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. No other PA prep tool has this.
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5,500+ Practice Questions
5,500+ 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.
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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.
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Timed Exam Simulation
Simulate real NCCPA exam conditions with 1–5 block sessions. Blueprint-weighted question selection for PANCE or PANRE mode. Between-block summaries, pause/resume, and per-block scoring.
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End-of-Rotation (EOR) Mode
8 clinical rotation-specific question sets — Family Medicine, Internal Medicine, Surgery, Pediatrics, OB/GYN, Psychiatry, Emergency Medicine, and 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.
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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.
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Flashcards & Mnemonics
~4,900 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.
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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.
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Outlines
514 board-relevant diagnoses across all 13 organ systems — each a clean one-page outline: definition, pathophysiology, differentials, workup, first-line treatment, complications, and high-yield pearls, with algorithm flowcharts, comparison tables, and ECG strips. Every entry links to related practice questions. Clinician-reviewed.
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Explore all 514 outlines →
