Comparison

Blueprint PA Prep vs FirstPassPA

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

Blueprint PA Prep

Prepare for high-stakes PA exams with a comprehensive question bank and review course. Access practice sets, detailed explanations, and medical illustrations anytime, anywhere. Study on-the-go with offline capabilities and customizable practice modes.

Highlights
  • PA exam question banks
  • PANCE and PANRE review
  • Customizable practice sets
  • Detailed answer explanations
  • Offline study mode
  • Cross-platform progress sync
  • Medical illustrations
Read full description

Prep to pass every high-stakes exam! Access your Qbanks for Pre-PA, Didactic exams, Rotation exams, PANCE, and PANRE/PANRE-LA on the new Blueprint PA app, as well as your PANCE/PANRE Review Course assessments and exams. The Blueprint PA app (formerly Rosh Review) will simplify your life and accelerate your learning for your PA journey. Prep with your Qbank anywhere and anytime, perfect for your busy schedule and on-the-go studying. Use this app to: • Quickly create practice sets • Easily answer and review questions • Seamlessly move between desktop and mobile and see your progress • Effortlessly study on-the-go - no matter your schedule! • Download practice sets for offline practice and sync when you’re back online What's included: • Extensive Question Library
: access hundreds to thousands of practice questions aligned with the topics and exam format for Pre-PA, Didactic exams, Rotation exams, PANCE, or PANRE/PANRE-LA. • Detailed Explanations: maximize your understanding of core concepts with expert explanations for every correct and incorrect answer. • Memorable Illustrations: improve your retention with vivid medical images that allow you to focus on the essential info. • Customizable Practice Sets
: create personalized practice sets that align with your specific needs to target weak areas and concentrate your studying efforts. • Flexible Practice Modes
: choose between Tutor Mode, where you receive immediate answers and explanations as you progress, or Exam Mode, which replicates the test day experience. • Rapid Review & One Step Further: recap the main points with a rapid review and bonus question provided with each Qbank explanation. • Offline Mode: easily download practice sets or exams for offline practice and sync when you’re back online.

About

FirstPassPA

Features
Read full description

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 • 7,700+ 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

Screenshots

Blueprint PA Prep4 screens
FirstPassPA4 screens

Verdict

The call

The clearest difference is in-app purchases: Blueprint PA Prep at none against FirstPassPA's 2. FirstPassPA's advantage is update cadence (every 5 days vs every 3 weeks) and iOS requirement (15.0 vs 17.6). On price, ads and device support there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. FirstPassPA sells 2 in-app purchases, starting at $14.99 per month. Blueprint PA Prep asks for nothing beyond the download.

UpkeepUpdate frequency

Blueprint PA Prep ships an update every 3 weeks, FirstPassPA every 5 days. The most recent releases landed on October 21, 2026 and October 24, 2026 respectively.

Scorecard3 real differences · 7 level
Blueprint PA Prep versus FirstPassPA: the parameters behind the verdict, then further details
ParameterBlueprint PA PrepFirstPassPA
PriceFreeFree
Rating4.8 (544 ratings) — better—
Positive reviews35.0% of reviews—
Number of ratings544 — better—
Update frequencyEvery 3 weeksEvery 5 days — better
AdsNoNo
In-app purchasesNo — betterYes
MonetizationFree—
DevicesiPhone, iPadiPhone, iPad, iPod — better
Requires iOS17.615.0 — better
Further details — not scored
Size37 MB103 MB
Age rating17+17+
DeveloperBLUEPRINT TEST PREPARATION LLCRyan Busch

Bugs and requests

Blueprint PA Prep

Reported bugs

18 issues
  • App crashes everyday
  • Makes users log back in multiple times a day
  • Does not display full explanation for answers
  • Tells user account does not exist
  • Password reset code not received via email
Show 13 more
  • Requires finding a desktop to log in
  • Glitches when trying to login, says account doesn't exist
  • Won't let user try again without clearing Safari cache
  • Not connected to servers, reset email never came
  • Question stems popping up on wrong question
  • Freezes, won't let user click answers
  • Have to open and close app repeatedly
  • New drop down arrow for explanations is not preferred
  • Sometimes crashes or does not sync with web version
  • All questions on tutor mode should have an explanation
  • Unable to login
  • App crashes after update
  • Won't display the question

Requested features

4 requests
  • Add highlight and strikeout feature on mobile app
  • Ability to be in landscape mode on iPad version
  • App view look similar to regular browser view on summary screen
  • Option to stay logged in by default

FirstPassPA

Not enough reviews yet to summarise bugs or requests.

In-app purchases

None

Blueprint PA Prep

No in-app purchases

2 purchases

FirstPassPA

Subscriptions2
  • FirstPassPA Pro$14.991 Month
  • FirstPassPA Pro$129.991 Year

Questions

Is Blueprint PA Prep free?
Blueprint PA Prep is free to download, with no in-app purchases.
Is FirstPassPA free?
FirstPassPA is free to download, with in-app purchases available.
Do Blueprint PA Prep or FirstPassPA have ads?
Neither Blueprint PA Prep nor FirstPassPA shows ads.
Which is updated more often, Blueprint PA Prep or FirstPassPA?
Blueprint PA Prep ships an update every 3 weeks, and FirstPassPA every 5 days. Most recently, Blueprint PA Prep was updated on October 21, 2026 and FirstPassPA on October 24, 2026.

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