Nothing matches that. Email support@firstpasspa.com and we will help.
On the website you can sign in with your email and password or with Google. The iPhone and iPad app signs in with email and password only.
If you created your account with Google and want to use the app, set a password first: on the sign-in screen choose "Forgot password?", enter the email on your Google account, and use the link we email you. Google sign-in keeps working on the website afterwards; the password is a second way in.
The link works once and expires within the hour. If it says it has expired, request a new one. If the email does not arrive within a few minutes, check junk or spam, especially on Outlook, Hotmail or a school address. For security the site shows the same confirmation whether or not an account exists for that address, so if nothing arrives, check that you typed the email you signed up with. You can request a reset at most twice an hour per address.
An account created with Google has no password until you set one. On the website, use the "Sign in with Google" button. To sign in with a password (for example in the iPhone app, which has no Google button), choose "Forgot password?" on the sign-in screen, enter the email on your Google account, and set a password from the link we email you. After that both ways work.
After you sign up we email you a 6-digit code and a confirmation button. You can either type the code into the "Check your inbox" screen and press "Confirm code", or press the button in the email.
If the email is not there, check junk or spam (especially Outlook, Hotmail or a school address), then use "Resend confirmation email" on the same screen. If a link says it has expired or was already used, try signing in; if your email still needs confirming, the sign-in screen lets you enter the code or resend the email.
To change your password, sign out, choose "Forgot password?" on the sign-in screen and set a new one from the emailed link. There is no setting in the app for changing your account email yet, so email support@firstpasspa.com from the address on your account and Ryan will help.
Your account stays signed in on up to 3 devices at a time (for example a phone, a laptop and a tablet). When you sign in on a 4th, the device you used least recently is signed out and shows a message saying so. Nothing is lost: answers saved on that device are kept and upload when you sign in there again, and an exam in progress is not interrupted. Just sign in again on the device you want to use. Each browser counts as its own device.
Open Account (the avatar button in the header). Under "Username" choose "Edit"; usernames are 3 to 20 characters (letters, numbers, underscore and dash) and must be unique. The "Show me on the leaderboard" switch in the same place controls whether you appear on the leaderboard.
In the iPhone or iPad app: open Account, choose "Delete account" in the bottom row, then confirm. Deletion is permanent. Deleting your account does not cancel an App Store subscription, so cancel that first in Settings > Apple Account > Subscriptions.
On the website there is no delete button: email support@firstpasspa.com from the address on your account and Ryan will take care of it.
Pro is $14.99 a month or $129.99 a year (about $10.83 a month). On the website there is also an Exam Pass: $9.99 once for 30 days of full access, offered when your exam is within 30 days; it never renews. Prices in the iPhone app are shown by the App Store when you choose "See plans". Every new account starts with a 7-day free trial with no card required.
Cancelling takes effect at the end of the period you have already paid for, and you keep Pro access until then. After that your account moves to the free plan and keeps your history. If "Manage subscription" shows an error, email support@firstpasspa.com.
Subscriptions bought in the app are billed by Apple through your Apple ID, so they are managed with Apple:
Cancel at least 24 hours before the renewal date. You keep access until the end of the period you paid for. We cannot cancel or change an Apple-billed subscription for you, and deleting the app does not cancel it.
Open Account. If you subscribed in the iPhone app, Account says your subscription is billed through your Apple ID. If you subscribed on the website, "Manage subscription" opens the web billing page.
In the iPhone app, open Account, find "App Store purchases" and choose "Restore Purchases". Make sure you are signed in to FirstPassPA with the same account you used when you subscribed, and that the phone is signed in with the Apple ID that made the purchase. If it still shows the free plan, email support@firstpasspa.com with the email on your FirstPassPA account.
On the website, promo codes are entered on the checkout page for the monthly plan. If you received a link with a discount already attached, opening that link applies it. Codes cannot be entered in the iPhone app, because App Store purchases go through Apple.
Our Terms say purchases are final, except as provided under the Pass Guarantee (firstpasspa.com/pass-guarantee). Purchases made in the iPhone app are billed by Apple, and refunds for those are requested from and decided by Apple at reportaproblem.apple.com.
If you think you were charged in error, email support@firstpasspa.com from the address on your account. Ryan reads every billing message personally.
