In this episode of the Physician Assistant Exam Review Podcast, Brian talks with Ealum, a PA student who was stuck after three failed PANCE attempts and finally made a 90‑point jump to pass on his 4th try.

He had teenage kids at home waiting for life to move forward. He was in Alaska, couldn't attend a single live session, and still used the 33 Days to Pass the PANCE framework to turn things around.

Inside, you'll hear:

• What it actually feels like to fail again and again while your family is watching
• Why "working hard" wasn't enough, and what finally changed in how Ealum studied
• How he used 33 Days completely asynchronously (no live calls, Alaska time zone) and still got results
• The specific mindset shifts around failure, shame, and starting over that made this attempt different
• How he handled test‑day anxiety on the 4th attempt after so many defeats
• Ealum's advice if you're on your 2nd, 3rd, or 4th attempt and wondering if you should even try again

  If you're working hard but your scores aren't moving, and you see yourself in Ealum's story, registration for the February 33 Days to Pass the PANCE cohort is now open.

  • Daily structure and score‑driven studying
  • Test‑taking and anxiety management
  • Built so you can win even if you can't make the live calls

  Registration for the February cohort is open through Thursday, January 22 at midnight.

  Learn more and register here:
  https://www.physicianassistantexamreview.com/33

In this episode of the Physician Assistant Exam Review Podcast, we take the "dreaded" childhood viral rashes and make them organized, predictable, and testable. Instead of memorizing numbered diseases, you'll learn how to sort exanthems, HFMD, chickenpox, HSV, molluscum, warts, and genital warts by pattern so you can pick the right diagnosis under pressure.

We'll cover:

• Which infant rash appears after several days of high fever (and how to never mix it up again)
• How to tell measles, rubella, scarlet fever, fifth disease, and roseola apart using fever timing and distribution
• The difference between viral exanthems and hand-foot-and-mouth disease on exam stems
• Why "vesicles in multiple stages at once" should instantly trigger varicella in your mind
• How to separate HSV, molluscum, and warts using pain, grouping, and umbilication
• The key clues that distinguish common warts from genital warts (condyloma acuminatum) on test day

If you're working hard but your scores aren't moving the way you want, it's usually not effort. It's strategy.

On Thursday at 8 pm EST, I'm hosting a free PANCE Game Plan Class where we'll walk through:

• A 33‑day PANCE content calendar built from the blueprint percentages
• The 5‑part Score Stack system to make every exam push your score up
• An anxiety‑proof exam protocol you can run before and during every test

Grab your seat here:
physicianassistantexamreview.com/mastercl...

In this episode you'll learn how to instantly recognize cellulitis, erysipelas, impetigo, fungal rashes, scabies, lice, and common bites so you can pick the right diagnosis and treatment bucket on exam day.

• Poorly defined erythema on one shin is either cellulitis or erysipelas. Which one?
• Beefy red rash with satellite lesions what's the organism?
• Expanding rash after a tick bite, whats' the treament?

Want a 33‑day content calendar, score stack system, and anxiety‑proof exam protocol? Register for the session here

https://www.physicianassistantexamreview.com/masterclass

Not just skin facts. How to quickly tell acne from rosacea, folliculitis, perioral dermatitis, eczema, psoriasis, seb derm, and pityriasis rosea on exams so you think different, work different, and score different.

Think different, work different, score different.

We're walking through PANCE questions today. We finished GU so this is a solid way to pull it all together.

Today we close out GU with testicular and urethral disorders. We also go into some specifics on a poweful, maybe even, life changing method for dealing with anxiety and overhwhelm.

Here are the priming questions

Give them a shot

Sudden testicular pain should make you suspect what condition?

Painless scrotal swelling that transilluminates suggests what diagnosis?

"Bag of worms" describes what condition?

Young girl with a small bleeding mass at the urethral opening most likely has what disorder?

Flank pain radiating to the groin with hematuria suggests what diagnosis?