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Exam Review

Key Facts: Physiotherapy Licensing Exam

2 / year

Sittings (21.06.2026, 05.11.2026)

Ministry of Health — physiotherapy licensing page

5

Translation Languages Offered

Ministry of Health — physiotherapy licensing page

25%

Extra Time for Eligible Candidates

Ministry of Health — physiotherapy licensing page

50-59

Failing Score That May Be Appealed

Ministry of Health appeal procedure for the health professions

60 days

Registration Deadline Before the Exam

Ministry of Health — physiotherapy licensing page

100

Practice Questions

OpenExamPrep Practice Bank

The Israeli government physiotherapy licensing examination is a multiple-choice paper sat twice a year at Binyanei Ha'uma in Jerusalem and, from this year, taken on laptops. Candidates may sit it in Hebrew or request a translation into English, Arabic, Russian, French or Spanish, and approved candidates receive 25% extra time. This 100-question set is independent English-language practice by OpenExamPrep across musculoskeletal, neurological, cardiorespiratory, paediatric and geriatric physiotherapy and Israeli professional law.

Sample Physiotherapy Licensing Practice Questions

Try these sample questions to review concepts for the Physiotherapy Licensing exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A physiotherapist is treating a 45-year-old patient with adhesive capsulitis of the shoulder who exhibits marked limitation in active and passive glenohumeral abduction. According to the concave-convex rule of arthrokinematics, which accessory mobilization glide should the therapist perform to most directly restore glenohumeral abduction?
A.Inferior glide of the convex humeral head on the concave glenoid fossa
B.Superior glide of the convex humeral head on the concave glenoid fossa
C.Posterior glide of the concave glenoid on the convex humeral head
D.Anterior glide of the concave glenoid on the convex humeral head
Explanation: In the glenohumeral joint, the convex humeral head articulates within the concave glenoid fossa. According to the concave-convex rule, when a convex joint surface moves on a fixed concave surface, the roll and glide occur in opposite directions. During physiological abduction of the arm, the humeral head rolls superiorly; therefore, an inferior glide is required to facilitate abduction and prevent subacromial impingement.
2A 32-year-old driver presents to the outpatient clinic 48 hours after a rear-end motor vehicle collision complaining of acute neck stiffness. The physiotherapist applies the Canadian C-Spine Rule to determine whether cervical spine radiography is necessary. Which clinical finding constitutes an absolute high-risk factor mandating an immediate referral for cervical radiography?
A.Inability of the patient to actively rotate the neck 45 degrees bilaterally
B.Age of 65 years or older or a dangerous mechanism of injury
C.Delayed onset of neck pain without immediate midline tenderness
D.Presence of ambulatory status at any time immediately following the crash
Explanation: Under the Canadian C-Spine Rule, high-risk factors that mandate immediate cervical radiography without assessing range of motion include: age 65 years or older, dangerous mechanism of injury (e.g., fall from >= 1 meter or 5 stairs, axial load to the head, high-speed motor vehicle collision > 100 km/h, rollover, or ejection), or paresthesias in the extremities. If any high-risk factor is present, cervical radiographs are required immediately.
3A 22-year-old athlete undergoes anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone (BPTB) autograft. During early rehabilitation (weeks 2 to 6 post-surgery), why are open kinetic chain (OKC) seated terminal knee extensions between 30 degrees and 0 degrees of flexion typically avoided or modified?
A.They produce maximum anterior shear force of the tibia on the femur, significantly straining the immature graft
B.They cause excessive posterior tibial translation that compresses the posterior cruciate ligament
C.They induce excessive co-contraction of the hamstring tendons that impairs patellar tracking
D.They place excessive compressive loads on the medial meniscus while minimizing quadriceps activation
Explanation: During open kinetic chain seated knee extension between 30 degrees and full extension (0 degrees), the quadriceps contraction exerts a substantial anterior shear force on the tibia due to the angle of insertion of the patellar tendon. In the early post-operative period, this high anterior shear translates the tibia anteriorly, imposing peak tensile strains on the remodeling ACL graft. Closed kinetic chain exercises and OKC resisted extension restricted to 90-45 degrees of flexion generate significantly lower graft strain.
4A 68-year-old patient presents with bilateral calf cramping and aching that consistently appears after walking 200 meters. The symptoms resolve within 5 minutes when the patient sits down or leans forward over a shopping cart. The patient can cycle on a stationary bicycle for 20 minutes without leg symptoms. What is the most likely clinical condition?
A.Peripheral vascular disease with intermittent claudication
B.Lumbar spinal stenosis with neurogenic claudication
C.Acute lumbar disc herniation at the L4-L5 level
D.Chronic compartment syndrome of the deep posterior compartment
Explanation: The clinical presentation describes neurogenic claudication secondary to lumbar spinal stenosis. Lumbar flexion (such as sitting or leaning forward over a shopping cart or cycling) increases the cross-sectional area of the spinal canal and neural foramina by up to 20%, alleviating symptoms. In contrast, vascular claudication is exacerbated by metabolic exertion regardless of posture (e.g., bicycling causes calf pain in vascular claudication, as demonstrated by the bicycle test of van Gelderen).
5According to the Maitland joint mobilization grading system, which grade is characterized as a large-amplitude rhythmic oscillatory movement performed within the resistance-free range, without reaching the pathological tissue resistance barrier?
