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2026 Statistics

Key Facts: ENADE Fisioterapia Exam

40 Questions

Total Exam Questions

Portaria Normativa MEC / INEP ENADE

4 Hours

Exam Duration

Edital Oficial ENADE — INEP

Free (Gratuito)

Registration Fee

Ministério da Educação (MEC) / SINAES

75% Weight

Specific Component Weight

Diretrizes de Prova ENADE Fisioterapia

25% Weight

General Training Weight

Diretrizes de Prova ENADE Fisioterapia

1 to 5 Scale

Conceito Enade Range

Sistema Nacional de Avaliação da Educação Superior (SINAES)

Lei nº 10.861/2004

SINAES Statutory Basis

Presidência da República do Brasil

Res. CNE/CES 4/2002

DCNs Fisioterapia Basis

Conselho Nacional de Educação (CNE/CES)

Decreto-Lei 938/1969

Physical Therapy Profession Law

Legislação Federal do Brasil / COFFITO

The ENADE Fisioterapia is the official INEP/MEC capstone evaluation for graduating Brazilian Physiotherapy students. Administered over 4 hours with 40 questions (35 MCQs and 5 discursive), it tests General Training & SUS (15%), COFFITO Ethics & Deontology (10%), Kinesiology & Biomechanics (15%), Functional Diagnosis & ICF/CIF (10%), Musculoskeletal & Orthopedic PT (15%), Neurofunctional PT (15%), Cardiorespiratory & ICU PT (12%), Women's Health & Ergonomics (5%), and Electrothermo-phototherapy (3%). Exam completion is legally mandatory for undergraduate degree conferral.

Sample ENADE Fisioterapia Practice Questions

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

1The Brazilian Unified Health System (Sistema Único de Saúde - SUS), established by the 1988 Federal Constitution and regulated by Organic Health Laws (Lei nº 8.080/1990 and Lei nº 8.142/1990), is grounded on doctrinal and organizational principles. Which doctrinal principle guarantees that every Brazilian citizen has the inherent right to access health actions and physical therapy services across all levels of complexity without discrimination?

A.Descentralização político-administrativa (Political-administrative decentralization).

B.Universalidade de acesso (Universality of access).

C.Participação da comunidade (Community participation).

D.Regionalização e hierarquização (Regionalization and hierarchization).

Explanation: Universality of access (Universalidade de acesso) is a foundational doctrinal principle of SUS establishing health as a fundamental human right and a state duty, guaranteeing unrestricted access to health services for all individuals without distinction or financial barrier. In contrast, decentralization, regionalization, and community participation represent organizational and operational principles governing system structure and social control.

2A physical therapist joins an expanded multiprofessional primary care team (equipe multiprofissional - eMulti / NASF-AP) supporting several Family Health Strategy (Estratégia Saúde da Família - ESF) teams. Within Primary Health Care (Atenção Primária à Saúde - APS), which operational strategy reflects the core mission of physical therapy in matrix support (apoio matricial)?

A.Establishing an isolated specialized physical therapy clinic within the Basic Health Unit to treat only chronic orthopedic conditions on individual waiting lists.

B.Providing collaborative technical-pedagogical and clinical matrix support to ESF teams, conducting shared consultations, home visits, and collective health promotion groups.

C.Restricting physical therapy interventions exclusively to tertiary post-surgical rehabilitation referrals to avoid overlap with community health agents.

D.Assuming sole clinical responsibility for all medical prescriptions issued in the municipality without interacting with local family health teams.

Explanation: In Primary Health Care, the physical therapist in eMulti/NASF-AP operates through matrix support (apoio matricial), providing shared technical-pedagogical and clinical-assistance backup to Family Health teams. This involves joint consultations, home visits, case discussions, Singular Therapeutic Projects (PTS), and community health promotion groups rather than functioning as an isolated traditional outpatient clinic.

3Brazil has experienced a rapid demographic and epidemiological transition characterized by population aging and a dominant burden of Chronic Non-Communicable Diseases (Doenças Crônicas Não Transmissíveis - DCNT), such as hypertension, diabetes, osteoarthritis, and stroke sequelae. Considering health promotion and disease prevention models, what is the primary objective of secondary prevention (prevenção secundária) conducted by physical therapists?

