Exam Content

There are 7 End of Rotation™ exams, one for each of the core supervised clinical practice experiences of physician assistant education. Each exam incorporates current, relevant test questions that follow rotation-specific content Blueprints and corresponding Topic Lists.


Our exams focus on assessing the relevant knowledge gained during specific clinical practice experiences. We recommend that End of Rotation exams be used in conjunction with other evaluation modalities such as preceptor evaluations, and that students receive learning objectives and resource guides sufficiently in advance of the exam.

The exam content is reflective of the specific blueprints and topic lists identified for that clinical practice experience or rotation. Questions are typically presented in vignette format so that the exam can better assess students’ capacity for problem solving and critical thinking.

Questions included on the exams are considered only a sample of all that might be included for the clinical experience and may not reflect all content topics identified in the blueprints.

Version 4: Blueprints & Topic Lists

Emergency Medicine Blueprint Topic List
Family Medicine Blueprint Topic List
General Surgery Blueprint Topic List
Internal Medicine Blueprint Topic List
Pediatrics Blueprint Topic List
Psychiatry & Behavioral Health Blueprint Topic List
Women’s Health Blueprint Topic List

Sample Exam

To give you an idea of the quality of the exams, we’ve developed a sample Family Medicine End of Rotation™ exam with 25 questions. This sample exam was developed through the same process used to create the full exams, so question difficulty and style is directly comparable to what your students will see in the full exams.

Example Question

A 66-year-old woman with a history of diabetes, hypertension, and a 50-pack-a-year smoking history is evaluated for dyspnea. On examination she has distended neck veins, tachycardia with distant heart sounds, and pulsus paradoxus. Which of the following is the most likely diagnosis?

  • A. Acute coronary syndrome
  • B. Cardiac tamponade
  • C. Pericarditis
  • D. Infective endocarditis
  • E. Hypertrophic cardiomyopathy

Keyword Feedback

If a student answers a question incorrectly, they receive keyword feedback to help them identify areas that require further study. Keyword feedback is aggregated on their post-exam score report and does not indicate the specific question the student marked incorrectly or provide specific answers.

If a student answered the example question above incorrectly, the keyword feedback on their score report would be:

  • Cardiology: Diagnosis, Cardiac tamponade
Download the sample exam