# FirstPassPA — PANCE & PANRE Board Prep

> PANCE & PANRE Board Prep (iPhone/iPad app by Ryan Busch.)

- Source: https://appshunter.io/ios/app/firstpasspa/id6790639539 (this page in markdown: same URL + `.md`)
- Developer: [Ryan Busch](https://appshunter.io/developer/6790639541)
- Category: Education, Medical
- Price: Free with in-app purchases
- Age rating: 17+
- Requires: iOS 15.0 · 100 MB
- Languages: American English
- Released: 2026-09-07
- Data updated: 2026-09-30
- User reviews in markdown: https://appshunter.io/ios/app/firstpasspa/id6790639539/reviews.md

## What is FirstPassPA?

Study smarter. Show up ready.

FirstPassPA is focused board prep for PA students and recertifying PAs — the full NCCPA blueprint, explained like a great preceptor.

EVERYTHING IN YOUR POCKET
• 7,200+ board-style questions spanning all 13 organ systems plus Professional Practice — the entire bank is stored on your device, so practice works even offline
• Every question teaches: why the correct answer is correct, and why each wrong answer is wrong
• 4,800+ clinician-reviewed flashcards with Again / Hard / Good / Easy grading, minute-level learning steps, and exam-date-aware spaced repetition
• A 190+ drug pharmacology reference — mechanism, indications, adverse effects and monitoring, as an outline or as flashcards
• 40 memory-hook mnemonics and 25 twelve-lead ECG tracings

KNOW EXACTLY WHERE YOU STAND
• Blueprint Tracker: all 514 PANCE blueprint diagnoses, organized by organ system and weighted the way the exam scores them — check each off as you master it
• Guidelines & Screening: 72 reference cards covering USPSTF screening, ACIP immunization schedules, pregnancy and pediatric screening, and chronic-disease targets — every number linked to its official source
• Analytics: accuracy by system, 14-day trends, and exam-weighted points at risk
• Timed exam simulation at true NCCPA pacing (60 seconds per question)
• Highlight and cross-out tools while you work a question, the way you would on test day

CLINICAL YEAR COVERED
• EOR mode: pick your rotation and the dashboard counts down to that exam, builds your daily plan from that rotation's question bank, and asks what's next when the date passes — all 7 PAEA End of Rotation exams
• Clinical Sim (beta): interview an AI standardized patient, examine them, write your SOAP note, and get OSCE-style graded feedback across history-taking, physical exam, communication, and assessment & plan — 10 cases

AI TUTOR ON EVERY QUESTION
Ask why an answer is right, how a drug works, or what separates two look-alike diagnoses — without leaving the question.

START FREE
Answer 10 questions a day free, no account needed. Create a free account and get 7 days of full access — no credit card required.

FIRSTPASSPA PRO
Pro unlocks the full question bank, flashcards, EOR mode, Clinical Sim, the AI tutor and every analytic.
• Monthly — $14.99 per month
• Annual — $129.99 per year, which works out to $10.83 per month

Payment is charged to your Apple Account at confirmation of purchase. Subscriptions renew automatically unless auto-renew is turned off at least 24 hours before the end of the current period, and your account is charged for renewal within 24 hours of the end of the current period. You can manage your subscription and turn off auto-renew in your Apple Account settings after purchase.

FirstPassPA was built by a practicing PA-C who wanted board prep that respects your time.

—
Not affiliated with NCCPA or PAEA. FirstPassPA LLC is an independent study tool and is not affiliated with, endorsed by, or sponsored by the National Commission on Certification of Physician Assistants (NCCPA) or the Physician Assistant Education Association (PAEA). PANCE® and PANRE® are registered trademarks of NCCPA; End of Rotation™ is a program of PAEA. Use of this platform does not guarantee examination passage.

Terms of Use (EULA): https://www.apple.com/legal/internet-services/itunes/dev/stdeula/
Privacy Policy: https://www.firstpasspa.com/privacy

## Pricing and in-app purchases

Base price: Free.

