetes mellitus

Type 1
Type 2

Hypogonadism

Neoplasms

Multiple endocrine neoplasia
Neoplastic syndrome
Primary endocrine malignancy
Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

Parathyroid disorders

Hyperparathyroidism
Hypoparathyroidism

Pituitary disorders

Acromegaly/gigantism
Diabetes insipidus
Dwarfism
Pituitary adenoma

Thyroid disorders

Hyperthyroidism
Hypothyroidism
Thyroiditis

Endocrine System Exam

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Eyes, Ears, Nose, and Throat (7%)

Interactive 2019 NCCPA™ PANCE Eyes, Ears, Nose, and Throat Content Blueprint
Eye disorders

Conjunctival disorders

o Conjunctivitis

Corneal disorders

o Cataract
o Corneal ulcer
o Infectious
o Keratitis
o Pterygium

Lacrimal disorders

o Dacryocystitis

Lid disorders

o Blepharitis
o Chalazion
o Ectropion
o Entropion
o Hordeolum

Neuro-ophthalmologic disorders

o Nystagmus
o Optic neuritis
o Papilledema

Orbital disorders

o Orbital cellulitis

Retinal disorders

o Macular degeneration
o Retinal detachment
o Retinopathy

Traumatic disorders

o Blowout fracture
o Corneal abrasion
o Globe rupture
o Hyphema

Vascular disorders

o Retinal vascular occlusion

Vision abnormalities

o Amaurosis fugax
o Amblyopia
o Glaucoma
o Scleritis
o Strabismus

Ear disorders

External ear

o Cerumen impaction
o Otitis externa
o Trauma

Inner ear

o Acoustic neuroma
o Barotrauma
o Dysfunction of eustachian tube
o Labyrinthitis
o Vertigo

Middle ear

o Cholesteatoma
o Otitis media
o Tympanic membrane perforation

Hearing impairment

Other abnormalities of the ear

o Mastoiditis
o Meniere disease
o Tinnitus

Foreign bodies

Neoplasms Benign and Malignant

Nose/sinus disorders

Epistaxis
Nasal polyps
Rhinitis
Sinusitis
Trauma

Oropharyngeal disorders

Diseases of the teeth/gums

Infectious/inflammatory disorders

o Aphthous ulcers
o Candidiasis
o Deep neck infection
o Epiglottitis
o Herpes simplex
o Laryngitis
o Peritonsillar abscess
o Pharyngitis

Salivary disorders

o Sialadenitis
o Parotitis

Trauma

Other oropharyngeal disorders

o Leukoplakia

 

Eyes, Ears, Nose, and Throat Exam

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Gastrointestinal System/Nutrition (9%)

Interactive 2019 NCCPA™ PANCE Gastroenterology and Nutrition System Content Blueprint
Biliary disorders

Acute/chronic cholecystitis
Cholangitis
Cholelithiasis

Colorectal disorders

Abscess/fistula
Anal fissure
Constipation
Diverticulitis
Fecal impaction
Hemorrhoids
Inflammatory bowel disease
Irritable bowel syndrome
Ischemic bowel disease
Large Bowel Obstruction
Polyps
Toxic megacolon

Esophageal disorders

Esophagitis
Gastroesophageal reflux disease
Mallory-Weiss tear
Motility disorders
Strictures
Varices

Food allergies and food sensitivities

Gluten intolerance
Lactose intolerance
Nut allergies

Gastric disorders

Gastritis
Peptic ulcer disease
Pyloric stenosis

Hepatic disorders

Acute/chronic hepatitis
Cirrhosis

Hernias

Infectious diarrhea

Ingestion of toxic substances or foreign bodies

Metabolic disorders

G6PD deficiency
Paget disease
Phenylketonuria
Rickets

Neoplasms

Benign and malignant

Nutritional and vitamin disorders

Hypervitaminosis/hypovitaminosis
Obesity

Pancreatic disorders

Acute/chronic pancreatitis

Small intestine disorders

Appendicitis
Celiac disease
Intussusception
Small bowel obstruction
Polyps

 

GI and Nutrition Exam

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Genitourinary System (Male and Female) (5%)

Interactive 2019 NCCPA™ PANCE Genitourinary System Content Blueprint
Bladder disorders

Incontinence
Overactive bladder
Prolapse

Congenital and acquired abnormalities

Cryptorchidism
Peyronie disease
Trauma
Vesicoureteral reflux

Human sexuality

Infectious disorders

Cystitis
Epididymitis
Orchitis
Prostatitis
Pyelonephritis
Urethritis

Neoplasms

Bladder cancer
Penile cancer
Prostate cancer
Testicular cancer

Nephrolithiasis/urolithiasis

Penile disorders

Erectile dysfunction
Hypospadias/epispadias
Paraphimosis/phimosis

Prostate disorders

Benign prostatic hyperplasia

Testicular disorders

Hydrocele/varicocele
Testicular torsion

Urethral disorders

Prolapse
Stricture

Genitourinary System Exam

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Hematologic System (5%)

