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2026 Statistics

Key Facts: TEMT Medicina do Trabalho Exam

75 Items

Total questions on the official TEMT exam (50 objective MCQs + 25 practical case questions)

Edital TEMT — ANAMT / AMB

4–5 Hours

Total examination time allocated on a single examination day

Edital TEMT — ANAMT / AMB

R$ 1.700,00

Registration Fee for ANAMT/AMB Affiliated Members (R$ 3.500 for Non-Members)

Edital Oficial ANAMT / AMB

70 Points

Minimum Passing Grade Benchmark (70% Composite Score)

Regulamento Oficial ANAMT / AMB

RQE Medicina do Trabalho

Specialist Registration Credential Conferred with CFM

Conselho Federal de Medicina (CFM) / AMB

Annual

Official Examination Frequency Conducted by ANAMT

Associação Nacional de Medicina do Trabalho (ANAMT)

The TEMT (Título de Especialista em Medicina do Trabalho) is the premier Brazilian occupational medicine board certification examination administered by ANAMT and AMB. It evaluates comprehensive expertise in Brazilian Regulatory Standards (NR-1, NR-7, NR-15, NR-16, NR-17, NR-32), occupational toxicology, pneumoconioses, LER/DORT, noise-induced hearing loss (PAIR), ergonomic assessments, workplace mental health (Burnout), and social security legislation (NTEP, FAP, CAT, Schilling classification).

Sample TEMT Medicina do Trabalho Practice Questions

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

1Under Brazilian Regulatory Standard NR-1 (Disposições Gerais e Gerenciamento de Riscos Ocupacionais), an employer must implement the Gerenciamento de Riscos Ocupacionais (GRO) through a Programa de Gerenciamento de Riscos (PGR). What are the two mandatory, fundamental documents that comprise the PGR?

A.Inventário de Riscos Ocupacionais and Plano de Ação

B.Laudo Técnico das Condições Ambientais de Trabalho (LTCAT) and Programa de Controle Médico de Saúde Ocupacional (PCMSO)

C.Análise Ergonômica do Trabalho (AET) and Perfil Profissiográfico Previdenciário (PPP)

D.Relatório Analítico do PCMSO and Mapa de Riscos da CIPA

Explanation: NR-1.5.3.1 explicitly establishes that the Programa de Gerenciamento de Riscos (PGR) must comprise at least two fundamental documents: the Inventário de Riscos Ocupacionais (occupational risk inventory) and the Plano de Ação (action plan). The risk inventory identifies and characterizes hazards across physical, chemical, biological, ergonomic, and accident domains, while the action plan details control measures, schedules, and monitoring criteria.

2According to NR-4 (Serviços Especializados em Engenharia de Segurança e em Medicina do Trabalho - SESMT), what criteria determine the mandatory staffing and composition of the SESMT in an enterprise?

A.The total annual gross revenue of the enterprise and its geographic municipality.

B.The Grau de Risco (Risk Grade 1 to 4) of the enterprise's primary economic activity (CNAE) and its total number of employees.

C.The number of work-related accidents reported via CAT in the preceding calendar year.

D.The collective bargaining agreement negotiated between the labor union and the employer association.

Explanation: NR-4 establishes that SESMT dimensioning is determined exclusively by cross-referencing the enterprise's Grau de Risco (Risk Grade 1 to 4, based on its principal National Classification of Economic Activities / CNAE code in Quadro I) with the total number of employees in the establishment (Quadro II).

3Lei nº 14.457/2022 introduced significant amendments to NR-5 (Comissão Interna de Prevenção de Acidentes e Assédio - CIPA). Which mandatory requirement was added to the responsibilities of the CIPA?

A.Mandatory inclusion of rules on the prevention and combating of sexual harassment and other forms of workplace violence in internal corporate policies and CIPA training.

B.Direct authorization and approval of all Occupational Health Medical Control Programs (PCMSO) prior to medical implementation.

C.Mandatory daily biological monitoring of all workers exposed to chemical solvents.

D.Judicial representation of injured workers in social security disability appeals against the INSS.

