NCCPA Study Guide 2026

Everything you need to pass the NCCPA exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 NCCPA Exam Format at a Glance

300
Questions
300 min
Time Limit
70.00%
Passing Score

📚 NCCPA Topics to Study (63)

✍️ Sample NCCPA Questions & Answers

1. A 25-year-old woman has recurrent DVT and a prolonged activated partial thromboplastin time (aPTT) that does not correct with mixing. What is the likely diagnosis?
✓ Antiphospholipid antibody syndrome

A prolonged aPTT that fails to correct on mixing study indicates a lupus anticoagulant, a feature of antiphospholipid antibody syndrome.

2. A PA wants to identify all available evidence on a topic using a systematic, reproducible search strategy. Which study type is most appropriate?
✓ Systematic review

Systematic reviews use predefined, reproducible search strategies to comprehensively identify and synthesize all available evidence on a topic.

3. A PA in a rural solo practice setting must consult a specialist urgently for a complex case but the supervising physician is unavailable. The best action is to:
✓ Contact the specialist directly and document the encounter thoroughly

PAs may consult specialists independently in urgent situations; thorough documentation and later communication with the supervising physician are essential.

4. A PA completes a quality improvement project at her hospital that is recognized by an ACCME-accredited provider. How should these credits be classified?
✓ Category 1 PI CME

Performance Improvement (PI) CME awarded by ACCME-accredited providers qualifies as Category 1 credit.

5. A 3-year-old presents with fever, drooling, and refusal to swallow. She is leaning forward in the 'sniffing position.' What is the MOST likely diagnosis?
✓ Epiglottitis

Epiglottitis presents with high fever, drooling, dysphagia, and the tripod/sniffing position due to supraglottic inflammation, and is a airway emergency.

6. A PA identifies a potential conflict of interest because they have a financial stake in a lab to which they refer patients. The most appropriate action is to:
✓ Disclose the financial relationship to patients and comply with Stark Law self-referral prohibitions

Federal Stark Law prohibits self-referrals to entities with which the provider has a financial relationship unless an exception applies; disclosure and compliance are mandatory.

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Your NCCPA Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation
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