SynkMind™PANCE
PANCE · the physician assistant certifying exam

Fourteen systems. Seven tasks. Find your cold squares.

You spent the clinical year learning medicine on your feet. The paper asks for it sitting down, 300 questions spread across a blueprint of organ systems and tasks. Every item here carries both tags, so the grid below is not a picture of the blueprint. It is the Diagnostic form, counted.

See the five blocksOne day, everything open, no card.
Diagnostic 1, by system × taskeach square is the number of items in that cell.Counted from the form
Cardiovascular28
Pulmonary23
GI / Nutrition21
Musculoskeletal21
Reproductive18
Neurologic18
Psych / Behavioral18
Infectious disease18
Endocrine16
EENT16
Renal13
Hematologic13
Genitourinary10
Dermatologic10
HX History taking & physical examLAB Using diagnostic & lab studiesDX Formulating the most likely diagnosisHM Health maintenance & preventionCI Clinical interventionRX Pharmaceutical therapeuticsSCI Applying foundational science
CardiovascularClinical intervention12 items

A patient 10 days after an MI has an LVEF of 30% and NYHA class II heart failure symptoms despite an ACE inhibitor and beta-blocker. Potassium and renal function are normal.

Which additional agent reduces mortality?

Real item · Diagnostic 1

243 of the form’s 300 items sit on the fourteen organ systems; the other 57 sit outside this grid.
15,915original questions, counted once · lecture checks included
13full-length forms of 300
30narrated lectures
334sections, each with its own check
The real paper
300questions
5 × 60five blocks of sixty, an hour each
5 hoursof testing, plus 45 min of breaks
350to pass, on a 200–800 scale
How you’ll study · the day of the paper

Five blocks of sixty. Practise the day, not just the questions.

The real PANCE is 300 questions in five 60-minute blocks of 60, with 45 minutes of break time to spend between them. Every full-length form here is that shape, so the fourth hour stops being a surprise.

Striped gaps: your 45 minutes of break, split however you like.Filled dots: an example sitting, 38 questions into block 3.
Diagnostic2 × 300 items · easy

Paints your first grid. Easy on purpose.

On-level2 × 300 items · medium

The paper as it should feel on the day.

Mocks6 × 300 items · hard

Full papers, every block timed.

Practice paper1 × 300 items · medium

One more full paper, every block timed.

High-yield3 × 100 items · hard

100-item drills on what the blueprint weights.

Gauntlet2 × 300 items · hard

Harder than the real paper on purpose.

What’s inside

Five things built for the clinical year.

Every plan opens everything. These are the five that matter most for this exam.

01

Thirteen full-length forms of 300

Two Diagnostics, two On-level, six mocks, two Gauntlets and a practice paper, each the real five-block shape. Three 100-item high-yield drills sit between them.

02

Your own grid, filled in as you answer

Weak Spots paints your own score where the item counts were, system by system, as you answer. Cold squares become the next Smart Practice set.

03

A male and a female body to strip and quiz

Open the 3D body from any lecture and it lands on the structure that section names. Find-it drills you by tapping.

04

Axon Live, the tutor you talk to

“Start with the murmur: harsh, crescendo–decrescendo, radiating to the carotids. Now tell me what the pulse pressure is doing, and why.” Fifteen free minutes, once.

05

A plan around your rotations

Give it your rotation calendar and exam date. It books the cold systems around call nights and reschedules what a long shift ate.

Pricing

One price. Everything open. A free day to decide.

Monthly$49$49 / month
3 months$129$43 / month · billed once
6 months$179$30 / month · billed once
12 months$249$21 / month · billed once
1 free day, no cardCancel any timeTwo devices per accountThe same price for every exam
Questions

Before you start

Are the mocks the real length?

Yes. The real PANCE is 300 questions in five blocks of sixty, an hour each. Our full-length forms are 300 items in the same five blocks, tagged by organ system and task.

Are these real exam questions?

No. Every item is original, written to the public content outline and checked blind by a second AI model that never sees the key. Nothing is copied from a published form, and we are not affiliated with any examining board.

How does the free day work?

Create an account and everything opens for one day — forms, lectures, Axon’s free minutes. No card. Keep it from $49 a month.

I have an access code. What do I do?

Create your account, open the course, and enter the code in Billing & Subscription or on the plan screen. A code opens the product without a subscription.