A.Implementing educational community workshops on healthy nutrition and physical activity before any pathology or risk factors develop.

B.Detecting diseases in early asymptomatic or subclinical stages and providing early interventions to halt progression and minimize functional decline.

C.Conducting intensive long-term vocational retraining and complex assistive technology adaptations for severe permanent disabilities.

D.Administering mass immunization campaigns and municipal sanitary sanitation infrastructure projects.

Explanation: Secondary prevention aims for early detection and prompt intervention during the subclinical or early clinical stages of a disease to arrest its development, prevent complications, and preserve functional independence. In contrast, primary prevention focuses on eliminating risk factors before disease onset, while tertiary prevention manages established chronic impairments to limit disability.

4An 82-year-old patient with end-stage metastatic oncological disease is admitted to an intensive care unit. The patient is lucid, oriented, and has legally documented an Advance Healthcare Directive (Diretivas Antecipadas de Vontade - DAV) requesting exclusively comfort measures and palliative care without invasive resuscitation or prolonged mechanical ventilation. When a family member demands invasive endotracheal intubation, the physical therapist and multidisciplinary team must prioritize which principlist bioethical pillar?

A.Paternalism, overriding the patient's explicit wishes in favor of immediate family emotional comfort.

B.Autonomy of the patient, respecting their legally expressed self-determination and refusing therapeutic obstinacy (distanásia).

C.Justice, prioritizing bed turnover regardless of clinical prognosis or patient rights.

D.Non-maleficence understood strictly as the imperative to prolong biological life at any cost through invasive measures.

Explanation: Under principlist bioethics (Beauchamp and Childress) and Brazilian bioethical norms (Conselho Federal de Medicina Resolução nº 1.995/2012 and COFFITO guidelines), the patient's autonomy and right to self-determination must prevail through valid Advance Directives. Respecting a lucid patient's decision to avoid therapeutic obstinacy (distanásia) in terminal illness aligns with human dignity and orthothanasia (ortotanásia).

5The Brazilian Inclusion Law / Statute of the Person with Disability (Estatuto da Pessoa com Deficiência - Lei Federal nº 13.146/2015) adopts the biopsychosocial model established by the UN Convention on the Rights of Persons with Disabilities. Under this statute, how is disability legally conceptualized?

A.A purely medical pathology or anatomical defect located exclusively within the individual's bodily structures.

B.A long-term physical, mental, intellectual, or sensory impairment that, in interaction with various barriers, may hinder full and effective participation in society on an equal basis with others.

C.A total and permanent inability to engage in productive employment, requiring full institutionalization and medical guardianship.

D.A temporary reduction in functional capacity verified strictly through radiographic and laboratory diagnostic exams.

Explanation: Lei Federal nº 13.146/2015 defines a person with a disability as someone with long-term physical, mental, intellectual, or sensory impairments that, when interacting with environmental, architectural, attitudinal, or communicational barriers, obstruct their full and equal societal participation. This biopsychosocial definition shifts the focus from an individual medical defect to the interaction between bodily impairments and societal barriers.

6According to the Dahlgren and Whitehead model adopted by the National Commission on Social Determinants of Health (Comissão Nacional sobre Determinantes Sociais da Saúde - CNDSS), health conditions and functional outcomes are shaped by multiple layers of determinants. Which layer encompasses distal macro-determinants that exert a broad structural influence on population health equities?

A.Individual biological factors such as age, biological sex, and genetic predisposition.

B.Individual lifestyle choices such as smoking, physical inactivity, and dietary habits.

C.Social and community networks, including family ties and local neighborhood cohesion.

D.General socioeconomic, cultural, and environmental conditions, including employment, sanitation, education, housing, and public health policies.

Explanation: In the Dahlgren and Whitehead socio-ecological model, the outermost distal layer comprises general socioeconomic, cultural, and environmental conditions (e.g., macroeconomic stability, labor markets, basic sanitation, education, housing, and social protection policies). These structural macro-determinants shape living and working conditions, directly influencing health disparities across society.

7In the context of Workers' Health Surveillance (Vigilância em Saúde do Trabalhador - VISAT) within the SUS framework, a physical therapist working in an occupational health outpatient clinic identifies multiple assembly line workers from the same poultry processing plant presenting with severe De Quervain's tenosynovitis and carpal tunnel syndrome. In addition to clinical treatment, what is the mandatory public health surveillance procedure?

