Exam Details

All End of Rotation™ exams follow the same format and are easy to administer.



Each End of Rotation exam consists of 120 multiple-choice questions, 100 of which are scored. The other 20 questions are unscored pre-test items which are used to gather statistics which aid in future exam form construction. The exam is divided into two sections of 60 questions each.


Students have 60 minutes to complete each of the two sections. Time may not be carried over from the first section. Once a section is completed students cannot go back to any questions in that section.

Programs may choose to configure their exams with breaks in between the two sections. 5, 10, or 15-minute breaks are available.

Americans with Disabilities Act (ADA) Compliance

ADA accommodations are also available and may be added for individual students at the time exams are scheduled.


Proctors may include, but are not limited to, program administrative staff, faculty, clinical preceptors, or professional exam center staff. For more information, see PAEA’s Proctor Resources page.

Proctors must:

  • Be physically present at the site where the exams are administered and attentive at all times. Professional remote proctoring services are allowed; contact PAEA for set-up instructions.
  • Verify that students are present
  • Monitor the proctor screen for “Viewing Other Content,” “Inappropriate Key Stroke,” and other system behavior alerts, and investigate potential irregular behavior.
  • Monitor the testing environment, observe, and report any irregular behavior
  • Circulate around the room throughout the administration of the exams
  • Guard against improper use and/or distribution of exam material as well as unauthorized access to content prior to or after administration

Proctors must not:

  • Answer questions from examinees about the exam content
  • Allow any portion of the exams to be reproduced by any means, electronic or mechanical