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NPTE® Security

What students must know

Cheating on the national physical therapy exam (NPTE) is an issue FSBPT takes very seriously. We urge all exam candidates to learn about what constitutes a violation and what the consequences may be.

As an educator, we encourage you to do the same. We hope you will reinforce the important messages we're sending to exam candidates.

The number one message we want to communicate? Sharing information about a NPTE question recalled from memory or asking someone who has taken the NPTE to share such information is illegal.


To learn more about the issues, we advise you to:

  1. Read what the exam candidates are reading

    Supplement the materials we've provided with a discussion about the consequences of sharing information.

  2. Read testimonials from violators

    Listen to what violators say about the subject and share these high-impact stories with your students.

  3. Read exam security FAQs

    Find out how to protect your reputation and career.

  4. Read articles

    Broaden your perspective by reading a series of articles about the NPTE and the issue of cheating in academic settings. Start with the article "An Overview of NPTE Security" by Mark Lane.

  5. Read the NPTE candidate handbook

    Get all the details about NPTE security so you can answer your students' questions with confidence.

Learn about the related issue of ethical conduct.


Testimonials from violators

Below is one of many testimonials we have received from previous violators of NPTE or PEAT® copyright laws. They serve as a warning to others about the serious consequences of their actions.

Statement from P.P.

Beware: Do not violate copyright law of NPTE


Copyright protections

NPTE is the property of FSBPT and is protected by contract and federal copyright law. Sharing of any NPTE materials such as test questions by recall and/or practice questions is violation of copyright law. Thus is considered to be illegal.

Risks of sharing these material results in similar or serious penalties:

  • Paying thousands of monetary sanction to FSBPT.
  • Completion of ProBE program at your own expense which costs thousands of dollars.
  • Reporting to particular licensing jurisdiction which results in Probation period for six-months or more from taking NPTE exam.
  • Chances of not being permitted to be ever licensed in any jurisdiction.

Copyright violations

I shared NPTE questions on shared group email, to get answers to my doubts. However, as I had shared NPTE test questions it was considered violation of the copyright law that protects the integrity of NPTE.

Consequences of violating the law

FSBPT aggressively protects the integrity of NPTE and takes serious steps if the copyright law is jeopardized. As a consequence of my violation of law I had to complete following sanction before I could be eligible to take NPTE again.

  • Pay thousands of dollars as fine.
  • Complete ProBE program that costs couple of thousand dollars.
  • My licensing jurisdiction put me on six month probation, which means I cannot take NPTE test for six months.
  • Post a curative statement.

Caution to other examinees

Any sharing or discussion of any copyright materials of NPTE is violation of law. So, please DO NOT involve in any such activities.

Your involvement in any such acts will jeopardize your career as Physical Therapist or even the chance of ever being one. There are no shortcuts to success. I have learned my lesson and so I sincerely urge all the future candidates not to violate any law.




Exam security FAQs


Protect your reputation and career

Passing the National Physical Therapy Examination (NPTE) is a big step toward receiving your license to practice Physical Therapy. Understandably, you want to take advantage of all available resources when preparing for this important examination.

In the past, when you have prepared for examinations at school, you considered fellow students to be good resources for learning about questions that were on those tests. This is not the case when preparing for the NPTE.


Sharing information is illegal

The NPTE is the property of the FSBPT and is protected by contract, trade secret, and federal copyright laws. It is a violation of those laws, and thus illegal, to share any information whatsoever about any NPTE question. In particular, sharing information about a NPTE question recalled from memory or asking someone who has taken the NPTE to share such information is illegal. It is also unethical to share or solicit someone else to share information about a NPTE question.


Do you mean it's illegal to recall questions?

YES! The FSBPT aggressively protects the integrity of the NPTE. Such protection is important to safeguarding the public from persons who do not have the requisite knowledge about physical therapy and therefore are not qualified to practice physical therapy. Any person for whom the FSBPT has a reasonable suspicion of sharing or soliciting information about any NPTE examination question may be prohibited from sitting for the NPTE unless and until they are determined after full investigation not to have shared or solicited such information.