A.Keeping the medical records strictly private between the physical therapist and the employer without registering notifications in public systems.

B.Filing a formal Compulsory Notification of Work-Related Musculoskeletal Disorders (Notificação Compulsória de LER/DORT) in the Notifiable Diseases Information System (SINAN) and issuing a Work Accident Report (CAT).

C.Advising the workers to immediately resign from their jobs without performing any workplace epidemiological investigation.

D.Prescribing analgesics and wrist splints while requesting the labor union to cancel all regional health inspections.

Explanation: Work-Related Musculoskeletal Disorders (LER/DORT) are subject to compulsory epidemiological notification in the SINAN (Sistema de Informação de Agravos de Notificação) under Ministry of Health regulations. Furthermore, the identification of occupational causality mandates issuing the CAT (Comunicação de Acidente de Trabalho) to ensure social security rights and trigger Workers' Health Surveillance (VISAT) interventions at the workplace.

8The Care Network for Persons with Disabilities (Rede de Cuidados à Pessoa com Deficiência - RCPD), established within the SUS Health Care Networks (Redes de Atenção à Saúde - RAS), organizes comprehensive rehabilitation services through Specialized Rehabilitation Centers (Centros Especializados em Reabilitação - CER). What structural criteria distinguish a CER IV (Centro Especializado em Reabilitação tipo IV)?

A.It provides outpatient physical therapy exclusively for pediatric orthopedic trauma cases.

B.It integrates diagnostic and rehabilitation services for four modalities of disability: physical, auditory, visual, and intellectual/autism spectrum.

C.It functions solely as a long-stay nursing asylum for quadriplegic geriatric patients.

D.It is a mobile emergency unit delivering first aid at disaster zones without physical rehabilitation facilities.

Explanation: Under Ministry of Health guidelines (Portaria de Consolidação nº 3/2017), Specialized Rehabilitation Centers (CER) are categorized by the number of disability modalities they serve: CER II covers 2 modalities, CER III covers 3 modalities, and CER IV is a specialized reference center equipped to assess and rehabilitate all 4 modalities of disability (physical, visual, auditory, and intellectual/autism spectrum disorder).

9The National Humanization Policy (Política Nacional de Humanização - HumanizaSUS) proposes transversal tools to transform healthcare work processes and management across the SUS. Which concept within HumanizaSUS emphasizes expanding the clinical gaze beyond biological disease to incorporate the subject's uniqueness, social context, and autonomy in co-producing healthcare?

A.Acolhimento com classificação de risco (Welcoming with risk classification).

B.Clínica ampliada e compartilhada (Expanded and shared clinic).

C.Ambiência hospitalar (Hospital ambience).

D.Colegiado gestor (Management collegial body).

Explanation: The Expanded and Shared Clinic (Clínica Ampliada e Compartilhada) is a HumanizaSUS guideline that broadens clinical reasoning beyond narrow biomedical diagnosis. It integrates the patient's biopsychosocial context, values their subjective experience, promotes therapeutic co-responsibility, and fosters interprofessional teamwork through tools like Singular Therapeutic Projects.

10Federal Law nº 8.142/1990 institutionalized community participation and financial transfers in the SUS. Regarding the legal composition of Municipal and State Health Councils (Conselhos de Saúde), which rule of parity representation is legally mandated?

A.Health professionals must hold 75% of all council seats, with the remaining 25% allocated to government officials.

B.Healthcare service users (usuários do SUS) must comprise 50% of the total council representation, with the other 50% divided between health workers, government representatives, and private healthcare providers.

C.Private hospital owners must constitute the absolute majority of voting members to ensure economic efficiency.

D.Only elected political mayors and councilors are permitted to vote on public health expenditure allocations.

Explanation: Lei Federal nº 8.142/1990 and Resolução CNS nº 453/2012 mandate parity composition for Health Councils: 50% of seats are allocated to health service users (usuários), 25% to health workers (trabalhadores de saúde), and 25% shared between government representatives and private contracted/philanthropic healthcare providers.

