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Key Facts: COFFITO Título de Especialista Profissional Exam

50 Questions

Objective Phase 1 Online Examination (4 Alternatives)

Edital nº 1/2025 COFFITO / IADES

4 Hours

Phase 1 Exam Duration (240 minutes)

COFFITO / IADES Certame Regulamento

60% Cutoff

Minimum Passing Score (30/50) to Advance to Phase 2

Resoluções COFFITO nº 630/2025 e nº 631/2025

2 Stages

Stage 1 Prova Objetiva + Stage 2 Prova de Títulos

Edital Nacional COFFITO

Registro CREFITO

Official Outcome (Título de Especialista Profissional)

Conselho Federal de Fisioterapia e Terapia Ocupacional

Lei nº 6.316/75

Creation of COFFITO and CREFITOs

Presidência da República do Brasil

Decreto-Lei 938/69

Statutory Regulation of PT and OT Professions

Presidência da República do Brasil

Res. 424 & 425/13

Codes of Professional Ethics and Deontology

Plenário do COFFITO

The COFFITO Exame Nacional para Concessão do Título de Especialista Profissional is Brazil's official unified certification certame for Physiotherapists and Occupational Therapists (Resoluções COFFITO nº 630/2025 e 631/2025 / IADES). The examination comprises a 50-question Phase 1 Prova Objetiva (60% pass mark, 4 hours) followed by a Phase 2 Prova de Títulos, granting the official Registro de Título de Especialista Profissional issued via regional CREFITOs. This English-language study bank contains 100 comprehensive practice MCQs.

Sample COFFITO Título de Especialista Profissional Practice Questions

Try these sample questions to test your COFFITO Título de Especialista Profissional exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Under Federal Law nº 6.316/1975, which established the COFFITO/CREFITOs system in Brazil, what is the primary institutional distinction between the Federal Council (COFFITO) and the Regional Councils (CREFITOs)?

A.COFFITO functions as the normative, supervisory, and superior administrative appellate body with nationwide jurisdiction, whereas CREFITOs are regional executive autarchies responsible for direct professional registration, primary fiscalization, and first-instance disciplinary proceedings.

B.CREFITOs are private trade unions (sindicatos) representing workers' labor rights, while COFFITO is the sole public autarchy endowed with police power and regulatory authority.

C.COFFITO is subordinated hierarchically to the Ministry of Education (MEC) for curriculum accreditation, while CREFITOs report directly to the Federal Council of Medicine (CFM).

D.CREFITOs possess exclusive normative competence to issue nationwide resolutions defining professional specialties, while COFFITO only manages annual fee collection.

Explanation: Lei nº 6.316/1975 created the Conselho Federal e Conselhos Regionais de Fisioterapia e Terapia Ocupacional as federal public autarchies. COFFITO holds normative and regulatory power nationwide and acts as the supreme appellate court for ethical-disciplinary decisions, while CREFITOs execute regional registration, inspect professional practice, and judge first-instance ethical infractions.

2According to Decreto-Lei nº 938/1969 and established COFFITO resolutions, what is the legal scope of diagnostic autonomy for Physiotherapists and Occupational Therapists in Brazil?

A.Physiotherapists and Occupational Therapists are autonomous healthcare professionals who independently formulate physical therapeutic and occupational therapeutic diagnoses, prescribe treatment plans, and determine discharge criteria without requiring prior medical prescription.

B.Physiotherapists and Occupational Therapists are legally prohibited from evaluating patients without an explicit, detailed medical prescription specifying the exact modalities and number of sessions.

C.Diagnostic autonomy is restricted exclusively to academic teaching institutions, while hospital practice mandates subordinating all therapeutic plans to clinical medical orders.

D.Occupational Therapists possess full diagnostic autonomy, but Physiotherapists are legally classified as technical assistants auxiliary to physicians.