A.Grade I
B.Grade II
C.Grade III
D.Grade IV
Explanation: Under the Maitland classification, Grade II mobilizations are large-amplitude rhythmic oscillations performed within the available range of movement without reaching the pathological limitation or tissue resistance barrier. Grade I consists of small-amplitude oscillations at the beginning of the range; Grade III is a large-amplitude oscillation moving into tissue resistance; Grade IV is a small-amplitude oscillation at the end of the available range.
6A physiotherapist evaluates a 42-year-old office worker with unilateral right arm pain and paresthesias. Which cluster of clinical examination findings, validated by Wainner et al., yields a post-test probability greater than 90% for diagnosing cervical radiculopathy when all four tests are positive?
A.Positive Spurling's test A, positive Upper Limb Tension Test 1 (ULTT1 - Median nerve bias), positive Cervical Distraction test, and ipsilateral cervical rotation less than 60 degrees
B.Positive Adson's test, positive Roos test, positive Hoffmann's sign, and active cervical extension less than 30 degrees
C.Positive Lhermitte's sign, bilateral hyperreflexia, positive Babinski response, and clonus greater than 3 beats
D.Positive Neer test, positive Hawkins-Kennedy test, positive empty can test, and painful arc between 60 and 120 degrees
Explanation: Wainner et al. (2003) established a highly predictive clinical prediction rule for cervical radiculopathy consisting of four tests: 1) Spurling test A (ipsilateral side-bending and axial compression), 2) Upper Limb Tension Test 1 (median nerve bias), 3) Cervical distraction test (relieving symptoms with axial traction), and 4) Ipsilateral cervical active rotation of less than 60 degrees. When all four tests are positive, the specificity is 99% and the positive likelihood ratio is 30.3, indicating a post-test probability exceeding 90%.
7A 52-year-old female patient with a history of type 2 diabetes mellitus presents with progressive shoulder pain and stiffness lasting four months. Clinical examination reveals restricted active and passive glenohumeral range of motion following a classic capsular pattern. Which pattern of proportional motion loss confirms this clinical diagnosis?
A.Internal rotation most limited, followed by flexion, with external rotation fully preserved
B.External rotation most limited, followed by abduction, then internal rotation
C.Abduction most limited, followed by adduction, then horizontal flexion
D.Flexion most limited, followed by extension, then lateral rotation
Explanation: Cyriax defined the capsular pattern of the glenohumeral joint in adhesive capsulitis as greatest restriction in external rotation, followed by moderate limitation in abduction, and least restriction in internal rotation (ER > ABD > IR). This pattern reflects uniform fibrotic contraction and loss of distensibility across the entire joint capsule.
8A physiotherapist evaluates a 26-year-old recreational soccer player who felt a painful twist in the right knee during a pivoting maneuver. To assess for a suspected meniscal lesion, the clinician chooses a dynamic weight-bearing test performed with the patient standing on the injured leg flexed to 20 degrees while actively rotating the knee internally and externally three times. Which clinical test is being executed?
A.Apley's compression test
B.Thessaly test
C.McMurray's test
D.Lachman's test
Explanation: The Thessaly test is a functional dynamic examination for meniscal tears described by Karachalios et al. It is performed with the patient standing single-legged on the affected limb with the knee flexed to 20 degrees, while holding the examiner's hands for balance, and actively rotating the body and femur internally and externally three times. Reproduction of joint line pain or mechanical catching confirms a positive test with high sensitivity and specificity.
9A 71-year-old male undergoes a reverse total shoulder arthroplasty (rTSA) due to massive, irreparable rotator cuff tear arthropathy. During the first 6 weeks of post-operative physical therapy, which combined movement pattern is strictly contraindicated to prevent prosthetic glenohumeral dislocation?
A.Glenohumeral shoulder extension, adduction, and internal rotation
B.Shoulder flexion, scaption, and external rotation to 30 degrees
C.Passive forward flexion in the scapular plane up to 90 degrees
D.Active-assisted elbow flexion and extension with the arm supported at the side
Explanation: In a reverse total shoulder arthroplasty, the normal anatomy is reversed (a convex glenosphere is affixed to the scapula and a concave cup to the proximal humerus), placing primary dependence on the deltoid muscle. The position of highest risk for prosthetic dislocation after rTSA is the combined motion of shoulder extension, adduction, and internal rotation (e.g., reaching behind the back to tuck in a shirt or perform toileting hygiene), which leverages the humeral component anteriorly and inferiorly out of the glenosphere.
10A 24-year-old basketball player rolls their right ankle into sudden inversion and plantarflexion. The physiotherapist applies the Ottawa Ankle Rules. According to these validated clinical rules, which of the following criteria mandates obtaining an ankle radiographic series?
A.Bone tenderness along the posterior 6 cm of the distal edge of the lateral or medial malleolus
B.Moderate swelling and ecchymosis localized directly over the anterior talofibular ligament
C.Inability to perform a single-leg heel raise due to pain at the Achilles insertion
D.Pain elicited by passive ankle dorsiflexion and eversion
Explanation: According to the Ottawa Ankle Rules, an ankle radiographic series is required only if there is pain in the malleolar zone AND any one of the following: 1) bone tenderness along the posterior 6 cm of the distal edge of the lateral malleolus or tip, 2) bone tenderness along the posterior 6 cm of the distal edge of the medial malleolus or tip, or 3) inability to bear weight both immediately after injury and for 4 steps in the clinic or emergency department.

