End-of-Rotation Exam Prep

PA End of Rotation (EOR) exam prep

Free study guides and practice questions for all seven PAEA End of Rotation exams. Pick a rotation to see its high-yield topics, a study plan, the 2026 blueprint changes, and free board-style questions with explanations.

2026 blueprint update

PAEA's updated End of Rotation exams are effective as of July 27, 2026 (legacy versions run through July 2027; Surgery transitioned earlier, in 2024). Each rotation below links to what changed.

All 7 EOR rotations

Family Medicine EOR →

Family Medicine is the broadest EOR — outpatient primary care across every age and organ system. Breadth beats depth: you're tested on recognizing and initially managing common presentations, screening, and health maintenance.

Internal Medicine EOR →

Internal Medicine rewards depth in adult inpatient medicine — workup, interpretation of labs and imaging, and stepwise management of complex disease.

Surgery EOR →

The Surgery EOR centers on the acute abdomen, surgical decision-making, and perioperative management — knowing when imaging, the OR, or observation is the right next step.

Pediatrics EOR →

Pediatrics tests developmental milestones, immunizations, age-specific presentations, and the can't-miss pediatric emergencies.

Psychiatry EOR →

Psychiatry is criteria-driven: know the DSM-5 thresholds, first-line pharmacology, and the emergencies (suicidality, serotonin syndrome, NMS, withdrawal).

Emergency Medicine EOR →

Emergency Medicine is about triage and the can't-miss diagnosis: stabilize first, recognize life threats, and pick the highest-yield next step.

Gynecologic, Sexual, and Reproductive Health EOR →

The GSRH EOR — PAEA's new name for the Women's Health exam, effective July 27, 2026 — spans obstetrics, gynecology, breast health, contraception, sexual health, and preventive care, with a strong emphasis on obstetric emergencies, abnormal bleeding, and cancer screening.

Study every rotation on FirstPassPA

One subscription covers all seven EOR rotations with focused question sets, an AI tutor on every answer, spaced repetition, and analytics that show your weak spots — plus 6,400+ questions across the full PANCE blueprint. Free to start — no credit card.

Start studying free → See today's free question

EOR exam prep FAQ

What are the PA End of Rotation (EOR) exams?

The End of Rotation exams are PAEA's standardized assessments taken at the end of each core clinical rotation in PA school. There are seven: Family Medicine, Internal Medicine, Surgery, Pediatrics, Psychiatry, Emergency Medicine, and Gynecologic, Sexual, and Reproductive Health (GSRH — formerly Women's Health, renamed July 27, 2026).

When do the 2026 EOR blueprint changes take effect?

PAEA's updated End of Rotation exams are effective as of July 27, 2026, with legacy versions available through July 2027 (Surgery transitioned earlier, in 2024). Each rotation has its own set of changes — see the linked blueprint-changes page for that rotation.

Does FirstPassPA cover all seven EOR rotations?

Yes. FirstPassPA's subscription includes a focused question set for all seven EOR rotations, plus 6,400+ questions across the full PANCE blueprint, flashcards, and an AI tutor on every answer.

Educational use only. This outline is a study aid for PA students and is not medical advice or a substitute for clinical judgment. FirstPassPA is an independent study tool and is not affiliated with, endorsed by, or sponsored by NCCPA or PAEA. PANCE® and PANRE® are registered trademarks of the National Commission on Certification of Physician Assistants; End of Rotation™ is a program of the Physician Assistant Education Association.