Explanation: Decreto-Lei nº 938/1969 established Physiotherapy and Occupational Therapy as independent higher-education healthcare professions. Under COFFITO normative jurisprudence, both professionals possess full scientific and clinical autonomy to assess, determine the diagnóstico fisioterapêutico / diagnóstico terapêutico ocupacional, prescribe therapeutic interventions, and decide patient discharge.

3Under Resoluções COFFITO nº 630/2025 and nº 631/2025 (and Edital nº 1/2025 executed by IADES), what is the official structure and certification outcome of the Exame Nacional para Concessão do Título de Especialista Profissional?

A.It is a unified national certame comprising a 50-question online objective examination (Phase 1) followed by a Prova de Títulos (Phase 2), leading to the official Registro de Título de Especialista Profissional issued through regional CREFITOs.

B.It is a decentralized examination organized independently by private hospital syndicates, granting an RQE medical license recognized by the Federal Council of Medicine (CFM).

C.It is a single-stage practical simulation exam that automatically updates the candidate's undergraduate diploma without requiring council registration.

D.It consists of an oral defense before the Ministry of Health that confers a non-academic master's degree in clinical sciences.

Explanation: Under Resoluções COFFITO nº 630/2025 and 631/2025 (Edital nº 1/2025 / IADES), the certame is a two-stage national process: a 50-item objective test (Phase 1) and title evaluation (Phase 2). Passing confers the official Registro de Título de Especialista Profissional registered by the candidate's CREFITO (distinct from CFM's medical RQE).

4Regarding the legal use and advertising of professional specialty titles in Physiotherapy and Occupational Therapy, which scenario violates COFFITO regulatory norms?

A.A physiotherapist who completed an academic lato sensu postgraduate course in Intensive Care advertises themselves to the public as 'Especialista em Fisioterapia em Terapia Intensiva' without holding a Registro de Título de Especialista Profissional issued by COFFITO/CREFITO.

B.A professional registered as a specialist with CREFITO displays their specialist title along with their full professional name and CREFITO registration number on clinical stationery.

C.A physiotherapist advertises their academic master's degree (Mestre) alongside their standard professional registration number without claiming an uncertified professional title.

D.An occupational therapist certified by COFFITO in Mental Health advertises their certified specialty in technical reports and social media.

Explanation: Under COFFITO resolutions, an academic pós-graduação lato sensu certificate alone does not grant the legal right to advertise as a certified 'Especialista Profissional'. The professional specialist title can only be announced and used after formal approval in the national examination and official registration (Registro de Título) in the respective CREFITO.

5What are the mandatory elements that must appear on all professional stamps (carimbos), declarations, and official documents signed by a registered Physiotherapist or Occupational Therapist in Brazil?

A.Professional's full registered name, professional category (Fisioterapeuta or Terapeuta Ocupacional), and active CREFITO registration number (with regional council designation).

B.Only the professional's initials and hospital employee identification badge number.

C.The supervising physician's CRM number and the clinic's CNES municipal registry code.

D.The professional's CPF tax number and university graduation year without council details.

Explanation: COFFITO regulations require that all clinical records, reports, certificates, and evolution notes signed by the professional clearly display their full registered name, professional category (Fisioterapeuta or Terapeuta Ocupacional), and CREFITO number with regional jurisdiction (e.g., CREFITO-3/12345-F).

6According to COFFITO advertising norms and social media guidelines (Resoluções COFFITO on publicity), which promotional practice is strictly prohibited?

A.Guaranteeing cure, promising definitive treatment results, or publishing unscientific claims and sensationalist 'before and after' images that mislead the public.

B.Disseminating evidence-based educational health information regarding disease prevention and functional rehabilitation.

C.Stating the address, telephone contact, operating hours, and accepted health insurance plans of the private clinic.

D.Publishing scientific articles and announcements of educational symposiums organized by recognized professional bodies.

Explanation: COFFITO advertising regulations strictly prohibit guaranteeing clinical results, sensationalism, promising absolute cures, and using comparative or deceptive imaging that exposes patients or compromises professional dignity.