About the ENADE Fisioterapia Exam

Standard 4-hour written examination comprising 10 Formação Geral items (25% of the mark) and 30 Componente Específico items (75%), each component mixing objective and discursive questions as set by the Inep edital for that edition

Assessment

4-hour written examination made up of 10 Formação Geral items, common to every area and weighted at 25% of the mark, and 30 Componente Específico items weighted at 75%. Both components combine multiple-choice and discursive items built on situações-problema and case studies; the precise objective/discursive split is set by the Inep edital for each edition, and the Formação Geral component follows the diretrizes in Portaria MEC nº 154/2026 from the 2026 edition onwards. Our practice bank is MCQ-only study support and does not reproduce the discursive items.

Time Limit

4 hours

Passing Score

Conceito Enade (1 to 5)

Exam Fee

Free (Gratuito) (INEP / Ministério da Educação (MEC))

ENADE Fisioterapia Exam Content Outline

15%

Formação Geral, Bioética, Políticas Públicas de Saúde e SUS

Evaluates foundational principles of the Brazilian Unified Health System (SUS: Universalidade, Integralidade, Equidade, Descentralização, Participação da Comunidade), Primary Health Care (Atenção Primária à Saúde - APS, Estratégia Saúde da Família - ESF, equipes multiprofissionais eMulti / NASF-AP), health promotion and disease prevention models, epidemiological transition of chronic non-communicable diseases (DCNT), principlist bioethics (autonomy, beneficence, non-maleficence, justice), human rights, accessibility legislation (Estatuto da Pessoa com Deficiência - Lei nº 13.146/2015), and social determinants of health (DSS).

10%

Ética, Deontologia e Legislação Profissional (COFFITO/CREFITO)

Focuses on the Code of Ethics and Deontology of Physiotherapy (Código de Ética e Deontologia da Fisioterapia - Resolução COFFITO nº 424/2013), autonomous physical therapy diagnosis and therapeutic prescription prerogatives (Decreto-Lei nº 938/1969, Resoluções COFFITO), physical therapy patient clinical records management (Prontuário Fisioterapêutico - Resolução COFFITO nº 414/2012), informed consent (TCLE), professional confidentiality, advertising rules, interprofessional collaborative practice, and regional council (CREFITO) supervisory frameworks.

15%

Cinesiologia, Biomecânica, Controle Motor e Cinesioterapia

Covers joint kinematics and kinetics, anatomical lever systems, torque, force couples, joint reaction forces, open kinetic chain (OKC / CCO) vs. closed kinetic chain (CKC / CCF) shear and compressive stresses, muscle contraction physiology (length-tension and force-velocity relationships, isometric/concentric/eccentric work), sensory-motor postural control (visual, vestibular, and somatosensory integration, ankle/hip/stepping balance strategies), motor learning stages, progressive resistance exercise (PRE) protocols, and therapeutic stretching techniques (static, dynamic, PNF/FNP).

10%

Avaliação e Diagnóstico Cinesiológico-Funcional e CIF / OMS

Addresses comprehensive functional kinesiological evaluation, clinical decision-making, differentiation between medical nosological diagnosis and physical therapy functional diagnosis, World Health Organization International Classification of Functioning, Disability and Health (CIF / ICF - OMS: body functions, body structures, activities, participation, environmental and personal factors), goniometry end-feels, Manual Muscle Testing (MRC / Oxford 0-5 scale), validated functional instruments (Berg Balance Scale, Timed Up and Go - TUG, Barthel Index, 6-Minute Walk Test - TC6M, Oswestry Disability Index - ODI, DASH), and red/yellow flag triage.

15%

Fisioterapia Traumato-Ortopédica e Reumatológica

Encompasses assessment and evidence-based rehabilitation protocols for musculoskeletal conditions: Anterior Cruciate Ligament (LCA) reconstruction, meniscus repair precautions, rotator cuff tendinopathy and full-thickness tears, subacromial pain syndrome (SAPS), shoulder instability (Bankart/SLAP), spinal biomechanics and lumbar disc herniation (McKenzie centralization, deep core motor control stability), cervical radiculopathy and neurodynamics (ULNT), hip and knee osteoarthritis conservative management, Total Hip and Knee Arthroplasty (ATQ/ATJ) precautions, lateral ankle sprains, and manual therapy systems (Maitland joint mobilizations Grades I-V, Kaltenborn convex-concave glide principles).

