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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.

Your Study Path

CSPI AAPCC CSPI Certified Specialist in Poison Information License: Complete Roadmap

Follow this path to organize your licensing and exam preparation

1

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.

40
hours
2

Learn Common Poisonings & Antidotes

Focus on high-yield medications (acetaminophen, opioids, cardiovascular drugs), household products, plants, and their specific antidotes and treatment protocols.

50
hours
3

Practice Clinical Triage & Assessment

Develop skills in toxidrome recognition, severity assessment, home management vs ED referral decisions, and decontamination timing.

30
hours
4

Review Pediatrics, Envenomations & Take Practice Exams

Study pediatric-specific exposures, envenomation management, communication skills, and complete practice exams to assess readiness.

30
hours
Start this step
Estimated total study time
150 hours
That's about 15 weeks at 10 hours/week

Can You Take the CSPI Exam?

Check if you meet the basic eligibility requirements

Age
Education
Healthcare degree required: registered nurse, pharmacist, physician, or physician assistant
Additional 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

Exam Provider

Pearson VUE

In-Person Only
Schedule Your Exam

Retake Policy

Contact AAPCC for retake policy; testing offered annually during specific testing windows

Total Cost Breakdown

Exam FeeContact AAPCC for current fees
Application FeeContact AAPCC for current fees
Total Estimated CostApplication + exam fees (varies by year)
Why Choose Us

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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All 100 practice questions are free — no account required

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What You'll Study

14 chapters covering the exam topics in this guide

CSPI Exam Details

Certified Specialist in Poison Information (CSPI)

Administered by America's Poison Centers (AAPCC)

Official Source
Criterion-referenced (set by AAPCC)
Passing Score
160-168
Questions
4
Hours
Varies (contact AAPCC for current fee schedule)
Exam Fee
Study time: 3-6 months of focused review alongside poison center work
Prerequisites: Healthcare degree (nursing, pharmacy, or medicine); 2,000 hours poison center experience; 2,000 human exposure cases managed

Exam Content Breakdown

Based on the official America's Poison Centers (AAPCC) content outline

Pharmacology & Toxicology Principles16%

Pharmacokinetics, pharmacodynamics, dose-response, mechanisms of toxicity, and toxicokinetics

Medications & Drugs of Abuse20%

Acetaminophen, opioids, cardiovascular drugs, antidepressants, anticonvulsants, salicylates, and substances of abuse

Non-Pharmaceutical Agents14%

Household products, caustics, hydrocarbons, pesticides, plants, mushrooms, heavy metals, carbon monoxide, and cyanide

Envenomations & Natural Toxins10%

Snake envenomation (Crotalinae, Elapidae), spider bites, scorpion stings, and marine exposures

Clinical Assessment & Triage15%

Toxidromes, severity assessment, triage to home vs ED, vital signs, and clinical decision-making

Treatment & Decontamination10%

Antidotes, activated charcoal, whole bowel irrigation, enhanced elimination, and supportive care

Pediatric Poisoning8%

Age-specific exposures, toxic dose calculations, developmental considerations, and one-pill-can-kill drugs

Communication, Documentation & Prevention7%

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

Coming Soon

DABAT

Diplomate of the American Board of Applied Toxicology for advanced clinical toxicology

Coming Soon

Poison Center Management

Advance to managing director or assistant director of a poison control center

Coming Soon

CSPI Exam FAQ

Official America's Poison Centers (AAPCC) Resources

Verify information with these official sources

More Free Resources

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Ready to Start Your Free CSPI Prep?

Review the study guide, practice key concepts, and use the free tools at your own pace.