Explanation: Lei nº 14.457/2022 amended the CLT and renamed the commission to Comissão Interna de Prevenção de Acidentes e Assédio (CIPA), establishing mandatory mechanisms for preventing and combating sexual harassment and workplace violence, including corporate conduct rules, confidential reporting channels, and annual employee training.

4Under NR-6 (Equipamentos de Proteção Individual - EPI), which legal document is mandatory for any personal protective equipment to be marketed, distributed, and utilized in Brazilian workplaces?

A.Certificado de Aprovação (CA) issued by the competent federal labor authority.

B.Laudo Pericial de Insalubridade signed by an ergonomics consultant.

C.Registro de Qualificação de Especialista (RQE) issued by the Regional Medical Council (CRM).

D.Atestado de Saúde Ocupacional (ASO) issued by the company physician.

Explanation: NR-6.2 mandates that every EPI, whether manufactured domestically or imported, may only be put on sale or used in the workplace if it possesses a valid Certificado de Aprovação (CA) issued by the federal body responsible for occupational safety and health.

5According to NR-7 (Programa de Controle Médico de Saúde Ocupacional - PCMSO), when must the Exame Médico de Retorno ao Trabalho be mandatorily performed?

A.On the first day of return to work for any employee who was absent for 30 consecutive days or more due to illness or accident (occupational or non-occupational).

B.Within 10 days after returning to work following any absence lasting more than 7 consecutive days.

C.Only when the worker was on a social security disability leave classified strictly as occupational (B91).

D.Exclusively following hospital inpatient admissions exceeding 48 hours, regardless of total absence duration.

Explanation: NR-7.5.9 specifies that the Exame de Retorno ao Trabalho must be performed mandatorily on the first day of return to work for any employee who has been absent for a period equal to or greater than 30 consecutive days due to disease or accident, whether occupational or non-occupational in nature.

6A chemical plant worker is scheduled for a transfer from an administrative clerical role to an industrial synthesis unit where she will be exposed to benzene and organic solvents. Under NR-7, what type of occupational medical examination must be performed prior to her assuming the new duties?

A.Exame de Mudança de Risco Ocupacional

B.Exame Periódico Anual Antecipado

C.Exame de Retorno ao Trabalho

D.Exame Demissional com Homologação Sindical

Explanation: Under NR-7.5.10, the Exame de Mudança de Risco Ocupacional must be performed mandatorily before the date of any transfer or job alteration whenever there is any change in occupational risk exposure compared to the worker's previous role.

7Under NR-7, what is the statutory deadline for performing the Exame Médico Demissional for an employee whose contract is terminated, and under what condition may this examination be dispensed with for an enterprise classified as Grau de Risco 2?

A.Within 10 days of contract termination; dispensed with if the most recent occupational exam was performed within the preceding 135 days.

B.Within 30 days of contract termination; dispensed with if the most recent occupational exam was performed within the preceding 180 days.

C.Within 5 days of contract termination; dispensed with if the employee has no recorded sick leave during the past year.

D.On the exact day of termination notice; cannot be dispensed with under any circumstance.

Explanation: NR-7.5.11 states that the Exame Demissional must be carried out within 10 days of the termination of the employment contract. It can be dispensed with if the most recent occupational medical exam was performed less than 135 days prior for Grau de Risco 1 and 2 enterprises, or less than 90 days prior for Grau de Risco 3 and 4 enterprises.

8Regarding medical confidentiality and the Atestado de Saúde Ocupacional (ASO) under CFM Resolution nº 2.323/2022 and NR-7, what information is strictly prohibited from being recorded on the employer's copy of the ASO without the worker's express written authorization?

A.The International Classification of Diseases (CID) code or diagnostic hypothesis.

B.The worker's CPF and full name.

C.The specific occupational hazards evaluated according to the PGR.

D.The final administrative conclusion of 'Apto' (Fit) or 'Inapto' (Unfit) for the specific function.

Explanation: Both CFM Resolution nº 2.323/2022 and NR-7 prohibit the inclusion of diagnostic hypotheses or International Classification of Diseases (CID) codes on the ASO delivered to the employer, preserving medical confidentiality (sigilo médico). The ASO must only state whether the worker is 'Apto' or 'Inapto' for the specific function and hazards.

