From your first practice question to a full 300-question timed simulation — FirstPassPA adapts to where you are in your prep.
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AI Clinical Tutor
Powered by Claude. Ask why an answer is correct, how a drug works, what differentiates two diagnoses, or drill deeper into any mechanism — without leaving the question. Like having a faculty member on call — AI tutoring built into every question.
Pro
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Clinical Sim — AI Patient Encounters
Interview an AI standardized patient who answers in character, examine them to uncover real findings — some photographic — then write a SOAP note and get OSCE-style grading with a checklist of exactly what you hit and missed. 10 cases — one per chief complaint, chest pain to dizziness — with voice dictation, on your phone or laptop. Included in Pro — 2 encounters per day.
Beta Pro
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NCCPA Blueprint Tracker
Work through every one of the 514 board-relevant diagnoses on the NCCPA blueprint — grouped by organ system and weighted the way the exam scores them. Check each off as you master it and watch your exam-weighted coverage climb. Every diagnosis opens to a clinician-reviewed one-page outline (workup, treatment, pearls, flowcharts, ECGs), the exact questions that test it, and side-by-side comparisons of look-alike diagnoses.
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Browse the diagnosis library →
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6,400+ Practice Questions
6,400+ high-yield, clinically accurate questions across 13 NCCPA organ systems plus the new Professional Practice domain — medical ethics, law, patient safety & evidence-based medicine — for PA students on the PANCE and practicing PAs recertifying for the PANRE. Every distractor includes "why it's wrong" reasoning.
Pro
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SM-2 Spaced Repetition
A research-backed spaced repetition algorithm — questions you struggle with resurface sooner; mastered cards return only when review is due. Your study time goes where it matters most.
Pro
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Timed Exam Simulation
Simulate real NCCPA exam conditions with 1–5 block sessions and blueprint-weighted question selection for PANCE or PANRE. Answers stay changeable within a block and feedback holds until you finish — like test day — with a 45-minute shared break pool between blocks. Afterward: a score report with per-system breakdown and question-by-question review. Prefer feedback as you go? Tutor mode explains every answer instantly.
Pro
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End-of-Rotation (EOR) Mode
Rotation-specific question sets for all 7 PAEA EOR rotations — Family Medicine, Internal Medicine, Surgery, Pediatrics, Psychiatry, Emergency Medicine, and GSRH (formerly Women's Health). Prep for your EOR exams between shifts.
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Analytics Dashboard
Accuracy by organ system, 14-day activity trends, session history, mastery badges, blueprint coverage rings, and spaced repetition progress — all in one place. Know exactly what to study next.
Pro
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Bookmarking
Star any question while studying to save it for later. Build a personal review list of questions you want to revisit, then practice from your bookmarks as a dedicated mode.
Pro
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Flashcards & Mnemonics
4,800+ clinician-reviewed flashcards across all 13 organ systems — presentation, workup, first- and second-line treatment, complications, pharmacology, and pearls — with smart spaced-repetition review that tightens as your exam date nears and syncs across devices. Plus 40 high-yield mnemonics.
Pro
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Build Your Own Decks
Make your own flashcards and group them your way — by organ system, EOR rotation, diagnosis, or any theme you like. Format cards with bold, color, and highlights, and study them with the same exam-aware spaced repetition that powers the clinician bank. Then share a deck with classmates with a link — they can study it free with an account.
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ECG Rhythm Library
25 textbook-quality 12-lead ECGs covering every rhythm the PANCE tests — STEMI, blocks, V-tach, A-fib, torsades, WPW, hyperkalemia and more. Tap to flip for the diagnosis, key features, and teaching pearls. Mark cards complete and hide what you've mastered.
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NCCPA Lab Reference
Complete searchable lab reference values — CBC, BMP, LFTs, ABG, cardiac markers, CSF, and more — available on every question screen. No more tab-switching.
Free