Free Physician Assistant College Admission Test Practice Questions
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Sample Practice Questions
Try these 10 sample questions from the Physician Assistant College Admission Test practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.
1A spinal nerve leaves the vertebral column between adjacent vertebrae. Through which opening does it pass?
- A.Vertebral foramen
- B.Intervertebral foramenCorrect answer: B
- C.Transverse foramen
- D.Foramen magnum
Explanation: OpenStax identifies the intervertebral foramen as "the opening through which a spinal nerve exits from the vertebral column". The vertebral foramina instead align to form the spinal canal; the question concerns the lateral exit between vertebrae.
Reference: OpenStax Anatomy and Physiology 2e — 7.3, General Structure of a Vertebra
2ADH increases collecting-duct water reabsorption primarily through which mechanism?
- A.Removing aquaporins from the membrane
- B.Blocking all sodium transport
- C.Increasing glucose filtration
- D.Inserting aquaporins into the membraneCorrect answer: D
Explanation: OpenStax states, "In the collecting ducts, ADH stimulates aquaporin channel insertion to increase water recovery and thereby regulate osmolarity of the blood." More water channels increase permeability and water recovery; the opposite change would reduce reabsorption.
Reference: OpenStax Anatomy and Physiology 2e — Chapter 25 Review, 25.6 Tubular Reabsorption
3Two atoms of the same element have different mass numbers. Which particle count must differ between them?
- A.Protons
- B.NeutronsCorrect answer: B
- C.Valence electrons only
- D.Protons and electrons equally
Explanation: OpenStax states, "isotopes of an element, therefore, differ from each other only in the number of neutrons within the nucleus." The elemental identity fixes proton number. The isotope difference is neutron number, not an obligatory change in electron count.
Reference: OpenStax Chemistry 2e — Chapter 2 Summary, 2.3 Atomic Structure and Symbolism
4A secreted protein has completed processing in the rough endoplasmic reticulum. Which organelle chiefly sorts and packages it for distribution?
- A.Lysosome
- B.Golgi apparatusCorrect answer: B
- C.Nucleolus
- D.Peroxisome
Explanation: OpenStax states, "Sorting, tagging, packaging, and distributing lipids and proteins take place in the Golgi apparatus." Golgi sorting differs from lysosomal digestion, nucleolar ribosome assembly and peroxisomal metabolism.
Reference: OpenStax Biology 2e — Chapter 4 Summary, 4.4 The Endomembrane System and Proteins
5Which envelope feature is characteristic of a gram-positive bacterium?
- A.A thick peptidoglycan layerCorrect answer: A
- B.A thin peptidoglycan layer inside an outer membrane
- C.A chitin wall without peptidoglycan
- D.A protein capsid instead of a cell wall
Explanation: OpenStax states, "Gram-positive bacterial cells are characterized by a thick peptidoglycan layer, whereas gram-negative bacterial cells are characterized by a thin peptidoglycan layer surrounded by an outer membrane." The thick peptidoglycan layer distinguishes gram-positive envelopes. Chitin is characteristic of fungi, and a capsid is a viral structure.
Reference: OpenStax Microbiology — Chapter 3 Summary, 3.3 Unique Characteristics of Prokaryotic Cells
6Two heterozygous parents, Aa × Aa, have offspring for a fully penetrant autosomal recessive trait. What is the probability of an aa offspring in each pregnancy?
- A.0%
- B.25%Correct answer: B
- C.50%
- D.75%
Explanation: OpenStax states, "one quarter are homozygous dominant, half are heterozygous, and one quarter are homozygous recessive." Each parent transmits a with probability 1/2, so P(aa) = 1/2 × 1/2 = 1/4 = 25%. Half refers to heterozygotes and 75% to the dominant phenotype under these assumptions.
Reference: OpenStax Biology 2e — Chapter 12 Summary, 12.2 Characteristics and Traits
7A reversibly binding inhibitor resembles an enzyme's substrate and competes with it for the same free-enzyme active site. Which type of inhibition is described?
- A.Noncompetitive inhibition
- B.Competitive inhibitionCorrect answer: B
- C.Uncompetitive inhibition
- D.Irreversible covalent inhibition
Explanation: OpenStax states, "the enzyme is inhibited through competitive inhibition, because an inhibitor molecule competes with the substrate for active site binding". Reversible competition for the free enzyme’s substrate site defines competitive inhibition. Noncompetitive inhibition does not involve this direct site competition; uncompetitive inhibition binds the enzyme-substrate complex, and irreversible covalent inhibition contradicts the stated reversible binding.
Reference: OpenStax Biology 2e — 6.5 Enzymes, Enzyme Regulation
8Researchers repeatedly assess the same participants from adolescence into adulthood. Which research design is this?
- A.LongitudinalCorrect answer: A
- B.Cross-sectional
- C.Naturalistic observation at a single time
- D.Single-participant clinical case study
Explanation: OpenStax states, "Longitudinal research has been incredibly helpful to researchers who need to collect data on how people change over time. Cross-sectional research compares multiple segments of a population at a single time." Repeated assessment of the same cohort over time is longitudinal. The cross-sectional and single-time observational alternatives do not follow change within that cohort. A clinical case study may also span time, but the listed single-participant study does not describe this multi-participant cohort design.