Interactive 2019 NCCPA™ PANCE Hematology System Content Blueprint
Autoimmune disorders

Coagulation disorders

Clotting factor disorders
Thrombocytopenias

Cytopenias

Anemia
Leukopenia

Cytoses

Polycythemia
Thrombocytosis

Hemoglobinopathies

Hemochromatosis
Sickle cell disease
Thalassemia

Immunologic disorders

Transfusion reaction

Neoplasms, premalignancies, and malignancies

Acute/chronic lymphocytic leukemia
Acute/chronic myelogenous leukemia
Lymphoma
Multiple myeloma
Myelodysplasia

Hematologic System Exam

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Infectious Diseases (6%)

Interactive 2019 NCCPA™ PANCE Infectious Disease System Content Blueprint
Bacterial diseases

Botulism
Campylobacter jejuni infection
Chlamydia
Cholera
Diphtheria
Gonococcal infections
Methicillin-resistant Staphylococcus aureus infection (MRSA)
Rheumatic fever
Rocky Mountain spotted fever
Salmonellosis
Shigellosis
Tetanus

Fungal diseases

Candidiasis
Cryptococcosis
Histoplasmosis
Pneumocystis

Mycobacterial diseases

Atypical mycobacterial disease
Tuberculosis

Parasitic diseases

Helminth infestations
Malaria
Pinworms
Toxoplasmosis
Trichomoniasis

Prenatal transmission of disorders

Congenital varicella
Herpes simplex virus
Human papillomavirus
Zika virus

Sepsis/systemic inflammatory response syndrome

Spirochetal diseases

Lyme disease
Syphilis

Viral diseases

Cytomegalovirus infections
Epstein-Barr virus infections
Erythema infectiosum
Herpes simplex virus infections
HIV infection
Human papillomavirus infections
Influenza
Measles
Mumps
Rabies
Roseola
Rubella
Varicella-zoster virus infections

Musculoskeletal System (8%)

Interactive 2019 NCCPA™ PANCE Musculoskeletal System Content Blueprint
Chest/rib disorders

Deformities
Fractures

Compartment syndrome

Degenerative diseases

Osteoarthritis

Infectious diseases

Osteomyelitis
Septic arthritis

Lower extremity disorders 

Disorders of the hip

o Avascular necrosis hip 
Developmental Dysplasia of the Hip
o Fractures and dislocations of the hip
o Slipped capital femoral epiphysis

Disorders of the Knee

o Fractures and dislocations of the knee
o Osgood-Schlatter disease
o Soft tissue injuries of the knee

Disorders of the Ankle and Foot

o Fractures and dislocations of the ankle and foot
o Soft tissue injuries of the ankle and foot

Neoplasms benign and malignant

Rheumatologic disorders

Fibromyalgia
Gout/pseudogout
Juvenile rheumatoid arthritis
Osteoporosis
Polyarteritis nodosa
Polymyalgia rheumatica
Polymyositis
Reactive arthritis
Rheumatoid arthritis
Sjögren syndrome
Systemic lupus erythematosus
Systemic sclerosis (Scleroderma)

Spinal disorders

Ankylosing spondylitis
Cauda equina syndrome
Herniated nucleus pulposus
Kyphosis
Scoliosis
Spinal stenosis
Sprain/strain
Thoracic outlet syndrome
Torticollis
Trauma

Upper extremity disorders

Disorders of the shoulder

o Shoulder Fractures/dislocations
o Soft tissue injuries of the shoulder

Disorders of the Forearm, Wrist and Hand

o Fractures and dislocations of the forearm, wrist and hand
o Soft tissue injuries of the forearm, wrist and hand

 

Musculoskeletal System Exam

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Neurologic System (7%)

Interactive 2019 NCCPA™ PANCE Neurologic  System Content Blueprint
Closed head injuries

Concussion
Post concussion syndrome
Traumatic brain injury

Cranial nerve palsies

Encephalopathic disorders

Headaches

Cluster headache
Migraine
Tension headache

Infectious disorders

Encephalitis
Meningitis

Movement disorders

Essential tremor
Huntington disease
Parkinson disease
Tourette disorder

Neoplasms (Benign and Malignant)

Neurocognitive disorders

Delirium
Major/mild neurocognitive disorders

Neuromuscular disorders 

Cerebral palsy
Multiple sclerosis
Myasthenia gravis

Peripheral nerve disorders

Carpal tunnel syndrome
Complex regional pain syndrome
Guillain-Barré syndrome
Peripheral neuropathy

