If the calculations involve a combination of parenthesis addition subtraction multiplication and division then. After you have done P and E just go from left to right doing any M or D as you find them. It explains how to use pemdas to evaluate expressions with fractions paren.
Operations within parenthesis are performed prior to operations outside of parenthesis and multiplications are done prior to additions or subtractions.
If grouping symbols are used such as parentheses perform the operations inside the grouping symbols first. These worksheets will help students to recognize that multiplication is done before addition unless there are parentheses involved. However if we want a weaker operation to be done first it is shown in parentheses. In calculations the strongest operations - Powers and roots are done first.