Reference: OpenStax Psychology 2e — Chapter 2 Summary, 2.2 Approaches to Research
9Events A and B are independent, with P(A) = 0.20 and P(B) = 0.40. What is P(B | A)?
- A.0.40Correct answer: A
- B.0.08
- C.0.20
- D.0.60
Explanation: OpenStax states, "Two events A and B are independent if the knowledge that one occurred does not affect the chance the other occurs." Independence gives P(B | A) = P(B) = 0.40. The value 0.08 is P(A and B), 0.20 uses the wrong event, and 0.60 adds the probabilities.
Reference: OpenStax Introductory Statistics 2e — Chapter 3 Review, 3.2 Independent and Mutually Exclusive Events
10Which pair of normal spinal curvatures develops after birth?
- A.Thoracic and sacrococcygeal
- B.Cervical and thoracic
- C.Lumbar and sacrococcygeal
- D.Cervical and lumbarCorrect answer: D
Explanation: OpenStax states, "The cervical curve of the neck region develops as the infant begins to hold their head upright when sitting. Later, as the child begins to stand and then to walk, the lumbar curve of the lower back develops." These are the secondary curves; thoracic and sacrococcygeal curves retain fetal curvature.
Reference: OpenStax Anatomy and Physiology 2e — 7.3, Curvatures of the Vertebral Column
Exam Review
About Physician Assistant College Admission Test
Physician Assistant College Admission Test · US
Key exam facts
- Provider
- Exam Master Corporation owns, developed and administers the PA-CAT; Pearson VUE delivers it at testing centers and through OnVUE live remote proctoring.
- Format
- Computer-based, single-best-answer multiple-choice assessment at Pearson VUE testing centers or by live remote proctoring.
- Exam questions
- Total questions: 240; Scored questions: 200; Unscored questions: 40; The total includes the scored and unscored questions.
- Time limit
- Four-hour standardized assessment within a 4.5-hour total exam window for standard administration; approved accommodations may extend testing time.
- Passing score
- No universal passing score: norm-referenced composite and three subject-group sub-scores are reported as scaled scores and relative rankings. PA programs interpret scores within their admissions decisions; these are not raw percentages.
- Exam fee
- US$257 for a standard administration, including the test-center fee; approved fee assistance reduces the payable amount to US$178. Additional attempts cost the full US$257; assistance coupons must be used within 30 days.
Topics covered
Anatomy (16%)
Physiology (16%)
Chemistry (16%)
General Biology (11%)
Microbiology (11%)
Genetics (11%)
Biochemistry (5%)
Behavioral Sciences (9%)
Statistics (5%)
How to prepare
Work through the topics, read the explanation after each answer, and revisit the areas where you miss questions. Use the official outline and reference materials below to guide your study.
These independent practice questions are not actual exam items and do not guarantee a passing result.
Frequently asked questions
What is the exam format?
Computer-based, single-best-answer multiple-choice assessment at Pearson VUE testing centers or by live remote proctoring.
How many questions are on the exam?
Total questions: 240; Scored questions: 200; Unscored questions: 40; The total includes the scored and unscored questions.
How long is the exam?
Four-hour standardized assessment within a 4.5-hour total exam window for standard administration; approved accommodations may extend testing time.
What is the passing score?
No universal passing score: norm-referenced composite and three subject-group sub-scores are reported as scaled scores and relative rankings. PA programs interpret scores within their admissions decisions; these are not raw percentages.
How much does the exam cost?
US$257 for a standard administration, including the test-center fee; approved fee assistance reduces the payable amount to US$178. Additional attempts cost the full US$257; assistance coupons must be used within 30 days.
Official sources and references
- PA-CAT Bulletin of Information
page 4, PA Admissions Exam Blueprint
- PA-CAT Candidate Handbook
Test Format and Content, Table 1, text lines 414-447
- PA Admissions Exam Blueprint and Sample Questions
page 2, content categories and applicability
- PA-CAT Bulletin of Information
page 4, blueprint explanation and footnotes
- PA-CAT Bulletin of Information
pages 3-4, Table 1 with percentage-change footnote
- PA-CAT Candidate Handbook
Areas Assessed on the PA-CAT, text lines 368-373
- PA-CAT Bulletin of Information
page 3, Test Structure
- PA-CAT Scoring and Reporting
How is the PA-CAT scored?
- About the PA-CAT
What is Covered on The PA-CAT Exam?
- PA-CAT Candidate Handbook
Introduction, text line 68
- Interpreting your PA-CAT scores
Does the PA-CAT have a passing score and if so, what is it?
- Interpreting your PA-CAT scores
What is meant by a scaled score?
- PA-CAT Register and Schedule
PA-CAT exam facts, Cost
- PA-CAT Fee Assistance
PA-CAT Fee Assistance
- PA-CAT Fee Assistance
Additional exam attempts
Confirm current exam arrangements with the exam provider.