9Under NR-9 (Avaliação e Controle das Exposições Ocupacionais a Agentes Físicos, Químicos e Biológicos), what is the definition and operational purpose of the Nível de Ação (Action Level) for environmental hazards?

A.The threshold value above which preventive actions must be initiated to minimize the probability that occupational exposures exceed tolerance limits.

B.The absolute statutory ceiling above which immediate evacuation of the workplace is legally mandatory.

C.The minimum concentration at which an employer becomes liable for paying the 40% maximum Insalubridade addition.

D.The background environmental concentration measured in pristine outdoor air.

Explanation: NR-9 defines the Nível de Ação (Action Level) as the threshold value (typically 50% of the Limite de Tolerância or dose 0.5) above which preventive measures must be initiated to minimize the probability that workplace exposures exceed statutory limits, triggering environmental controls, biological surveillance under NR-7, and worker education.

10According to NR-32 (Segurança e Saúde no Trabalho em Serviços de Saúde), which immunization schedule must the employer provide free of charge to all healthcare workers exposed to biological agents?

A.Hepatitis B vaccine, Tetanus and Diphtheria (dT) vaccine, and Measles-Mumps-Rubella (Tríplice Viral) vaccine, alongside other vaccines recommended by public health authorities.

B.Yellow fever, rabies, and cholera vaccines exclusively.

C.Only the seasonal influenza vaccine administered every five years.

D.BCG intradermal revaccination every two years regardless of tuberculin skin test status.

Explanation: NR-32.2.4.17 establishes that the employer must provide, free of charge, an immunization program protecting against Hepatitis B, Tetanus/Diphtheria (dT), and Tríplice Viral (MMR), in addition to other vaccines established in the PCMSO and public health directives.

About the TEMT Medicina do Trabalho Exam

The Título de Especialista em Medicina do Trabalho (TEMT) is the official board certification for occupational physicians in Brazil, awarded by the Associação Nacional de Medicina do Trabalho (ANAMT) in partnership with the Associação Médica Brasileira (AMB) and registered with the Conselho Federal de Medicina (CFM). Achieving the TEMT title confers the legal Registro de Qualificação de Especialista (RQE) in Occupational Medicine, which is required to coordinate Occupational Health Medical Control Programs (PCMSO / NR-7), head SESMT teams, issue ASOs, act as an expert medical witness in labor and social security courts (Perito Judicial e Assistente Técnico), and lead specialized corporate health services (SESMT / NR-4).

Assessment

National specialty board certification examination administered annually by the Associação Nacional de Medicina do Trabalho (ANAMT) in conjunction with the Associação Médica Brasileira (AMB). Etapa 1 — Prova Objetiva: 50 multiple-choice questions covering occupational pathology, clinical toxicology, ergonomics, occupational hygiene, Brazilian Regulatory Standards (NRs), and social security legislation. Etapa 2 — Prova Teórico-Prática: 5 simulated occupational clinical vignettes with 5 questions each (25 questions total) testing fitness for duty, pericial laudos, biological monitoring, and outbreak/accident investigations. Etapa 3 — Análise Curricular: evaluated up to 10 points (non-eliminatory).

Time Limit

4 to 5 hours of total examination time on a single day

Passing Score

Final composite score of at least 70 points (equivalent to 70% overall benchmark across theoretical, practical, and curricular evaluations)

Exam Fee

R$ 1.700,00 (sócios adimplentes da ANAMT e/ou da AMB) / R$ 3.500,00 (não sócios) (Associação Nacional de Medicina do Trabalho (ANAMT) — Associação Médica Brasileira (AMB))

TEMT Medicina do Trabalho Exam Content Outline

20%

Normas Regulamentadoras e Gestão de SST

NR-1 (GRO/PGR), NR-4 (SESMT), NR-5 (CIPA), NR-6 (EPI/CA), NR-7 (PCMSO: ASO admissional, periódico, retorno ao trabalho, mudança de risco, demissional; Anexos I a V), NR-9 (Agentes Físicos, Químicos e Biológicos), NR-32 (Serviços de Saúde), NR-33 (Espaços Confinados), e NR-35 (Trabalho em Altura).

