A free, board-style PANRE practice question every day — the full vignette, the correct answer, and a complete explanation. No email, no account required.
Wednesday, July 1, 2026
MusculoskeletalMedium
A 79-year-old woman with multiple falls is on diphenhydramine, oxybutynin, alprazolam, and amitriptyline. Which feature of the Beers Criteria explains the strongest contribution to her fall risk?
AMetformin use
BAnticholinergic and benzodiazepine burden
CACE inhibitor use
DStatin medication use
Reveal the answer & full explanation
Correct answer: B — Anticholinergic and benzodiazepine burden
AMetformin use
BAnticholinergic and benzodiazepine burden✓
CACE inhibitor use
DStatin medication use
Why anticholinergic and benzodiazepine burden is correct
Beers Criteria flag anticholinergics (diphenhydramine, oxybutynin, amitriptyline) and benzodiazepines (alprazolam) as inappropriate in older adults
These drug classes cause sedation, confusion, orthostasis, and falls
Why the others are wrong
Metformin use — metformin is not a primary fall-risk culprit via Beers Criteria
ACE inhibitor use — angiotensin-converting enzyme (ACE) inhibitors are not primary fall-risk culprits via Beers Criteria
Statin medication use — statins are not primary fall-risk culprits via Beers Criteria
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Every day, FirstPassPA publishes one free, board-style question modeled on the PANRE (Physician Assistant National Recertifying Exam) and PANCE. Each one is a clinical vignette with a single best answer and a full explanation — including why the other options are wrong — so a two-minute daily habit steadily builds the pattern recognition the boards reward.
Unlike most PANRE prep tools, our daily question is completely public — no email wall and no sign-up. It is the same question we post to our social channels and send to our daily email list, drawn from the same clinician-reviewed, blueprint-mapped bank behind the full FirstPassPA app.
How to use it
Read the vignette, commit to an answer before you reveal it, and then read the explanation even when you get the question right — the reasoning for the distractors is usually where the real learning is. Rotate through the daily questions to keep every organ system fresh, and when your exam date gets closer, layer in longer, blueprint-weighted question blocks in the app.
Yes. FirstPassPA publishes one free board-style question every day — the full vignette, the correct answer, and a complete explanation — with no email address or account required. A free 7-day trial unlocks the full 5,500+ question bank, all 7 EOR rotations, flashcards, and an AI tutor.
How is the Question of the Day chosen?
It is drawn from the same clinician-reviewed FirstPassPA bank the PANCE and PANRE draw from — mapped to the NCCPA blueprint and rotated across organ systems so you see a broad mix over time. It is the same question posted to our social channels and daily email.
Does the Question of the Day help for the PANCE too?
Yes. The PANCE and PANRE cover the same NCCPA content blueprint, so daily board-style practice builds the recall and reasoning both exams test. PA students can use the same daily habit.
How should I use a question of the day to study?
Attempt it before revealing the answer, then read the full explanation even when you get it right — the reasoning for why the distractors are wrong is where most of the learning is. Pair the daily habit with focused, blueprint-weighted question blocks as your exam date approaches.
Educational use only. This question 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. PANCE® and PANRE® are registered trademarks of the National Commission on Certification of Physician Assistants.