Why is it unethical to ask someone else for recalled questions?

Soliciting recalled questions from candidates who have previously taken the examination is unethical for several reasons. The first is obvious; you are expected to pass the test based on your own merit without assistance. The members of the public who will entrust you with their well-being expect that you are a trustworthy and competent individual. Secondly, the purpose of the NPTE is to protect the public by ensuring that candidates for licensure have achieved entry-level competence. By asking previous test takers to share questions with you, you are committing an illegal act and are undermining the very purpose of the examination. Lastly, by soliciting questions from previous test takers, you are encouraging such persons to commit illegal acts.


What happens if I do share or solicit recalled questions?

Any person for whom the FSBPT has a reasonable suspicion of sharing or soliciting information about any NPTE examination question MAY BE PROHIBITED FROM SITTING FOR THE NPTE unless and until they are determined after full investigation not to have shared or solicited such information.

The FSBPT has and will continue to actively prosecute individuals to the full extent of the law who share or solicit others to share any information whatsoever about any NPTE examination question.

The FSBPT will also report any incidents of candidates requesting questions or sharing questions to their licensing jurisdiction.

Candidates who are determined to be guilty of soliciting or sharing questions will severely damage their chances of ever being licensed in any jurisdiction.


Exam security during testing

Candidates are required to provide two currently valid forms of identification to be able to sit for the exam. Before entering the testing room, all candidates will be photographed, scanned with a metal detector wand, and a digital image of their fingerprint will be taken. Another fingerprint will be taken each time a candidate enters or leaves the testing room during their exam. Additionally, all testing sessions will be videotaped.

You can review Prometric’s Testing Center Regulations and also view a video outlining what to expect on test day on Prometric’s website at

If you give or receive assistance during the examination, you can be required to stop testing immediately and leave the room. Your examination will not be scored. The performance of all candidates is monitored and may be analyzed statistically for purposes of detecting and verifying cheating. If it is determined that a score has questionable validity, the licensing authority will be notified.


Additional security information

If you have questions regarding exam security or know of a person or people who have violated exam security, it is your responsibility to email


An Overview of NPTE Security (by Mark Lane, PT, Forum, Volume 20, Number 1)

In today’s world, the word, “security” is ubiquitous. Many times a day we hear it on television, we read it in the newspaper, and we use it in everyday conversation. We take steps to provide ourselves with security from credit card fraud or from computer hackers on our personal or work computers. We patiently wait through long lines when we travel in order to go through airport security. We double check to make sure our house and automobiles are locked and secure.


An Important Value

Security is something we all strive for. It is a value we hold dear. In fact in the last presidential election, national security was often cited as the reason that voters selected the incumbent over his opponent. Indeed “homeland security” is a new Federal agency developed to increase national security. Unfortunately security is not an absolute. We cannot speak in terms of “being completely secure,” we can only speak in terms of being “more secure” or as “secure as possible.” And we have to always be aware that there is the potential for a security breach at any moment. The minute we feel secure and let down our guard is the moment we are most vulnerable.


A New Paradigm

The security of the National Physical Therapy Examination has always been of high importance. As we look at the historical documents related to the NPTE, including exam policies, security is often mentioned. Recently, however, we have had to rethink our view of security. Much as 9/11 changed how this country viewed security, the NPTE cheating episodes of 2002 made us review our own paradigms regarding security. As a result we have broadened our definitions and expanded our scope as it relates to security. We have realized that we cannot simply maintain policies related to security. Security must always be in the forefront of our minds and focus.


Security Watch

In light of this focus on security, we have developed this new column in the Forum, “Security Watch.” This column will apprise our members and other readers of critical security issues. We want our members and the exam stakeholders to be aware of the issues surrounding exam security. We want and need partners in maintaining, improving and monitoring exam security. As we impel the FSBPT to become more secure, we ask member boards to also continually review their policies and procedures related to security. You will continue to see articles on cheating and its impact on examinations. We will also provide summaries of actual security breaches related to the NPTE or other examinations in order to make the readership aware. We will provide opportunities for our member boards to discuss security issues.