Seizure disorders

Focal seizures
Generalized seizures
Status epilepticus

Vascular disorders

Arteriovenous malformation
Cerebral aneurysm
Intracranial hemorrhage
Stroke
Syncope
Transient ischemic attack

 

Neurologic System Exam

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Psychiatry/Behavioral Science (6%)

Interactive 2019 NCCPA™ PANCE Psychiatry/Behavioral Science System Content Blueprint
Abuse and neglect

• Child abuse
• Domestic violence
• Elder abuse
Sexual abuse

Anxiety disorders

Generalized anxiety disorder
Panic disorder
Phobias

Bipolar and related disorders

Depressive disorders

Major depressive disorder
Persistent depressive disorder (dysthymia)
Premenstrual dysphoric disorder
• Suicidal/homicidal behaviors

Disruptive, impulse-control, and conduct disorders

Conduct disorder

Dissociative disorders

Feeding and eating disorders

Human sexuality

Obsessive-compulsive and related disorders

Neurodevelopmental disorders

• Attention-deficit/hyperactivity disorder
Autism spectrum disorder

Personality disorders

Schizophrenia spectrum and other psychotic disorders

Sleep-wake disorders

Narcolepsy
Parasomnias

Somatic symptom and related disorders

Substance-related and addictive disorders

Trauma- and stressor-related disorders

Adjustment disorders
Post-traumatic stress disorder

Psychiatry and Behavioral Science Exam

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Psychiatry and Behavioral Science Flashcards

Flashcards

Psychiatry and Behavioral Science Lecture

Watch Lecture

Pulmonary System (10%)

Interactive 2019 NCCPA™ PANCE Pulmonary System Content Blueprint
Chronic obstructive pulmonary diseases

Chronic bronchitis
Emphysema

Infectious disorders

Acute bronchiolitis
Acute bronchitis
Acute epiglottitis
Croup
Influenza
Pertussis
Pneumonias

o Bacterial
o Fungal
o HIV-related
o Viral

Respiratory syncytial virus infection
Tuberculosis

Neoplasms

Carcinoid tumors
Lung cancer
Pulmonary nodules

Pleural diseases

Pleural effusion
Pneumothorax

Pulmonary circulation

Cor pulmonale
Pulmonary embolism
Pulmonary hypertension

Restrictive pulmonary diseases

Idiopathic pulmonary fibrosis
Pneumoconiosis
Sarcoidosis

Sleep apnea/Obesity hypoventilation syndrome

Other pulmonary disorders

Acute respiratory distress syndrome
Asthma
Cystic fibrosis
Foreign body aspiration
Hyaline membrane disease

Pulmonary System Exam

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Renal System (13%)

Interactive 2019 NCCPA™ PANCE Renal System Content Blueprint
Acute disorders

Glomerulonephritis
Nephrotic syndrome
Pyelonephritis

Acute kidney injury (acute renal failure)

Chronic kidney disease

Congenital or structural renal disorders

Horseshoe kidney
Hydronephrosis
Polycystic kidney disease
Renal vascular disease

End-stage renal disease

Fluid and electrolyte disorders

Acid-base disorders
Dehydration
Hyperkalemia/hypokalemia
Hypervolemia
Hyponatremia

Neoplasms

Renal cell carcinoma
Wilms tumor

Renal System Exam

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Reproductive System (Male and Female) (7%)

Interactive 2019 NCCPA™ PANCE Reproductive System Content Blueprint
Breast disorders

Abscess
Fibroadenoma
Fibrocystic changes
Galactorrhea
Gynecomastia
Mastitis

Cervical disorders

Cervicitis
Dysplasia

Complicated pregnancy

Abortion
Abruptio placentae
Breech presentation
Cesarean delivery
Cord prolapse
Dystocia
Ectopic pregnancy
Fetal distress
Gestational diabetes
Gestational trophoblastic disease
Hypertension disorders in pregnancy
Incompetent cervix
Multiple Gestations
Placenta previa
Postpartum hemorrhage
Premature rupture of membranes
Rh incompatibility
Shoulder dystocia

Contraceptive methods

Human sexuality

Infertility

Menopause

Menstrual disorders

Neoplasms of the breast and reproductive tract benign and malignant

o Breast Cancer
o Cervical Cancer
o Ovarian Cancer
o Endometrial Cancer
o Vulvar and Vaginal Cancer

Ovarian disorders

Cysts
Polycystic ovarian syndrome
Torsion

Sexually transmitted infections/Pelvic inflammatory
disease

Trauma

Physical assault
Sexual assault
Trauma in pregnancy

Uncomplicated pregnancy

Normal labor/delivery
Postnatal/postpartum care
Preconception/prenatal care

Uterine disorders

Endometriosis
Leiomyoma
Prolapse

Vaginal/vulvar disorders

Cystocele
Prolapse
Rectocele
Vaginitis

 

Reproductive System Exam

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