The Pass Guarantee applies to annual plans and a first PANCE attempt, with conditions. The full terms, and the form to start a claim, are at firstpasspa.com/pass-guarantee. Claims are reviewed by Ryan.
Every new account gets 7 days of full access. No credit card is needed and there is nothing to cancel: you are never charged unless you choose a plan yourself. The trial is unlocked when you confirm your email, and its 7 days start counting when you answer your first question. Account shows how many days are left.
Your account moves to the free plan automatically. You are not charged. On the free plan you get 10 questions and 3 diagnosis study pages a day; the AI tutor, Clinical Sim and the system and rotation flashcard decks need Pro. Your history, streak and your own decks stay. The daily allowance resets at midnight your local time. To upgrade, open Account and choose "See plans".
They are the same FirstPassPA with the same account. Your answers, flashcard progress, bookmarks and stats sync between them when you sign in with the same account. The differences:
The app is on the App Store at apps.apple.com/us/app/firstpasspa/id6790639539 and the website is firstpasspa.com. There is no Android app; on Android, use the website in your browser.
Open the App Store, tap your profile picture at the top right, scroll to the list of updates and tap Update next to FirstPassPA (or search for FirstPassPA and tap Update). Updates bring new questions, corrections and fixes, because the app's question bank is stored inside the app. When a newer version is available, the app shows an "Update" banner.
Version 1.9 of the app could quit at launch on iOS 27. Version 1.9.1, released November 6, 2026, fixes it. Update FirstPassPA from the App Store (open the App Store, tap your profile picture, then Update next to FirstPassPA) and open it again. Your progress is stored in your account, so nothing is lost. Until you have updated you can keep studying at firstpasspa.com in Safari with the same account. If the app still will not open on 1.9.1 or later, email support@firstpasspa.com with your iPhone model and iOS version.
Study reminders are in the iPhone app. Open Account, then "Study reminders". The "Daily study reminder" switch turns them on or off, and "Time" sets when the reminder arrives. You get at most one a day, and none on a day you have already studied.
Use the "Exam mode" menu in the header. PANCE is initial certification, PANRE is recertification, and EOR is end-of-rotation exams. Switching mode changes which questions and study plan you see.
EOR mode prepares you for end-of-rotation exams. Choose EOR in the "Exam mode" menu, then pick your rotation in EOR Prep. There are seven rotations: Family Medicine, Internal Medicine, Surgery, Pediatrics, Psychiatry, Emergency Medicine and Women's Health. Each rotation has a guide, its exam blueprint, practice questions and a timed test.
On the Dashboard, use "Change date" next to your exam countdown.
A free board-style question every day at firstpasspa.com/qotd, no account needed. It is also posted on our Facebook and Instagram pages each morning, with the answer in the evening. To get it by email, enter your address on that page; it arrives every morning by 11am ET. To stop the emails, use the unsubscribe link at the bottom of any Question of the Day email.
The Workup is a free daily diagnosis case at firstpasspa.com/workup. You get up to six clues in order (chief complaint, history, exam, labs, imaging and studies, and a pearl) and try to name the diagnosis in as few clues as you can, followed by three board questions on that diagnosis. There is a new case every day. Today's case needs no account; the last 7 days of past cases need a free account, and older cases need Pro or an active trial.
Use "Report a problem" under the question. Pick what is wrong (wrong answer or explanation, ambiguous stem or choices, outdated guideline, typo, or other), add details if you like, and press "Submit report". The report reaches us with the question attached, and every report is reviewed by Ryan Busch, PA-C. You need a free account to report, and can send up to 5 reports a day.
Flashcards, diagnosis study pages and drug monographs have their own report buttons. You can also email support@firstpasspa.com with the question number or a screenshot.
How content is written, reviewed and corrected is described at firstpasspa.com/editorial-standards.
Email support@firstpasspa.com, or use the chat bubble on the website. FirstPassPA is run by Ryan Busch, PA-C, and we reply within 24 hours. Including the email on your account, and whether you use the website or the iPhone app, helps us answer faster.
Information for PA programs is at firstpasspa.com/for-pa-programs, which has an inquiry form that goes to Ryan.
Still stuck? Email support@firstpasspa.com or use the chat bubble on the website. We reply within 24 hours.