7Under COFFITO normative jurisprudence and federal civil legislation, what is the legal character of a technical report (Laudo Pericial ou Parecer Técnico) issued by an autonomous Physiotherapist or Occupational Therapist acting as a judicial expert (Perito Judicial)?

A.It is an official technical-scientific document possessing full legal validity in administrative and judicial proceedings to substantiate functional capacity, biomechanical impairment, or occupational disability.

B.It is merely an informal memorandum that requires validation and co-signature by a medical examiner to be admitted as evidence in court.

C.It is legally limited to school sports assessments and carries zero evidentiary weight in labor or civil courts.

D.It is valid only if accompanied by an invoice receipt issued by a private insurance company.

Explanation: Laudos and pareceres issued by physiotherapists and occupational therapists within their field of competence are full technical-scientific documents recognized in judicial (Vara do Trabalho, Varas Cíveis) and administrative proceedings to determine functional capacity, ergonomic causality, and physical disability.

8Regarding the custody and management of patient clinical records (Prontuário do Cliente/Paciente) under COFFITO Resolução nº 414/2012, what is the mandatory retention requirement and ownership rule?

A.The clinical record belongs to the patient (who has the right to access and obtain copies), while the healthcare institution or professional maintains duty of custody for a minimum of 20 years for physical paper records or permanently in secure certified digital format.

B.The clinical record is private property of the therapist and may be destroyed 6 months after discharge without archiving.

C.The clinical record belongs exclusively to the health insurance company and must be surrendered upon patient discharge.

D.Physical records may be discarded after 1 year provided the patient is notified via phone call.

Explanation: Under Resolução COFFITO nº 414/2012 and Brazilian legal standards, the prontuário is the patient's property, with the professional or institution acting as custodian. Paper records must be safeguarded for a minimum of 20 years from the last entry (or permanently in compliant digital systems with ICP-Brasil certification).

9A physiotherapist registered in CREFITO-3 (São Paulo) accepts a temporary contract to provide clinical services in the jurisdiction of CREFITO-2 (Rio de Janeiro) for a continuous period of 5 months. According to COFFITO regulations, what administrative action is mandatory?

A.Request a secondary registration (Inscrição Secundária) with CREFITO-2, because professional activity in another regional jurisdiction exceeding 90 consecutive days requires secondary registration.

B.No action is required because registration in any CREFITO automatically allows unrestricted nationwide practice indefinitely.

C.Cancel the registration in CREFITO-3 permanently and re-sit the national graduation licensing examination.

D.Obtain an authorization letter signed by a local medical clinic director without notifying CREFITO-2.

Explanation: Under COFFITO norms, when a professional exercises temporary activity in another CREFITO region for more than 90 calendar days per fiscal year, they must apply for an Inscrição Secundária in the destination CREFITO while maintaining their primary registration.

10When receiving a referral from another healthcare provider containing suggested electrotherapy parameters, what is the autonomous duty of the treating Physiotherapist?

A.Conduct an independent, complete physical therapy evaluation, formulate the clinical diagnosis, and independently determine the appropriate modalities, dosages, and parameters based on clinical findings.

B.Follow the referral's suggested parameters mechanically without conducting an evaluation to avoid interprofessional liability.

C.Decline to treat the patient and report the referring professional for unlawful interference without examining the case.

D.Administer only placebo interventions until the referring provider personally attends the session.

Explanation: Under COFFITO ethics and legislation, physiotherapists and occupational therapists are autonomous diagnosticians and prescribers. They must independently evaluate the patient and select therapeutic modalities based on scientific evidence, and cannot be compelled to apply externally dictated physical agent parameters.

