The NCCPA is claiming PAs don’t need an exam prep course prior to taking the alternative to PANRE… They say: “The 25 quarterly questions on the alternative to PANRE cover core knowledge that all PAs should know”. As an orthopedic PA this still makes me a little nervous. The alternative to the PANRE starts in January 2019 and many PAs will be looking for a little review. For this reason, I will be posting study notes on this page over the upcoming months. Please send me your study pearls or cliff notes to post as well. (email: email@example.com).. The CME4PAC membership also includes hundreds of board review questions with most approved for Cat 1 CME credits.