15%

Toxicologia Ocupacional e Monitoramento Biológico

Toxicocinética e toxicodinâmica de agentes industriais, Indicadores Biológicos de Exposição (IBMP e VR), intoxicações por metais pesados (Chumbo/Saturnismo, Mercúrio/Hidrargirismo), solventes aromáticos (Benzeno, Tolueno, Xileno), gases asfixiantes (CO, Cianeto), praguicidas/pesticidas organofosforados e carbamatos (inibição de colinesterase).

20%

Patologia do Trabalho e Doenças Ocupacionais

Pneumoconioses (Silicose, Asbestose, Beriliose, Bagassose, Bissinose), Perda Auditiva Induzida por Ruído (PAIR/NR-7 Anexo II), LER/DORT (Síndrome do Túnel do Carpo, De Quervain, epicondilites, manguito rotador, lombalgias), dermatoses ocupacionais (DCIP, DCA, cloracne), e cânceres ocupacionais.

15%

Ergonomia e Higiene Ocupacional

Ergonomia aplicada (NR-17: AET, AEP, métodos RULA, REBA, OWAS, NIOSH), agentes físicos e limites de tolerância (NR-15: ruído contínuo q=5 e impacto, estresse térmico IBUTG, vibrações VMB/VCI, radiações ionizantes e não ionizantes), e NHOs da FUNDACENTRO.

20%

Legislação Previdenciária, Perícia Médica e Causalidade

Classificação de Schilling (Grupos I, II, III), CAT (prazos e requisitos legais), benefícios previdenciários (B31, B91 estabilidade 12 meses, B94 auxílio-acidente, B32, B92), NTEP (cruzamento CNAE x CID-10 e contestação em 15 dias), FAP (0,5000 a 2,0000) e RAT, perícia médica trabalhista/previdenciária (Art. 195 CLT, CPC), e Resoluções CFM (Resolução CFM 2.323/2022).

10%

Saúde Mental no Trabalho e Epidemiologia Ocupacional

Síndrome de Burnout (CID-11 QD85), depressão, ansiedade e TEPT relacionados ao trabalho, assédio moral (mobbing), epidemiologia ocupacional (coeficientes de frequência e gravidade de acidentes, RR, OR, fração atribuível), e vigilância em saúde do trabalhador.

How to Pass the TEMT Medicina do Trabalho Exam

What You Need to Know

Passing score: Final composite score of at least 70 points (equivalent to 70% overall benchmark across theoretical, practical, and curricular evaluations)
Assessment: National specialty board certification examination administered annually by the Associação Nacional de Medicina do Trabalho (ANAMT) in conjunction with the Associação Médica Brasileira (AMB). Etapa 1 — Prova Objetiva: 50 multiple-choice questions covering occupational pathology, clinical toxicology, ergonomics, occupational hygiene, Brazilian Regulatory Standards (NRs), and social security legislation. Etapa 2 — Prova Teórico-Prática: 5 simulated occupational clinical vignettes with 5 questions each (25 questions total) testing fitness for duty, pericial laudos, biological monitoring, and outbreak/accident investigations. Etapa 3 — Análise Curricular: evaluated up to 10 points (non-eliminatory).
Time limit: 4 to 5 hours of total examination time on a single day
Exam fee: R$ 1.700,00 (sócios adimplentes da ANAMT e/ou da AMB) / R$ 3.500,00 (não sócios)

Keys to Passing

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TEMT Medicina do Trabalho Study Tips from Top Performers

1Master NR-7 and Biological Monitoring: Memorize the specific biological exposure indices (IBMP) and reference values (VR) in NR-7 Annex I (e.g., blood lead, urinary trans,trans-muconic acid for benzene, urinary hippuric acid for toluene) and know when to request baseline, periodic, and return-to-work examinations.

2Understand Unhealthy (NR-15) vs Hazardous (NR-16) Operations: Differentiate statutory triggers, exposure thresholds (e.g., noise 85 dB(A) for 8h with q=5 exchange rate, IBUTG heat stress limits, VMB/VCI vibration criteria), and additional pay rates (Insalubridade: 10%, 20%, 40% over minimum wage vs Periculosidade: 30% over base salary without bonuses).