About the COFFITO Título de Especialista Profissional Exam

The Exame Nacional para Concessão do Título de Especialista Profissional is the official unified national certification examination administered by the Conselho Federal de Fisioterapia e Terapia Ocupacional (COFFITO) in collaboration with specialized scientific associations and executed by an accredited examination board (such as IADES under Edital nº 1/2025, regulated by Resoluções COFFITO nº 630/2025 e nº 631/2025; earlier editions operated under Resoluções COFFITO nº 377 e 378/2010). The examination evaluates registered Physiotherapists (Fisioterapeutas) and Occupational Therapists (Terapeutas Ocupacionais) across Brazil seeking official recognition in their respective recognized clinical specialties. The certame follows a two-stage national structure: Phase 1 consists of a single 50-question objective multiple-choice examination (Prova Objetiva Online) covering institutional legislation, professional deontology, public health/SUS policies, and in-depth specialty knowledge; Phase 2 consists of a Curricular Title and Professional Experience Evaluation (Avaliação de Títulos / Prova de Títulos) for candidates who achieve at least 60% (30/50 correct) in Phase 1. Successful candidates receive the official Registro de Título de Especialista Profissional issued through their Regional Council (CREFITO), establishing legal authority to advertise and practice as certified specialists (note: this is distinct from the CFM medical register RQE). This practice question bank provides an English-language MCQ study adaptation designed for comprehensive preparation across all core competencies and major clinical specialty branches.

Assessment

Single national certame run by the Conselho Federal de Fisioterapia e Terapia Ocupacional under one edital covering every recognised Fisioterapia and Terapia Ocupacional specialty — Edital nº 1/2025, published in the Diário Oficial da União of 01/10/2025 (Edição 187, Seção 3, p. 271), executed by the Instituto Americano de Desenvolvimento (IADES) under Resoluções COFFITO nº 630/2025 and nº 631/2025. Fase 1: a single online Prova Objetiva of 50 questions, sat on 30/11/2025, for the one specialty the candidate chose at registration. Fase 2: Avaliação de Títulos e Experiência Profissional for candidates called forward. Earlier editions ran under Resoluções COFFITO nº 377 and 378/2010.

Time Limit

Single online session for the Prova Objetiva

Passing Score

Set by the edital against the 50-question Prova Objetiva; candidates approved in Fase 1 are convoked for the Avaliação de Títulos e Experiência Profissional

Exam Fee

Set by each certame's edital (Conselho Federal de Fisioterapia e Terapia Ocupacional (COFFITO) / IADES)

COFFITO Título de Especialista Profissional Exam Content Outline

15%

Legislação Institucional do Sistema COFFITO/CREFITOs e Exercício Profissional

Encompasses statutory regulations governing Physiotherapy and Occupational Therapy (Decreto-Lei nº 938/1969 and Lei nº 6.316/1975), the administrative hierarchy between the Federal Council (COFFITO) and Regional Councils (CREFITOs), full diagnostic autonomy (diagnóstico fisioterapêutico / diagnóstico terapêutico ocupacional), therapeutic prescription, clinical documentation (prontuários, laudos, pareceres, relatórios de alta), and professional publicity/advertising regulations.

15%

Ética, Deontologia Profissional e Políticas Públicas de Saúde (SUS)

Covers the Code of Professional Ethics and Deontology for Physiotherapy (Resolução COFFITO nº 424/2013) and Occupational Therapy (Resolução COFFITO nº 425/2013), bioethical principles, professional confidentiality, dual-role conflict prohibitions, disciplinary administrative processes and penalties, and Unified Health System statutory principles (Leis nº 8.080/1990 e nº 8.142/1990, PNAB, eMulti/NASF teams, and HumanizaSUS).

15%

Fisioterapia Hospitalar, Terapia Intensiva (UTI) e Ventilação Mecânica

Focuses on adult, pediatric, and neonatal critical care (RDC ANVISA nº 7/2010), respiratory mechanics evaluation (static/dynamic compliance, airway resistance, driving pressure, mechanical power), protective lung ventilation in ARDS (low tidal volume, PEEP titration, prone positioning), non-invasive ventilation (VNI) and High-Flow Nasal Cannula (CNAF), weaning predictors (RSBI/Tobin index, cuff leak test, spontaneous breathing trials), and early ICU mobilization (FSS-ICU, IMS scales, Post-Intensive Care Syndrome prevention).