A good examination security program comprises three critical aspects: detection, remediation and prevention. Detection involves detecting any security breaches that may occur. This aspect includes analysis of items over time to determine if items have been compromised. In also includes having a “tip” email address. Did you know that candidates or anyone else can send a report of a security breach to Exam forensics is another aspect of detection. This involves ongoing review of statistics and evidence of significant changes in results over time. It may include reviewing significant increases in exam scores on re-takes or it may be reviewing of significant changes in test scores at one particular testing center. Neither of these changes indicates an actual security breach. They simply provide information that needs to be explored further. Web monitoring is another aspect of security breach detection. Since the cheating episodes of 2002, we have had to monitor internet websites daily. Many mechanisms utilized at our exam test sites such as videotaping all candidates falls into the detection category.



Remediation involves having policies in place to not only deal with the causes of the breach but to also recover from the breach. A good security plan includes an emergency plan. The Federation has developed a comprehensive emergency plan. Within the emergency plan is a plan to continually build and increase the item bank. Also within the plan are specific outlines of action to be taken as a result of various security breaches.



Prevention is probably the most important aspect of a security plan. As the adage states, “an ounce of prevention is worth a pound of cure.” Prevention in an exam program includes continual warnings to candidates so that they are aware of their obligations when they sit for the exam as well as the consequences of cheating. Prior to seeing the first question, candidates must click on an agreement stating they will not share recalled questions. A good security prevention plan also includes policies related to frequency of item use and strict retake policies. Other aspects of prevention include the security measures implemented at the Prometric testing centers such not allowing candidates to take personal items in the testing room.

Prevention also includes education of stakeholders such as the faculty of physical therapy programs. Students need to know that if they cheat, they may loose the ability to ever practice physical therapy. Licensing boards may be able to educate those candidates from different cultures where values may differ to understand the implications of cheating in this culture.

Many of the recommendations provided by the 2003 NPTE Commission, an external commission that reviewed pass rate fluctuations of the NPTE, are related to prevention. Among these are many of the NPTE changes that are being implemented in March 2005. Included among these changes is increasing the number of forms and assuring that no candidate ever sees the same question twice. Another recommendation is providing the exam in sections.


Review of our Security Program

In 2004, the FSBPT participated in an external security audit of our exam program. This audit, while recognizing many of the things we do well in relation to security, also identified areas for improvement. The Federation is currently working on implementing many of the recommendations provided by this audit.


Physical Security

The Federation goes to great strides to assure physical security which includes security of the building, the servers and the item bank. If the reader visits the Federation offices, this will become readily apparent. The building is only entered via a secure pass code. Guests must sign in and are monitored while in the building. Beyond this, areas in which staff works on the exams have additional security. Great lengths are taken to assure the security of the item bank and the exam questions. Security policies and procedures are carefully followed. In addition to having an audit of the security related to exam development process, an audit is also scheduled to look at the security of the servers and the systems. This audit will include legitimate hackers who will try to breach the security systems to assure that they have sufficient safeguards.


Security Involves You

A comprehensive exam security program involves more then assuring the security of exam development and administration, it also involves our member boards. Since member boards are responsible for approving a candidate to sit for the exam, it is critical that each member board have policies and procedures in place that assure only qualified applicants sit for the exam. This author suspects that policies and procedure vary widely between member boards – some boards being extremely careful, while others may be not so careful. Other stakeholders also need to be involved. Educators including clinical educators are critical for helping instill professional values in students.

Security will continue to be an important term in the world, in this country and in relationship to the National Physical Therapy Examination. We hope to continue to educate ourselves, our members and the stakeholders of the many nuances and issues related to examination security. As we do this, we can work together to continue to maintain the excellence of the NPTE program and assure it will continue to carry out its critical function related to public protection.