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100+ Free APC Written Assessment Practice Questions

Pass your Australian Physiotherapy Council (APC) Written Assessment exam on the first try — instant access, no signup required.

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2026 Statistics

Key Facts: APC Written Assessment Exam

120 MCQs

Australian Physiotherapy Council Written Assessment has 120 multiple-choice questions across two papers

Australian Physiotherapy Council - Written Assessment Information Booklet

Two 2-hour papers

Paper 1 (morning) and Paper 2 (afternoon) are each two hours on the same day

Australian Physiotherapy Council - Written Assessment

15 cases per paper

Each paper presents 15 clinical cases containing 60 MCQs

Australian Physiotherapy Council - Written Assessment Information Booklet

Pass standard 500

Passing combined scaled score is 500 using the Rasch measurement model

Australian Physiotherapy Council - scoring guidance

AUD $2,017

Written Assessment fee per sitting from 5 January 2026, same for each resit

Australian Physiotherapy Council - Fees and processing times

No negative marking

There is no penalty for wrong or skipped answers on the Written Assessment

Australian Physiotherapy Council - scoring guidance

4 times a year

The Written Assessment is offered four times a year, remotely or in Melbourne and Sydney

Australian Physiotherapy Council - Written Assessment

100

Free original practice questions here across all assessed clinical areas

OpenExamPrep

The APC Written Assessment is the computer-based multiple-choice stage of the Australian Physiotherapy Entry Pathway (APEP) for overseas-trained physiotherapists. It is two same-day papers, each two hours and each with 15 clinical cases and 60 single-best-answer MCQs, for 120 questions over four hours. It is held four times a year, remotely or at venues in Melbourne and Sydney, and costs AUD $2,017 per sitting from 5 January 2026. Results are pass or fail on a Rasch-model scaled score with a passing standard of 500 across the cardiorespiratory, neurology and musculoskeletal areas, with no negative marking. This 100-question bank provides original practice across those clinical areas plus assessment, ethics and the Australian regulatory framework.

Sample APC Written Assessment Practice Questions

Try these sample questions to test your APC Written Assessment exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 34-year-old presents with low back pain and reports new urinary retention, saddle (perineal) numbness and bilateral leg weakness. What is the most appropriate physiotherapy action?
A.Commence McKenzie extension exercises
B.Refer urgently for emergency medical assessment
C.Apply lumbar traction and reassess in one week
D.Provide reassurance and a graded walking program
Explanation: Urinary retention, saddle anaesthesia and bilateral leg weakness are classic red flags for cauda equina syndrome, a surgical emergency. The entry-level physiotherapist must arrange urgent emergency medical referral rather than treat, because delayed decompression risks permanent bladder, bowel and sexual dysfunction.
2According to current best evidence reflected in Australian practice, what is the most appropriate management for non-specific chronic low back pain?
A.Strict bed rest until pain resolves
B.Routine spinal imaging for all patients
C.Education, reassurance and graded activity or exercise
D.Long-term passive electrotherapy alone
Explanation: Guidelines for non-specific chronic low back pain prioritise patient education, reassurance that hurt does not equal harm, staying active and graded exercise. Passive-only and rest-based approaches are discouraged because they reinforce avoidance and do not improve long-term outcomes.
3A patient has a positive empty can (Jobe) test, painful arc and weakness with resisted abduction. Which structure is most likely involved?
A.Subscapularis
B.Supraspinatus
C.Long head of biceps
D.Teres major
Explanation: The empty can test, a painful arc and weak resisted abduction implicate the supraspinatus, the rotator-cuff muscle that initiates abduction and is most commonly affected by impingement and tears. Localising the cuff component guides loading and rehabilitation.
4Which exercise approach has the strongest evidence for mid-portion Achilles tendinopathy?
A.Complete rest and immobilisation
B.Progressive loading such as eccentric or heavy-slow resistance
C.Passive ultrasound only
D.High-velocity plyometrics from day one
Explanation: Mid-portion Achilles tendinopathy responds best to a progressive loading program such as eccentric calf-raise protocols or heavy-slow resistance, which stimulate tendon remodelling and reduce pain. Loading is the cornerstone of tendinopathy rehabilitation.
5A patient describes anterior knee pain that worsens with stairs and prolonged sitting, with no history of trauma or instability. What is the most likely diagnosis?
A.Anterior cruciate ligament rupture
B.Patellofemoral pain
C.Lateral meniscal tear
D.Septic arthritis
Explanation: Diffuse anterior knee pain aggravated by stairs and prolonged sitting (the theatre sign), without trauma or instability, is characteristic of patellofemoral pain. Management centres on hip and quadriceps strengthening and activity modification.
6During the first 6 weeks after an uncomplicated rotator-cuff repair, which activity is generally most appropriate?
A.Resisted strengthening into abduction
B.Protected passive and assisted range within surgeon limits
C.Aggressive end-range stretching
D.Return to overhead throwing
Explanation: Early after rotator-cuff repair, the tendon must be protected while motion is restored gradually, so protected passive and active-assisted range within the surgeon's restrictions is appropriate. Active and resisted loading is staged later to avoid disrupting the repair.
7An older patient reports low back pain that is worse at night, unrelieved by rest, with unexplained weight loss and a history of cancer. What is the most appropriate response?
A.Begin a strengthening program
B.Refer for further medical investigation
C.Prescribe a lumbar corset and discharge
D.Apply spinal manipulation
Explanation: Night pain unrelieved by rest, unexplained weight loss and a cancer history are red flags for possible spinal malignancy or metastasis. The physiotherapist should refer for medical investigation rather than treat, because missing serious pathology can be catastrophic.
8Which finding is most consistent with lumbar radiculopathy at the L5 nerve root?
A.Weak ankle plantarflexion and absent ankle reflex
B.Weak great-toe extension and altered sensation over the dorsum of the foot
C.Weak knee extension and reduced knee reflex
D.Loss of perianal sensation and bladder dysfunction
Explanation: L5 radiculopathy typically causes weakness of great-toe extension (extensor hallucis longus) and ankle dorsiflexion, with altered sensation over the dorsum of the foot. Mapping the myotome and dermatome localises the affected root.
9A patient with lateral elbow pain reproduced by resisted wrist extension and gripping is most likely experiencing:
A.Medial epicondylalgia
B.Lateral epicondylalgia (tennis elbow)
C.Cubital tunnel syndrome
D.Olecranon bursitis
Explanation: Lateral elbow pain reproduced by resisted wrist extension and gripping is characteristic of lateral epicondylalgia (tennis elbow), an overuse tendinopathy of the common extensor origin. Management favours load management and progressive exercise.
10Following an acute lateral ankle sprain (grade I-II) with no fracture, what is the most appropriate early management principle?
A.Strict immobilisation in a cast for 6 weeks
B.Protected early weight-bearing and progressive functional rehabilitation
C.Bed rest with the leg elevated for 2 weeks
D.Immediate return to sport once pain settles
Explanation: Current evidence supports protected early weight-bearing and progressive functional rehabilitation, including range, strength and balance work, for grade I-II lateral ankle sprains. Early controlled loading restores function faster than prolonged immobilisation.