15%

Fisioterapia Respiratória, Cardiovascular e Reabilitação Cardiopulmonar

Evaluates bronchial clearance techniques (ELTGOL, AFE, Autogenic Drainage, oscillating PEP/Flutter, mechanical insufflation-exsufflation), Inspiratory Muscle Training (TMI/PImáx), Cardiac Rehabilitation Phases I through IV (inpatient to community maintenance), exercise physiology and training prescription (Karvonen formula, Borg CR10/6-20 scales, METs, VO2 peak, anaerobic threshold), and peripheral vascular rehabilitation.

15%

Fisioterapia Neurofuncional, Traumato-Ortopédica e Terapias Manuais

Analyzes adult and pediatric neurological rehabilitation (Stroke hemiplegia, CIMT, spasticity scales, ASIA spinal cord injury scale, autonomic dysreflexia, Parkinson's external cueing, Cerebral Palsy GMFCS), musculoskeletal and sports physiotherapy (ACL reconstruction milestones, rotator cuff semiology, McKenzie spine centralization, core stabilization, osteoarthritis management), and manipulative manual therapies (Osteopatia and Quiropraxia safety, red flags, and thrust mechanics).

10%

Fisioterapia Dermatofuncional e Saúde da Mulher / Pélvica

Addresses wound repair biology, burn scar rehabilitation (Vancouver scale, compressive therapy), aesthetic/reconstructive surgery pre- and post-operative management, Complex Decongestive Therapy for lymphedema (CDT / TFCD), female pelvic floor dysfunctions (PERFECT scheme, biofeedback, electrostimulation), urinary incontinence subtypes, and obstetric physiotherapy.

10%

Terapia Ocupacional: Saúde Mental, Contextos Hospitalares e Sociais

Explores Brazilian psychiatric reform (Lei nº 10.216/2001), RAPS and CAPS network typologies, therapeutic workshops, socioproductive inclusion, hospital-based occupational therapy, pediatric developmental support, social occupational therapy within SUAS, core performance models (MOHO, CMOP-E), and assistive technology / custom orthotics fabrication.

Gerontologia, Fisioterapia do Trabalho e Ergonomia

Assesses Comprehensive Geriatric Assessment (AGA), Fried frailty phenotype, sarcopenia assessment under EWGSOP2 guidelines, fall risk screening and environmental modification, Ergonomic Workplace Analysis (AET) under Norma Regulamentadora NR-17, biomechanical ergonomic tools (RULA, REBA, NIOSH equation), and LER/DORT preventive management.

How to Pass the COFFITO Título de Especialista Profissional Exam

What You Need to Know

Passing score: Set by the edital against the 50-question Prova Objetiva; candidates approved in Fase 1 are convoked for the Avaliação de Títulos e Experiência Profissional
Assessment: Single national certame run by the Conselho Federal de Fisioterapia e Terapia Ocupacional under one edital covering every recognised Fisioterapia and Terapia Ocupacional specialty — Edital nº 1/2025, published in the Diário Oficial da União of 01/10/2025 (Edição 187, Seção 3, p. 271), executed by the Instituto Americano de Desenvolvimento (IADES) under Resoluções COFFITO nº 630/2025 and nº 631/2025. Fase 1: a single online Prova Objetiva of 50 questions, sat on 30/11/2025, for the one specialty the candidate chose at registration. Fase 2: Avaliação de Títulos e Experiência Profissional for candidates called forward. Earlier editions ran under Resoluções COFFITO nº 377 and 378/2010.
Time limit: Single online session for the Prova Objetiva
Exam fee: Set by each certame's edital

Keys to Passing

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COFFITO Título de Especialista Profissional Study Tips from Top Performers

1Master COFFITO & CREFITO Regulatory Framework: Review Lei nº 6.316/1975, Decreto-Lei nº 938/1969, and the Codes of Ethics (Resoluções COFFITO nº 424/2013 e nº 425/2013) to ensure full marks on institutional legislation and deontological questions.