About the Physiotherapy Licensing Exam

The Israel Physiotherapy Licensing Examination (בחינת רישוי ממשלתית בפיזיותרפיה) is the mandatory statutory licensing examination conducted by the Israeli Ministry of Health (משרד הבריאות) under the Regulation of Health Professions Law, 5768-2008 (חוק הסדרת העיסוק במקצועות הבריאות, התשס"ח-2008). Passing this examination is required to receive a permanent professional practice certificate (תעודת מקצוע בפיזיותרפיה) allowing clinical practice in hospitals, Kupot Holim (health maintenance organizations), child development centers, rehabilitation facilities, and private clinics throughout the State of Israel. The examination assesses clinical competence across five major domains: Musculoskeletal & Orthopedic Physiotherapy, Neurological Rehabilitation, Cardiorespiratory & Intensive Care, Pediatrics & Geriatrics, and Professional Ethics, Patient Rights & Israeli Healthcare Law. The official state examination is administered in Hebrew; this practice bank is an independent English-language study adaptation developed by OpenExamPrep to assist international graduates and examinees mastering the clinical syllabus and is not an official government exam pool or translation.

Exam sponsor: Ministry of Health — Division of Medical Professions (משרד הבריאות - האגף לרישוי מקצועות רפואיים). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Multiple-choice ('American-style') government examination, now sat on laptops instead of printed question and answer sheets, at the International Convention Center (Binyanei Ha'uma), Jerusalem. The paper is translated into English, Arabic, Russian, French or Spanish when that language is marked on the registration form.

Time Limit

Not published by the Ministry of Health

Passing Score

60 (a failing score of 50-59 carries the right to inspect the paper on the published review day and to appeal within 10 days)

Exam / Certification Fees

Statutory examination fee set in the Ministry of Health fee schedule; it must be paid through the government payments service at least 10 days before the examination

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

35%

Musculoskeletal & Orthopedic Physiotherapy

Assessment and evidence-based rehabilitation of spinal disorders (cervical, thoracic, lumbar, sacroiliac), peripheral joint pathologies (shoulder, hip, knee, foot and ankle), manual therapy principles (Maitland, Kaltenborn, Mulligan), sports injury rehabilitation, and post-surgical protocols (ACL reconstruction, total joint arthroplasty, rotator cuff repair).

25%

Neurological Rehabilitation

Evaluation and neuro-rehabilitation of central and peripheral nervous system disorders including stroke (CVA), traumatic brain injury (TBI), spinal cord injury (ASIA impairment scale), Parkinson's disease, multiple sclerosis, Guillain-Barré syndrome, and vestibular disorders (BPPV, vestibular hypofunction).

