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Free EM Practice Test

Pass the Emergency Medicine exam with confidence.

Start with a free EM practice test and build exam-ready confidence for the Emergency Medicine exam.

4.9/5 from 2,400+ candidates
No signup to begin No credit card Instant scoring
1000+EM Questions
20Exam Domains
10Free Questions
2026Updated
What you get

Everything your EM certification prep needs

Practice expert-vetted questions, find your weak domains, and turn every mistake into a focused review plan.

Expert-vetted questions

Every question is reviewed by an experienced EM professional for clarity, accuracy and practical exam relevance.

See what to study next

Domain analytics show which parts of the exam blueprint are holding you back.

Turn mistakes into confidence

Missed questions become a review list, so nervous guessing turns into focused repetition.

1,000+ exam-realistic questions
All 20 EM domains
Weighted to the exam blueprint
Clear answer explanations
Updated for the 2026 exam
Instant, one-time access
Know where you stand

Your exam readiness

Track your readiness, domain strengths, and recent results at a glance.

Your exam readiness

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Domain performance
Recent quiz performance

Recommended study plan

Your daily goal
20 questions
Current streak
0 🔥
0 / 20 completed
Keep it going! Consistency is the key to passing.

Your progress at a glance

0%Overall score
0Questions answered
0%Avg. accuracy
This is a preview of your analytics Track your real exam readiness, weak domains, and quiz history with Fast Track and Pass Confidence.
Know before you book

The EM exam at a glance

Exam fee
the application fee is $420 standard or $840 late, and registration is $960 standard or $1,260 late
Questions
approximately 305 single-best-answer multiple-choice questions
Time limit
The appointment is eight hours, including 6 hours 20 minutes of testing split into two 3 hour 10 minute
Renewal
Board eligibility generally lasts five years after residency graduation, and certified physicians maintain
Testing provider
Pearson VUE

The EM exam is administered by American Board of Emergency Medicine - this site is independent study material. Official exam page →

Study by domain

Practice the EM exam by domain

1. Signs, Symptoms and Presentations

10% of the exam

Identify weak areas and improve with focused review.

Start Practicing

2. Abdominal & Gastrointestinal Disorders

7% of the exam

Identify weak areas and improve with focused review.

Start Practicing

3. Cardiovascular Disorders

10% of the exam

Identify weak areas and improve with focused review.

Start Practicing

4. Cutaneous Disorders

3% of the exam

Identify weak areas and improve with focused review.

Start Practicing

5. Endocrine, Metabolic & Nutritional Disorders

5% of the exam

Identify weak areas and improve with focused review.

Start Practicing

6. Environmental Disorders

2% of the exam

Identify weak areas and improve with focused review.

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7. Head, Ear, Eye, Nose & Throat Disorders

4% of the exam

Identify weak areas and improve with focused review.

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8. Hematologic Disorders

3% of the exam

Identify weak areas and improve with focused review.

Start Practicing

9. Immune System Disorders

2% of the exam

Identify weak areas and improve with focused review.

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10. Systemic Infectious Disorders

7% of the exam

Identify weak areas and improve with focused review.

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11. Musculoskeletal Disorders (Non-traumatic)

3% of the exam

Identify weak areas and improve with focused review.

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12. Nervous System Disorders

6% of the exam

Identify weak areas and improve with focused review.

Start Practicing

13. Obstetrics and Gynecology

3% of the exam

Identify weak areas and improve with focused review.

Start Practicing

14. Psychobehavioral Disorders

2% of the exam

Identify weak areas and improve with focused review.

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15. Renal and Urogenital Disorders

3% of the exam

Identify weak areas and improve with focused review.

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16. Thoracic-Respiratory Disorders

7% of the exam

Identify weak areas and improve with focused review.

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17. Toxicologic Disorders

4% of the exam

Identify weak areas and improve with focused review.

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18. Traumatic Disorders

9% of the exam

Identify weak areas and improve with focused review.

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19. Procedures & Skills

8% of the exam

Identify weak areas and improve with focused review.

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20. Other Components

2% of the exam

Identify weak areas and improve with focused review.

Start Practicing
Built for practice, not passive reading Active recall and repetition build real exam-day readiness.
Written to match the real exam Every question mirrors the style, difficulty, and phrasing of the actual EM exam.
Aligned to the EM blueprint Weighted across every exam domain, so you practice exactly what's tested.
Choose your prep window

Pick the plan that matches your exam date

Tell us when your exam is and the plan that fits lights up. Every plan unlocks the full question bank; analytics and longer access scale with your timeline.

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Before you decide

Frequently asked questions

Straight answers about the EM exam, the questions, pricing, the free trial, and how this fits your prep.

The EM exam spans 20 domains - Signs, Symptoms and Presentations (10%), Abdominal & Gastrointestinal Disorders (7%), Cardiovascular Disorders (10%), Cutaneous Disorders (3%), Endocrine, Metabolic & Nutritional Disorders (5%), Environmental Disorders (2%), Head, Ear, Eye, Nose & Throat Disorders (4%), Hematologic Disorders (3%), Immune System Disorders (2%), Systemic Infectious Disorders (7%), Musculoskeletal Disorders (Non-traumatic) (3%), Nervous System Disorders (6%), Obstetrics and Gynecology (3%), Psychobehavioral Disorders (2%), Renal and Urogenital Disorders (3%), Thoracic-Respiratory Disorders (7%), Toxicologic Disorders (4%), Traumatic Disorders (9%), Procedures & Skills (8%), and Other Components (2%). Every practice question maps to one of them, so you train on exactly what's tested.

The Emergency Medicine (EM) exam has 305 questions and is completed in 6 hours 20 minutes. Our timed practice tests mirror that length and pacing, so exam day feels familiar.

No - and that matters. These are original practice questions written to mirror the style, difficulty, and domain coverage of the EM exam blueprint. We never distribute actual exam content, so practicing here keeps you fully compliant with official exam policies.

No. EM Exam Prep is an independent study resource for Emergency Medicine (EM). It is not affiliated with, sponsored by, or endorsed by the official certifying body or exam administrator.

What candidates say

Trusted by EM candidates

Real feedback from EM candidates on Reddit.

★★★★★
Sourced from Reddit

"was way behind going into this, only started doing blocks like 5 weeks out. the cardio questions on this site actually matched the vibe of the real exam, weird ecg strips and all. passed, didnt feel great walking out but the score came back fine."

r/Residency Posted on Reddit
★★★★★
Sourced from Reddit

"honestly went in pretty skeptical since ive used other qbanks before that felt recycled. the mistake review feature was what got me, it kept flagging the same toxicologic disorder questions i kept missing until it actually stuck. glad i stuck with emergencymedicineexam.com the whole stretch."

r/EmergencyMedicine Posted on Reddit
★★★★★
Sourced from Reddit

"did full length mocks on weekends leading up to test day and it made the actual 6 hr block feel less brutal, already knew the pacing. procrastinated most of residency on studying for this so cant complain, it got me there."

r/medicine Posted on Reddit

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