2Understand Ventilatory Mechanics & ARDS Guidelines: Memorize driving pressure targets (< 15 cmH2O), lung-protective tidal volumes (4–6 mL/kg PBW), P/F ratio stratifications, prone positioning protocols, and weaning indices (RSBI < 105).

3Consolidate Clinical Assessment Tools Across Specialties: Know the key outcome measures by heart: ASIA scale for spinal cord injury, GMFCS for cerebral palsy, Modified Ashworth/Tardieu for spasticity, PERFECT scheme for pelvic floor, EWGSOP2 for sarcopenia, and Fried criteria for frailty.

4Review Brazilian Mental Health & SUS Policies: Understand the levels of CAPS (I, II, III, i, ad), the role of eMulti/NASF teams in primary care, and the principles of universal access, integrality, and equity under Leis nº 8.080/1990 e 8.142/1990.

5Practice Timed 4-Option Multiple Choice Questions: Train on 4-option clinical vignettes with detailed rationales, learning to differentiate the correct clinical or regulatory standard from closely related distractors.

Frequently Asked Questions

What is the COFFITO Exame Nacional para Concessão do Título de Especialista Profissional?

It is the unified national certification examination organized by the Federal Council of Physiotherapy and Occupational Therapy (COFFITO) in collaboration with national specialty associations and administered by an accredited exam board (such as IADES under Edital nº 1/2025, governed by Resoluções COFFITO nº 630/2025 e nº 631/2025). Passing the exam confers the official professional specialty title in recognized branches of Physiotherapy or Occupational Therapy.

Does passing the COFFITO exam produce an RQE, and how does it relate to the medical RQE?

Yes. Resolução COFFITO nº 627/2025, published in the Diário Oficial da União of 18/09/2025, instituted the Registro de Qualificação de Especialista (RQE) for fisioterapeutas and terapeutas ocupacionais who hold a Título de Especialista Profissional issued by COFFITO in one of its recognised specialties, replacing the former Registro Profissional de Especialista (RPE). The RQE is a formal public administrative act of the Conselho Federal that certifies the professional's qualification in that specialty, and its number appears on the professional identity card. It is registered through the candidate's CREFITO. It is a separate register from the medical RQE, which the Conselhos Regionais de Medicina issue under the Conselho Federal de Medicina for physicians — the two share a name and a purpose but sit under different councils and different professions.

What is the examination structure and passing criteria for Phase 1?

Phase 1 is a single, national online objective test (Prova Objetiva Online) consisting of 50 multiple-choice questions (each with 4 alternatives: A, B, C, D). Candidates have 4 hours to complete the examination and must achieve a minimum score of 60% (at least 30 correct answers out of 50) to qualify for Phase 2 (Avaliação de Títulos / Prova de Títulos).

What happens in Phase 2 (Prova de Títulos / Avaliação de Experiência Profissional)?

In Phase 2, candidates who cleared the objective test submit certified documentation of their academic degrees (specialization, master's, doctorate), accredited residency programs, continuous professional development, scientific publications, and documented clinical experience in the specialty. Scores from Phase 1 and Phase 2 are combined according to the weights set in the official Edital to determine final certification.

What specialties are recognized by COFFITO?

COFFITO recognizes numerous specialties in Physiotherapy (including Hospitalar/UTI, Respiratória, Cardiovascular, Neurofuncional, Traumato-Ortopédica, Dermatofuncional, Saúde da Mulher, do Trabalho, em Gerontologia, em Oncologia, Esportiva, Aquática, Osteopatia, and Quiropraxia) and Occupational Therapy (including Saúde Mental, Contextos Hospitalares, Contextos Sociais, em Gerontologia, Saúde da Família, and Neuroreabilitação).

Is this question bank an official COFFITO publication?

No. This question bank is an independent English-language MCQ study adaptation developed to help physiotherapists and occupational therapists master the core statutory, ethical, and clinical competencies required for the COFFITO National Specialist Title Examination.