3Internalize Social Security Causal Nexus & Benefits: Master the Schilling Classification (Groups I, II, III), CAT issuance rules (by next business day), differences between B31 (common) and B91 (occupational, with 12 months job stability under Art. 118), B94 (auxílio-acidente indemnity), and NTEP administrative contestation mechanisms within 15 days.

4Systematize Ergonomic & Biomechanical Assessments (NR-17): Know when to perform AEP (preliminary ergonomic assessment) vs AET (in-depth ergonomic work analysis), and master clinical examination maneuvers for LER/DORT (Phalen, Tinel, Finkelstein, Neer, Hawkins-Kennedy, Jobe).

5Review Workplace Mental Health & Ethical Rules: Master diagnostic criteria for Burnout Syndrome (ICD-11 QD85), differentiate work-related mental disorders from non-occupational conditions, and uphold medical confidentiality (Resolution CFM 2.323/2022: never include ICD diagnostic codes on the employer's copy of the ASO without explicit worker consent).

Frequently Asked Questions

What is the TEMT and why is it essential for occupational physicians in Brazil?

The Título de Especialista em Medicina do Trabalho (TEMT) is the official board certification granted jointly by the Associação Nacional de Medicina do Trabalho (ANAMT) and the Associação Médica Brasileira (AMB). Passing the TEMT examination allows physicians to register their specialized qualification (Registro de Qualificação de Especialista - RQE) in Occupational Medicine with the Regional Medical Councils (CRMs) and Federal Council of Medicine (CFM), legally qualifying them to coordinate PCMSO programs, head SESMT teams, issue ASOs, and conduct forensic occupational medical examinations.

What are the eligibility requirements to sit for the TEMT examination?

Candidates must hold an active medical license registered with a CRM in Brazil and satisfy one of the qualifying training criteria: (1) Completion of an accredited Medical Residency Program (CNRM/MEC) in Medicina do Trabalho (minimum 2 years); or (2) Completion of a recognized post-graduate specialization program in Occupational Medicine along with proven continuous clinical practice in Occupational Medicine for at least double the duration of official residency (4 years), documented according to the official ANAMT/AMB Edital requirements and meeting minimum curricular evaluation thresholds.

How is the TEMT examination structured across its stages?

The TEMT examination consists of three main evaluation components: (1) Prova Objetiva (Theoretical Objective Exam), consisting of 50 multiple-choice questions on occupational pathology, clinical toxicology, ergonomics, occupational hygiene, and legislation; (2) Prova Teórico-Prática (Theoretical-Practical Exam), consisting of 5 real-world clinical-occupational vignettes with 5 multiple-choice questions each (25 questions total); and (3) Análise Curricular (Curricular Analysis), contributing up to 10 points toward the final composite score based on academic degrees, residency/training, and scientific publications.

What is the passing score and grading benchmark for the TEMT?

Candidates must obtain a minimum final composite score of 70 points (out of 100 points, or 70%) across the objective theoretical exam, the theoretical-practical case examination, and the curricular evaluation to be granted the specialist title.

Which regulatory frameworks and statutory laws are primarily tested on the TEMT?

The examination tests Brazilian Regulatory Standards (Normas Regulamentadoras - NRs, particularly NR-1, NR-4, NR-5, NR-6, NR-7, NR-9, NR-15, NR-16, NR-17, NR-32, NR-33, NR-35), FUNDACENTRO Occupational Hygiene Standards (NHOs), the Consolidation of Labor Laws (CLT), Social Security Laws (Lei 8.213/1991, Decreto 3.048/1999), the Nexo Técnico Epidemiológico Previdenciário (NTEP), FAP/RAT regulations, and CFM ethical resolutions (such as Resolution CFM 2.323/2022).

Why is this OpenExamPrep practice bank presented in English?

This practice bank is an English-language MCQ study adaptation designed for international fellows, bilingual Brazilian physicians, and global occupational health scholars. It adapts official Brazilian occupational medicine concepts, Regulatory Standards (NRs), biological indicators (IBMP/VR), Schilling causal models, and social security statutory mechanics into 100 rigorous four-option multiple-choice questions with extensive clinical rationales.