About the APC Written Assessment Exam

The Australian Physiotherapy Council (APC) Written Assessment is the multiple-choice knowledge stage of the Australian Physiotherapy Entry Pathway (APEP) for internationally qualified physiotherapists seeking to practise in Australia. It is sat after the Eligibility Assessment and Cultural Safety Training, and before the separate oral Capability Assessment and the one-day Clinical Workshop. The exam is computer-based and delivered as two same-day papers; each paper contains 15 clinical cases with 60 single-best-answer MCQs, for 120 questions in total over four hours. Cases describe realistic Australian patients across musculoskeletal, cardiorespiratory and neurological physiotherapy, and require candidates to interpret findings and make safe, evidence-based, entry-level decisions mapped to the Physiotherapy Practice Thresholds set by the Physiotherapy Board of Australia. Performance is reported as a pass or fail using a Rasch-model scaled score with a passing standard of 500, and there is no negative marking.

Assessment

Two computer-based multiple-choice papers on the same day. Each paper presents 15 clinical cases containing 60 single-best-answer MCQs (about four questions per case), for a total of 120 questions. There is no negative marking.

Time Limit

Four hours of assessment time: Paper 1 (morning) and Paper 2 (afternoon), each limited to two hours, with all sittings starting at 9am AEST/AEDT.

Passing Score

Reported as a pass or fail on a scaled score using the Rasch measurement model; the passing combined scaled score is 500 across the cardiorespiratory, neurology and musculoskeletal areas. There is no fixed raw-percentage cutoff and no penalty for wrong or skipped answers.

Exam Fee

AUD $2,017 per Written Assessment sitting from 5 January 2026, with each resit charged at the same AUD $2,017. The full APEP assessment journey costs about AUD $7,814. (Australian Physiotherapy Council (APC))

APC Written Assessment Exam Content Outline

35%

Musculoskeletal physiotherapy

The largest clinical area. Covers spinal and peripheral assessment, red-flag screening (cauda equina, fracture, infection, malignancy), post-operative orthopaedic management, tendinopathy and overuse injuries, manual therapy indications and contraindications, and progressive exercise-based rehabilitation in Australian practice.

