Free SPEX Practice Tests (2026)
Start with the free diagnostic to see where you stand, then practice in tutor or timed mode. Full-length simulations match the real SPEX.
Diagnostics
SPEX Practice Test 1
10 questions · 15 min10 free SPEX practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testPractice tests
SPEX Practice Test 2
10 questions · 15 min10 free SPEX practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testSPEX Practice Test 3
5 questions · 10 min5 free SPEX practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Start testHow these SPEX practice tests match the real exam
The real Special Purpose Examination (SPEX) has 200 questions and a 300-minute time limit. Question types: One-best-answer multiple choice: single-item vignettes, multiple-item sets, sequential item sets, drug-ad and abstract formats. Each practice test here uses the same question formats, so you get used to how SPEX questions are asked before test day.
The tests draw on every SPEX content area, weighted like the official outline:
- Medical Knowledge/Scientific Concepts (about 8% of the exam)
- Patient Care: Diagnosis (about 35% of the exam)
- Patient Care: Management (about 35% of the exam)
- Communication and Professionalism (about 12% of the exam)
- Systems-based Practice/Patient Safety and Practice-based Learning (about 10% of the exam)
Use tutor mode to see the explanation after each answer, or timed mode to practise at real exam pace. Every answer comes with an explanation of why it is right and why the other options are wrong.