Level 3 Diseases: Physician Assistant National Recertification Exam (PANRE)

PANRE Level 3 Diseases and Disorders

The Physician Assistant National Recertification Exam (PANRE) Blueprint covers the following thirty-two level-three assessment topics.

Topics assessed at level three require the following:

• Make an appropriate diagnosis by recognizing signs, symptoms, and risks
• Interpret the results of diagnostic studies and have knowledge of first-line treatment
• Have the knowledge required to manage well-known comorbid conditions, contraindications, and complications

Example assessment of level 3 disorder atrial fibrillation:

• An elderly patient often with excessive alcohol use, presenting with syncope, dyspnea, palpitations, and an irregular pulse. EKG demonstrates low amplitude fibrillatory waves without discrete P waves and an irregularly irregular pattern of QRS complexes. Treatment includes rate control with calcium channel blocker (diltiazem, verapamil) or beta-blocker (metoprolol). Treat with cardioversion and amiodarone with transesophageal echo if duration < 48 hours, if > 48 hours anticoagulate for 21 days before cardioversion. Use a CHADS2 score to assess the risk of stroke and determine the need for anticoagulant therapy.

Additional PANRE Assessment Levels:

• Level 1 Diseases and Disorders: Physician Assistant National Recertification Exam (PANRE)
• Level 2 Diseases and Disorders: Physician Assistant National Recertification Exam (PANRE)

PANRE Level 3 Assessment topics

• Acute pharyngitis (ReelDx + Lecture)
• Angina pectoris (PEARLS)
• Appendicitis (ReelDx)
• Asthma (ReelDx)
• Bacterial pneumonia (ReelDx)
• Chronic bronchitis (ReelDx)
• Constipation (ReelDx)
• Coronary Heart Disease (PEARLS)
• Diabetes mellitus type 1
• Diabetes Mellitus Type 2 (Lecture + ReelDx)
• Emphysema
• Essential hypertension
• Gastroesophageal reflux disease (GERD)
• Hypercholesterolemia
• Hypertriglyceridemia
• Hypothyroidism (Lecture)
• Influenza (ReelDx)
• Migraine (ReelDx + Lecture)
• Obesity and Metabolic Syndrome (ReelDx)
• Oral Candidiasis (ReelDx)
• Osteoporosis (Lecture)
• Otitis media (ReelDx)
• Pulmonary embolism (ReelDx)
• Stable angina
• Stroke (ReelDx + Lecture)
• Tension headache (ReelDx + Lecture)
• Transient ischemic attack
• Types of Fractures and Salter-Harris Classification
• Varicella-zoster virus infections (ReelDx + Lecture)
• Venous thrombosis (ReelDx)
• Viral pneumonia