PANCE and End of Rotation prep, built by a PA student.
Season One PA Exam Prep is a study app for physician assistant students. Board-style practice questions with a written rationale on every answer, a clinical reference library, and a medication reference, all working entirely offline.
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What it looks like
One screen from each part of the app. Real screenshots, not mockups.
One library, all three years
Most prep is bought one exam at a time. Season One is the same library the whole way through, so what you learn in your first rotation is still there on exam day.
Didactic
While you are still in class
The condition reference and the lessons cover the same diseases the didactic year does. Read them alongside a module rather than waiting until boards, and the material is already familiar when the rotation starts.
Rotations
Six end-of-rotation exams
Every condition is placed against the rotation blueprints, so practice can be filtered to the rotation you are actually on. Family Medicine, Emergency Medicine, Internal Medicine, Pediatrics, Women's Health and Psychiatry are built. Surgery is not yet.
Boards
The PANCE itself
Nothing has to be re-bought or re-imported for boards. The same 1,900 questions and 950 lessons are there, and each lesson closes on what an item writer reaches for and the wording a question uses to test it.
See the full blueprint breakdown for the weight of every task area and how much of each we have written.
See a real question
Taken from the bank exactly as it ships, with nothing rewritten for the website.
Emergency Medicine · Endocrine · management
Vomiting and abdominal pain with Kussmaul breathing and drowsiness, glucose 26, pH 7.10, bicarbonate 7, anion gap 30, strongly positive ketones and potassium 5.6, precipitated by a urinary infection.
Which is the most appropriate initial management sequence?
- Insulin bolus first, then fluids
- Bicarbonate infusion as the first intervention
- Withhold potassium since the level is already high
- Intravenous fluids first, then a fixed-rate insulin infusion, adding potassium as it falls
Why
Total body potassium is depleted despite a high serum level, and it falls sharply once insulin starts. Withholding it is how patients arrest during treatment.
High Yield PANCE
The page that closes the diabetic ketoacidosis lesson. Each line pairs the fact with the sentence a vignette uses when it is testing that fact.
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Never miss
Check potassium before starting insulin. Below 3.3 mEq/L, replace potassium first and hold the insulin.
“potassium of 3.1 on the initial metabolic panel”
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Discriminator
Resolution is defined by closure of the anion gap, not by a normal glucose. The insulin drip continues with dextrose added until the gap closes.
“glucose is now 180 but the anion gap remains 18”
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Buzzword
Euglycemic DKA on an SGLT2 inhibitor. The glucose can be under 200 while the patient is frankly acidotic, so a normal glucose does not exclude it.
“taking empagliflozin with a glucose of 180 and pH of 7.15”
Every question carries a written explanation like the one above. It is one explanation per question, not one per answer choice.