Free CSPI Exam Prep
Certified Specialist in Poison Information (CSPI)
Prepare for the CSPI exam without spending hundreds on expensive prep courses. Free study guides, practice questions, flashcards, and related exam resources.
Quick Facts
CSPI AAPCC CSPI Certified Specialist in Poison Information License: Complete Roadmap
Follow this path to organize your licensing and exam preparation
Master Toxicology FoundationsYou are here
Study pharmacokinetics, pharmacodynamics, dose-response relationships, and mechanisms of toxicity. Build a strong foundation in how toxicants are absorbed, distributed, metabolized, and eliminated.
Learn Common Poisonings & Antidotes
Focus on high-yield medications (acetaminophen, opioids, cardiovascular drugs), household products, plants, and their specific antidotes and treatment protocols.
Practice Clinical Triage & Assessment
Develop skills in toxidrome recognition, severity assessment, home management vs ED referral decisions, and decontamination timing.
Review Pediatrics, Envenomations & Take Practice Exams
Study pediatric-specific exposures, envenomation management, communication skills, and complete practice exams to assess readiness.
Can You Take the CSPI Exam?
Check if you meet the basic eligibility requirements
- •2,000 hours of experience working in a poison control center
- •2,000 human exposure cases managed
- •Must achieve CSPI within 2-3 years of eligibility at AAPCC-certified centers
- •Recertification by re-examination every 7 years
CSPI Quick Facts
Time to Get Licensed
3-6 months of focused study alongside poison center work
From start to license in hand
Retake Policy
Contact AAPCC for retake policy; testing offered annually during specific testing windows
Total Cost Breakdown
Free CSPI Prep Tools
Reported exam pass rate: Not publicly reported. These figures describe exam candidates, not OpenExamPrep user outcomes. Check the exam sponsor’s website for published statistics.
100 Practice Questions
Covers toxicology, antidotes, triage, pediatric poisoning, envenomations, and communication skills
AI-Powered Hints
Get contextual hints and wrong-answer explanations powered by AI
Updated for 2026
Reflects current AAPCC exam content and treatment guidelines
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What You'll Study
14 chapters covering the exam topics in this guide
Chapter 1: Pharmacology & Toxicology Principles
4 sections
Chapter 2: Poison Center Case Assessment Fundamentals
2 sections
Chapter 3: Analgesics, Opioids & Over-the-Counter Medications
5 sections
Chapter 4: Psychotropic & Neurologic Medications
4 sections
Chapter 5: Cardiovascular Drugs & Substances of Abuse
5 sections
Chapter 6: Endocrine, Antimicrobial & Miscellaneous Medications
2 sections
Chapter 7: Household, Chemical & Inhalational Toxins
4 sections
Chapter 8: Pesticides, Heavy Metals & Toxic Alcohols
4 sections
Chapter 9: Toxic Plants, Mushrooms & Foodborne Toxins
5 sections
Chapter 10: Envenomations & Bites
5 sections
Chapter 11: Clinical Assessment, Toxidromes & Triage
4 sections
Chapter 12: Decontamination, Antidotes & Elimination
4 sections
Chapter 13: Pediatric Poisoning & High-Risk Hazards
3 sections
Chapter 14: Communication, NPDS Documentation & Prevention
4 sections
CSPI Exam Details
Certified Specialist in Poison Information (CSPI)
Administered by America's Poison Centers (AAPCC)
Exam Content Breakdown
Based on the official America's Poison Centers (AAPCC) content outline
Pharmacokinetics, pharmacodynamics, dose-response, mechanisms of toxicity, and toxicokinetics
Acetaminophen, opioids, cardiovascular drugs, antidepressants, anticonvulsants, salicylates, and substances of abuse
Household products, caustics, hydrocarbons, pesticides, plants, mushrooms, heavy metals, carbon monoxide, and cyanide
Snake envenomation (Crotalinae, Elapidae), spider bites, scorpion stings, and marine exposures
Toxidromes, severity assessment, triage to home vs ED, vital signs, and clinical decision-making
Antidotes, activated charcoal, whole bowel irrigation, enhanced elimination, and supportive care
Age-specific exposures, toxic dose calculations, developmental considerations, and one-pill-can-kill drugs
Caller communication, NPDS data collection, follow-up protocols, and poison prevention education
What's Included
14 Chapters
Complete exam coverage
Practice Quizzes
With detailed explanations
Free to Start
No credit card required

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What's Next After the CSPI?
After passing the CSPI, you can pursue these career paths
ABAT
American Board of Applied Toxicology certification for non-physician toxicologists
DABAT
Diplomate of the American Board of Applied Toxicology for advanced clinical toxicology
Poison Center Management
Advance to managing director or assistant director of a poison control center
CSPI Exam FAQ
Official America's Poison Centers (AAPCC) Resources
Verify information with these official sources
More Free Resources
Ready to Start Your Free CSPI Prep?
Review the study guide, practice key concepts, and use the free tools at your own pace.