15%

Fisioterapia Neurofuncional (Adulto e Pediátrica)

Covers neurorehabilitation for adult and pediatric neurological disorders: Stroke (Acidente Vascular Encefálico - AVE) vascular syndromes, Brunnstrom recovery stages, spasticity evaluation (Modified Ashworth Scale) and management, Task-Oriented Training, Constraint-Induced Movement Therapy (CIMT / TCI), Body-Weight-Supported Treadmill Training (BWSTT), Spinal Cord Injury (Traumatismo Raquimedular - TRM / Lesão Medular) ASIA/ISNCSCI classification, autonomic dysreflexia management, Traumatic Brain Injury (TCE / TBI) Glasgow Coma Scale and Rancho Los Amigos levels, Parkinson's Disease (Hoehn & Yahr staging, sensory cueing, dual-task training), Multiple Sclerosis (fatigue management, Uhthoff's phenomenon), and Pediatric Cerebral Palsy (Paralisia Cerebral - PC: GMFCS I-V levels, motor development milestones, primitive reflex integration, Bobath / NDT concept).

12%

Fisioterapia Cardiorrespiratória e Terapia Intensiva (UTI)

Details cardiopulmonary evaluation and intensive care management: arterial blood gas analysis and acid-base balance, invasive mechanical ventilation (VMI) modes (VCV, PCV, PSV), protective lung ventilation in ARDS (SDRA Berlin definition: tidal volume 4-8 mL/kg predicted body weight, driving pressure < 15 cmH2O, plateau pressure < 30 cmH2O), Non-Invasive Ventilation (VNI: CPAP and BiPAP indications and contraindications in acute cardiogenic pulmonary edema and COPD exacerbation), ventilatory weaning readiness and Spontaneous Breathing Trial (TRE / SBT, Tobin Index / RSBI < 105), bronchial hygiene maneuvers (ELTGOL, AFE, oscillatory PEP/Flutter), lung re-expansion techniques, ICU-acquired weakness (PMA-UTI), early ICU mobilization protocols, and Cardiac and Pulmonary Rehabilitation phases (I-IV, VO2max, Karvonen target heart rate, Borg RPE).

Saúde da Mulher, Dermatofuncional e Fisioterapia do Trabalho

Explores women's health and pelvic floor rehabilitation (stress vs. urge urinary incontinence, PERFECT / Oxford pelvic floor muscle evaluation, Kegel training, biofeedback), obstetric physical therapy (pregnancy biomechanics, diastasis recti, labor analgesia positioning), dermatofunctional physical therapy (wound healing stages, burn contracture prevention, Complex Decongestive Therapy - TCD for lymphedema), and occupational health / ergonomics (Norma Regulamentadora 17 - NR-17, ergonomic assessment tools RULA/REBA/NIOSH, and work-related musculoskeletal disorder LER/DORT prevention).

Recursos Eletrotermofototerapêuticos

Reviews physical agent modalities and biophysical principles: Transcutaneous Electrical Nerve Stimulation (TENS: conventional gate-control mechanism vs. acupuncture-like endorphinergic analgesia), Functional Electrical Stimulation (FES) and medium-frequency currents (Russian / Aussie currents for muscle strengthening), therapeutic ultrasound (1 MHz vs. 3 MHz, thermal continuous vs. non-thermal pulsed acoustic cavitation and microstreaming, ERA, BNR), photobiomodulation / Low-Level Laser Therapy (LLLT: cytochrome c oxidase activation, red vs. infrared wavelengths, energy density J/cm2), cryotherapy physiological effects, and shortwave diathermy (ondas curtas) electromagnetic safety rules.

