Praxis Speech-Language Pathology (5331) Exam Study Guide 2026-2027

You have a Praxis SLP (5331) date. Hold it. Between now and then: 447 questions with rationales, two full-length practice exams at the real 132-item length, an 11-day plan through the Big 9. No login, no expiry.



We built this the way a supervisor runs a fellowship seminar, not the way a shelf gets filled. ETS gives you 132 selected-response items in 150 minutes, and every one of them counts. There is no pretest padding to absorb a bad guess. The three categories split evenly: 44 items on foundations and professional practice, 44 on screening, assessment and diagnosis, 44 on treatment. Both practice exams here carry that same 44 / 44 / 44 split. ETS confirms no change to the 5331 specifications for the 2025-2026 testing year. ASHA's certification standard is a scaled score of 162 on a 100-to-200 scale, and your state board may set its own. Check us against ETS's published test specifications. We would rather you did.



What's inside



All nine ASHA clinical areas, taught end to end. Articulation and phonology, fluency, voice and resonance, child language, adult language and aphasia, cognition and TBI, social communication and AAC, dysphagia, hearing.



Foundations, assessment and treatment together. What aphasia is, how you assess it and how you treat it arrive in one evening, not three weeks apart.



447 original questions, every option explained. Each closes with what the stem was really asking, and why the plausible distractor loses.



Two full-length practice exams at 132 items. Each carries the 44 / 44 / 44 split, so pace and balance are familiar.



Three vignette types, drilled by name. Assessment selection, differential diagnosis, treatment planning. Recognizing which one you are reading is half the answer.



Psychometrics and professional practice taught directly. Reliability against validity, the ASHA Code of Ethics, and scope of practice against scope of competence.

Maybe the last book you bought was a glossary of disorders with a quiz at the back. Give this one three evenings. If the diagnostic shows you nothing about your gaps that you did not already know, put it down. An hour is all it cost.



Three kinds of reader use it. A graduate student in a final semester. A clinical fellow working toward CCC-SLP certification. Someone sitting it a second time. If your caseload is all preschoolers, start at Day 5, where adult language and aphasia lives.



Day 10 is psychometrics, and nobody looks forward to it. Do it anyway, because assessment and diagnosis is a third of the paper. Downloaded once, yours to keep.



— The Passmark Publishing Team



An independent study guide from Passmark Publishing. Not affiliated with or endorsed by ETS or ASHA. Praxis and ETS are registered trademarks of Educational Testing Service. ASHA and CCC-SLP name the certification this exam feeds into. For exam preparation only; not clinical advice.