**Subscriptions**

| Subscription | Price | Period |
| --- | --- | --- |
| FirstPassPA Pro | $129.99 | per year |
| FirstPassPA Pro | $14.99 | per month |



## Version history (last 5 releases)

### 1.4 — 2026-09-27

See where you stand, from your own answers.

New in this update:
- Your early read: after your first questions, the dashboard shows where you're solid and where to aim next, by organ system, with how many answers each figure is based on
- The plan screen shows the same read, so you can see what full access adds for the areas you're working on
- A one-time recap of your trial week when your free trial ends: what you answered, the systems you covered, and what changes on the free plan
- Clearer Pass Guarantee details: annual plan, first PANCE attempt, and a direct link to the full terms
- Today's plan now follows your own results
- Fixes and polish

### 1.3 — 2026-09-26

Every diagnosis study page, re-checked.

We reviewed all 514 diagnosis study pages against current clinical guidelines, corrected what was out of date, and checked each page against the practice questions linked to it, so what you study matches what you are tested on.

New in this update:
- All 514 study pages reviewed against current guidelines, with 644 flashcards updated to match
- Study pages now teach what their linked questions test
- More than 1,700 questions revised for accuracy and clarity, including 87 with an updated answer
- Flowcharts that were not displaying now render
- Analytics now sits next to your Dashboard, and EOR Prep comes before Module Exams
- Fixed: Manage / Cancel Subscription could fail with "Unauthorized" after the app had been open for a while (account deletion and a few settings could fail the same way)
- Sign-up: clearer handling when an email already has an account, and an easier way to resend the confirmation email

### 1.2 — 2026-09-21

End of Rotation exams now follow PAEA's official blueprints.

Every rotation draws its questions to the real exam's content-area and task-area weights, so a practice set looks like the exam you are actually sitting. Tap any rotation to see the full blueprint - what each area is worth, how deep our bank is in it, and how much of it you have covered.

New in this update:
- 699 new End of Rotation questions across all seven rotations
- Choose your set size: 10, 20, or every question in the rotation
- Every rotation can now deal three full blueprint-accurate practice exams with no repeats
- 7,200+ questions in the bank
- A clinical accuracy pass across more than 400 questions
- Finished timed exams and module exams are saved to your record, and reviewed guidelines now sync across your devices
- For PA program faculty: the Educator Portal shows each student's exam track and rotation of record, exam results, and study activity across the whole app

### 1.1 — 2026-09-16

A clinical-year update, plus the tools you use on test day.

• EOR mode: tell FirstPassPA which rotation you're on and the dashboard counts down to that exam, builds your daily plan from that rotation's question bank, and asks what's next when the date passes
• Guidelines & Screening: a new reference tab with 72 cards — USPSTF screening, ACIP immunization schedules, pregnancy and pediatric screening, and chronic-disease targets — every number checked against the official source and linked to it
• Flashcards learn the way you do: four grades (Again, Hard, Good, Easy) with minute-level learning steps, so a card you miss comes back in a minute and a card you half-know in six
• Highlight the vignette — drag across the stem to mark it up, tap a highlight to clear it
• Cross out answer choices — long-press a choice or tap the X to eliminate it, tap again to bring it back. Your marks survive the shuffle and show up on the exam review screen
• Five-option questions, matching the A-E format NCCPA uses for some items
• Thousands of explanations revised across every organ system and the EOR bank — clearer reasoning, and answer keys corrected where the audit found them wrong
• Your streak now follows your own time zone, so a late-night session counts for the right day
• Signed up with Google on the web? Use "Forgot password?" to set a password for the app
• Fixed a hang some users hit on the subscription screen, and the leaderboard opt-in now stays where you put it

### 1.0 — 2026-09-08

No release notes.

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## Related topics

[pance physician assistant prep](https://appshunter.io/ios/topics/pance-physician-assistant-prep)

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*Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-09-30.*