SPEX Exam 5

Question 1

A physician whose medical license lapsed 4 years ago due to non-renewal—with no disciplinary history—wants to reactivate licensure in a state that accepts SPEX. Which statement most accurately describes their SPEX eligibility?

Accepted Answer

They may be eligible to sit for the SPEX, as it is specifically designed to assess competency for physicians seeking reinstatement after a period of inactivity.

Answer

The SPEX (Special Purpose Examination) was created by the FSMB precisely for situations like this—physicians who hold or previously held a valid medical license and need to demonstrate current clinical competency, often after a lapse in licensure unrelated to discipline. Eligibility is determined by individual state boards, but the exam itself is designed for this reinstatement pathway. A universal cutoff based purely on lapse duration does not exist at the federal exam level.

Question 2

A physician passes the SPEX in 2022 and obtains a license in State A. In 2033, they apply for licensure in State B, which requires SPEX for applicants without a current license in another state. Their State A license lapsed in 2031. How will their 2022 SPEX score most likely be treated by State B?

Accepted Answer

The score has likely expired, as SPEX scores are generally valid for 10 years from the date of examination.

Answer

SPEX scores are generally accepted by state medical boards for a period of 10 years from the date the examination was taken. A score from 2022 presented in 2033 would be 11 years old and would typically not satisfy currency requirements. The physician would likely need to retake the SPEX. CME completion does not extend score validity.

Question 3

Which of the following correctly describes the SPEX examination format?

Accepted Answer

200 multiple-choice questions with a total testing time of approximately 5 hours, administered in a single session.

Answer

The SPEX consists of 200 multiple-choice questions delivered via computer in a single testing session with approximately 5 hours of testing time. It is not computer-adaptive, does not include short-answer or oral components, and is not split across multiple days. This standardized format is consistent across all administrations by the FSMB.

Question 4

A physician scores 72 on the SPEX examination. Which interpretation is correct?

Accepted Answer

This constitutes a failing attempt; the SPEX passing score is 75.

Answer

The SPEX passing score is 75 on the FSMB's scale. A score of 72 falls below this threshold and is therefore a failed attempt. There is no conditional pass category—the result is binary. While individual states set their own licensure policies, the FSMB establishes the single pass/fail cut point at 75 for the exam itself.

Question 5

Which of the following scenarios represents the most appropriate use case for the SPEX compared to USMLE Step 3?

Accepted Answer

A physician licensed 20 years ago under the FLEX examination who is applying for licensure in a new state that requires a current competency assessment.

Answer

SPEX is intended for physicians who already hold or previously held a medical license and need to demonstrate ongoing clinical competency—classically those licensed under older exam systems like FLEX or NBME Parts who lack a recent USMLE score. It is not a substitute for USMLE Step 3 for initial licensure applicants, and it does not satisfy the same pathway as USMLE for new graduates or foreign medical graduates seeking first-time licensure.

SPEX Exam Practice Test

SPEX Exam Practice Test

SPEX Exam 5