25%

Neurological physiotherapy

Stroke rehabilitation and motor relearning, Parkinson's disease and other movement disorders, spinal cord injury management, balance, falls and vestibular rehabilitation, and paediatric neurology, with emphasis on safe, goal-directed, evidence-based decision-making.

20%

Cardiorespiratory physiotherapy

Acute and ICU care, airway clearance and chest physiotherapy techniques, post-surgical and post-operative respiratory management, oxygen and ventilation awareness, and exercise prescription for cardiac and pulmonary rehabilitation in Australian acute settings.

12%

Professional practice, ethics and the Australian regulatory framework

Informed consent and capacity, documentation and clinical reasoning, scope of practice, AHPRA registration and the Physiotherapy Board of Australia, the Physiotherapy Practice Thresholds, mandatory notifications, cultural safety, and the Australian healthcare context including Medicare, the NDIS and private health insurance.

8%

Foundational sciences, electrophysical agents and special populations

Functional anatomy and biomechanics, pathology and tissue healing, electrophysical agents (TENS, ultrasound, heat and cold) with their indications and contraindications, basic pharmacology awareness, and special populations such as women's health and older adults.

How to Pass the APC Written Assessment Exam

What You Need to Know

  • Passing score: Reported as a pass or fail on a scaled score using the Rasch measurement model; the passing combined scaled score is 500 across the cardiorespiratory, neurology and musculoskeletal areas. There is no fixed raw-percentage cutoff and no penalty for wrong or skipped answers.
  • Assessment: Two computer-based multiple-choice papers on the same day. Each paper presents 15 clinical cases containing 60 single-best-answer MCQs (about four questions per case), for a total of 120 questions. There is no negative marking.
  • Time limit: Four hours of assessment time: Paper 1 (morning) and Paper 2 (afternoon), each limited to two hours, with all sittings starting at 9am AEST/AEDT.
  • Exam fee: AUD $2,017 per Written Assessment sitting from 5 January 2026, with each resit charged at the same AUD $2,017. The full APEP assessment journey costs about AUD $7,814.

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

APC Written Assessment Study Tips from Top Performers

1Read the official Written Assessment Information Booklet closely; it lists the clinical areas and the Physiotherapy Practice Thresholds the cases are built around, and tells you exactly what entry-level decisions are expected.
2Practise screening every case for red flags first, such as cauda equina, fracture, malignancy, infection and cardiac or pulmonary emergencies, because safe escalation is a recurring theme.
3Answer based on current Australian evidence, not on how you were trained overseas; for example, favour active over passive management for chronic low back pain and follow Australian stroke and respiratory guidelines.
4Learn the Australian healthcare context, including AHPRA, the Physiotherapy Board of Australia, Medicare, the NDIS and private health insurance, as professional-practice questions assume this background.
5Use the official practice test released after you apply to rehearse the on-screen format and pace yourself at roughly two minutes per question across the two papers.
6Strengthen cardiorespiratory and neurological reasoning, the areas overseas candidates most often find unfamiliar, by working through ICU, post-surgical, stroke and Parkinson's case scenarios.

Frequently Asked Questions

Is the APC Written Assessment multiple choice?

Yes. The Written Assessment is a computer-based, single-best-answer multiple-choice exam. It is delivered as two same-day papers, each containing 15 clinical cases with 60 MCQs, for 120 questions in total. The separate oral Capability Assessment is not multiple choice.

How many questions are on the APC Written Assessment and how long is it?

There are 120 multiple-choice questions across two papers. Paper 1 (morning) and Paper 2 (afternoon) are each two hours, for four hours of assessment time on the same day, with sittings starting at 9am AEST/AEDT.

What is the passing score for the APC Written Assessment?

The result is reported as a pass or fail using a Rasch-model scaled score, with a passing combined scaled score of 500 across the cardiorespiratory, neurology and musculoskeletal areas. There is no fixed raw-percentage cutoff and no negative marking.

How much does the APC Written Assessment cost in 2026?

From 5 January 2026 the Written Assessment fee is AUD $2,017 per sitting, and each resit is charged at the same AUD $2,017. The full APEP assessment journey costs about AUD $7,814.

Who has to sit the APC Written Assessment?

Internationally qualified physiotherapists following the Australian Physiotherapy Entry Pathway (APEP) sit it after the Eligibility Assessment and Cultural Safety Training. It must be passed before progressing to the oral Capability Assessment and the Clinical Workshop.

Are these official APC practice questions?

No. These are original OpenExamPrep questions modelled on the Physiotherapy Practice Thresholds and published exam structure. The APC provides an official practice test through the Candidate Dashboard after you apply and pay for the Written Assessment.