15%

Cardiorespiratory & Intensive Care

Pathophysiology and physical therapy management of obstructive and restrictive lung diseases, acute intensive care mobilization, airway clearance techniques (autogenic drainage, active cycle of breathing), mechanical ventilation weaning, arterial blood gas (ABG) analysis, and phases I-III of cardiac rehabilitation.

15%

Pediatrics & Geriatrics

Normal and abnormal child motor development, cerebral palsy classification and functional management (GMFCS), congenital muscular torticollis, developmental coordination disorder, geriatric frailty, sarcopenia, osteoporosis, balance impairments, and multi-factorial fall risk assessment.

10%

Professional Ethics, Safety & Israeli Healthcare Law

Statutory requirements under the Regulation of Health Professions Law 5768-2008, Patient Rights Law 5756-1996, informed consent, patient autonomy and privacy, medical red flags and mandatory physician referral, clinical infection control, and professional liability standards in Israel.

Preparing for the Physiotherapy Licensing Exam

What You Need to Know

  • Passing score: 60 (a failing score of 50-59 carries the right to inspect the paper on the published review day and to appeal within 10 days)
  • Assessment: Multiple-choice ('American-style') government examination, now sat on laptops instead of printed question and answer sheets, at the International Convention Center (Binyanei Ha'uma), Jerusalem. The paper is translated into English, Arabic, Russian, French or Spanish when that language is marked on the registration form.
  • Time limit: Not published by the Ministry of Health
  • Exam / certification fees: Statutory examination fee set in the Ministry of Health fee schedule; it must be paid through the government payments service at least 10 days before the examination Official sources

Using Our Practice Resources

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Physiotherapy Licensing: Suggested Study Strategy

1Spread study time across the five clinical areas this bank covers - musculoskeletal and neurological physiotherapy carry the most questions here - while remembering that the Ministry of Health does not publish an official domain weighting for the examination.
2Understand clinical decision rules and red flags: Ottawa Ankle/Knee rules, Canadian C-Spine rules, cauda equina syndrome, vertebrobasilar insufficiency (VBI), and unremitting night pain.
3Learn key neurological classification frameworks: ASIA impairment scale for spinal cord injury, Hoehn & Yahr staging for Parkinson's, and GMFCS levels I-V for pediatric cerebral palsy.
4Review cardiopulmonary parameters: normal arterial blood gas (ABG) values, criteria for stopping exercise tests, Borg RPE scale, and contraindications to chest percussion and postural drainage.
5Familiarize yourself with Israeli healthcare legislation: Patient Rights Law 5756-1996 (חוק זכויות החולה), informed consent requirements, privacy regulations, and statutory reporting duties.

Frequently Asked Questions

How many questions are on the Israeli Physiotherapy Licensing Exam, and what is the passing score?

The Ministry of Health publishes the format - a multiple-choice ('American-style') paper, now taken on laptops rather than printed question and answer sheets - together with the sitting dates, the translation options and the appeal rules, but it does not publish the number of questions or the duration for this examination. Candidates who fail with a score of 50-59 may inspect the paper on the published review day and appeal within 10 days.

Where and when is the licensing exam held?

The examination is administered twice annually (typically spring/summer and autumn/winter sessions) by the Ministry of Health at the International Convention Center (Binyanei HaUma, מרכז הקונגרסים הבינלאומי - בנייני האומה) in Jerusalem.

What is the statutory basis for physiotherapy licensing in Israel?

Physiotherapy practice in Israel is regulated under the Regulation of Health Professions Law, 5768-2008 (חוק הסדרת העיסוק במקצועות הבריאות, התשס"ח-2008), enforced by the Ministry of Health's Division of Medical Professions Licensing (האגף לרישוי מקצועות רפואיים).

Who is eligible to sit for the examination?

Graduates holding a Bachelor of Physical Therapy (B.P.T. / תואר ראשון בפיזיותרפיה) from an accredited Israeli academic institution, or holders of recognized foreign physical therapy degrees who have completed at least 1,000 certified hours of clinical training and obtained credential approval from the Ministry of Health.

Is this practice question bank an official Ministry of Health exam?

No. This practice bank is an independent English-language adaptation developed by OpenExamPrep for study and clinical revision purposes. It is not an official translation or an official government question repository, though questions closely mirror the scope, depth, and clinical rigor of the Israeli licensing syllabus.

What happens if a candidate fails the examination?

A candidate who fails may register and pay the statutory examination fee set by the Ministry of Health again for a later sitting; there is no published cap on attempts. Failing candidates scoring 50-59 may register for the review day, inspect the paper for one hour and submit a written appeal within 10 days, and the Ministry publishes the appeal committee's decisions after each sitting.