How to Pass the ENADE Fisioterapia Exam

What You Need to Know

Passing score: Conceito Enade (1 to 5)
Assessment: 4-hour written examination made up of 10 Formação Geral items, common to every area and weighted at 25% of the mark, and 30 Componente Específico items weighted at 75%. Both components combine multiple-choice and discursive items built on situações-problema and case studies; the precise objective/discursive split is set by the Inep edital for each edition, and the Formação Geral component follows the diretrizes in Portaria MEC nº 154/2026 from the 2026 edition onwards. Our practice bank is MCQ-only study support and does not reproduce the discursive items.
Time limit: 4 hours
Exam fee: Free (Gratuito)

Keys to Passing

Work through all 100 available questions
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ENADE Fisioterapia Study Tips from Top Performers

1Master Arterial Blood Gases and Ventilatory Mechanics: Practice calculating predicted body weight (PBW), setting protective ventilation parameters (low tidal volume 6 mL/kg, driving pressure < 15 cmH2O), and interpreting rapid shallow breathing index (RSBI < 105) for weaning readiness.

2Apply the CIF/ICF Framework to Clinical Vignettes: For every orthopedic or neurological case, distinguish body structure/function impairments (e.g., spasticity, reduced ROM) from activity limitations (e.g., inability to transfer) and participation restrictions (e.g., workplace exclusion).

3Understand Biomechanical Precautions in Post-Surgical Rehab: Review safe range of motion angles and open vs. closed kinetic chain loading rules following ACL reconstruction, meniscus repair, rotator cuff repair, and total hip arthroplasty (posterior vs. anterior approach).

4Review Neurofunctional Scales and Evidence-Based Interventions: Memorize functional cutoffs and indications for the Berg Balance Scale, Timed Up and Go (TUG), Modified Ashworth Scale, ASIA impairment scale, and protocols for Constraint-Induced Movement Therapy (CIMT).

5Integrate SUS Public Health Policies and COFFITO Deontology: Study primary health care models (Estratégia Saúde da Família, eMulti/NASF), epidemiological transitions, and COFFITO resolutions governing autonomous physical therapy diagnosis (Resolução COFFITO nº 424/2013, Resolução nº 414/2012).

Frequently Asked Questions

What is the purpose and mandatory status of ENADE Fisioterapia?

ENADE Fisioterapia is the official national examination administered by INEP/MEC to evaluate the academic quality and professional readiness of undergraduate Physiotherapy programs across Brazil. Mandated under the SINAES federal framework (Lei nº 10.861/2004), participating graduating seniors (concluintes) must complete the exam as a mandatory curricular prerequisite for undergraduate degree conferral and diploma issuance.

What is the examination structure and time limit for ENADE Fisioterapia?

The examination consists of a single 4-hour paper-based sitting containing 40 questions total: 10 General Training (Formação Geral) questions (8 multiple-choice and 2 discursive, weighted at 25%) and 30 Specific Component (Componente Específico) questions (27 multiple-choice and 3 discursive, weighted at 75%).

How is the Conceito Enade calculated and what does it mean for students?

Individual student raw scores are standardized and aggregated at the institutional program level to generate the Conceito Enade on a scale from 1 to 5 (with 3 representing the standard baseline quality and 4-5 indicating academic excellence). Individual scores do not prevent graduation, but institutional scores are publicly disclosed by MEC and directly impact course accreditation.

What is the role of the International Classification of Functioning (CIF/OMS) on the exam?

ENADE Fisioterapia places central emphasis on the biopsychosocial model codified by the WHO's CIF (Classificação Internacional de Funcionalidade, Incapacidade e Saúde). Candidates are expected to distinguish between medical disease etiology and physical therapy functional diagnosis, classifying impairments in body functions and structures, activity limitations, participation restrictions, and contextual environmental/personal barriers.

How are ICU mechanical ventilation and cardiorespiratory cases tested on ENADE Fisioterapia?

Questions frequently present realistic ICU clinical scenarios requiring candidates to analyze arterial blood gas values, select invasive/non-invasive mechanical ventilation parameters (protective ventilation: tidal volume 6 mL/kg predicted body weight, driving pressure < 15 cmH2O, plateau pressure < 30 cmH2O), evaluate weaning criteria (Tobin Index / RSBI < 105), and establish early mobilization safety protocols.

Why is this practice bank presented in English with Portuguese terminology?

This comprehensive 100-question practice bank is an English-language study adaptation designed to build robust clinical reasoning, international competency, and conceptual depth while preserving exact official Brazilian regulatory and clinical Portuguese terms inline (e.g., SUS, COFFITO, CIF/OMS, DCNs, cinesioterapia, diagnóstico cinesiológico-funcional).

100+ Free ENADE Fisioterapia Practice Questions

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