5331 · 5343
The Praxis Speech-Language Pathology (5331) and Audiology (5343) tests are the national subject exams that gate clinical practice. A passing score is one of several hard requirements for ASHA's Certificate of Clinical Competence — CCC-SLP or CCC-A — and for state licensure boards across all 50 states. For most graduate students, the Praxis is the last standardized hurdle between finishing a master's or AuD program and starting a Clinical Fellowship. Miss the 162 cut score and your CFY start date, job offer, and license application all stall. This page breaks down exactly what each exam covers, how it's delivered, and how to get it done right.
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How the Praxis SLP (5331) is built — at a glance
132
Every question on the 5331 is multiple-choice with four options and one correct answer. No essays, no constructed-response, no audio or video stimuli to interpret.
150
2.5 hours for 132 questions is roughly 68 seconds per item — fast enough that scenario questions across the "big nine" disorder areas create real time pressure.
162
Scored on a 100–200 scale, you need 162 for the ASHA CCC-SLP. Most state boards accept the same number. There is no partial credit and no penalty for guessing.
Incorrect and unanswered questions are scored identically — both earn zero. Because there is no guessing penalty, leaving a blank is never the right call. The smart strategy is to flag hard items, keep moving, and circle back so every one of the 132 questions gets an answer before time expires.
Because the SLP and Audiology tests are entirely selected-response, you see an unofficial pass/fail-relevant raw indication on screen at the end. Official scaled scores post to your ETS account within roughly 10–16 business days and are sent to ASHA and the state boards you designate. Praxis does not curve to a percentile pass line — 162 is a fixed criterion.
The 5331 splits into three equally-weighted categories — bars show each category's share of the 132 questions
Typical and atypical development, anatomy and physiology of speech and hearing, research and evidence-based practice, ethics, scope of practice, and standards of care across settings.
Selecting and interpreting standardized and dynamic measures, differential diagnosis, and case-history analysis across the nine practice areas — from speech sound and fluency to dysphagia and AAC.
Goal-writing, intervention selection, treatment progression, and outcome measurement — applying clinical decision-making to voice, motor speech, language, cognition, and swallowing cases.
The breadth is what makes the 5331 hard: a single exam spans the entire "big nine" — speech sound production, fluency, voice and resonance, receptive and expressive language, social communication, cognitive communication, AAC, hearing, and feeding/swallowing. A weak area you avoided in your clinical placements can still surface in a dozen questions.
Whether you need CCC-SLP or CCC-A, here is which test and code applies
| Test | Code | Questions / Time | Pass | Required for |
|---|---|---|---|---|
| Speech-Language Pathology | 5331 | 132 · 150 min | 162 | ASHA CCC-SLP & SLP state licensure |
| Audiology | 5343 | 120 · 120 min | 162 | ASHA CCC-A & audiologist licensure |
The Audiology (5343) test is organized differently — five weighted categories: Foundations of Audiology (20%), Prevention & Screening (10%), Assessment (35%), Intervention (25%), and Professional & Ethical Responsibilities (10%). Both tests are the recognized national examinations in their fields and feed the same ASHA certification pathway.
Two ways to sit the Praxis — and what to expect on test day
You sit the Praxis in a quiet, monitored room at a Prometric center. Staff verify your government-issued ID, store your belongings in a locker, and watch the room by camera. The base test fee is $146 USD. Centers fill up near CFY and licensure deadlines, so seats can be scarce.
You take the Praxis at home through ProctorU using the ETS Secure Browser with a live remote proctor. You need a licensed Windows 11+ or macOS 11+ computer — no Chromebooks, tablets, or phones — plus a webcam, a private room, and a stable connection. Same $146 fee.
The ProctorU proctor verifies your photo ID, watches the ETS Secure Browser download and launch, and runs a system check. You have up to 12 minutes after your slot to begin check-in or the test is canceled with no refund.
A clear desk, a 360° webcam room scan, no second monitor, and no one else present. Headsets are not allowed. You may use a small whiteboard or a sheet in a clear sleeve with a dry-erase marker.
Stay in frame and on-camera the whole time. The Secure Browser locks down your machine, blocking other apps. Looking off-screen, reading aloud, or losing connection can flag the session for review.
The Praxis SLP/AuD gates clinical certification
Where graduate students actually lose points
Difficulty: The 5331 isn't conceptually advanced for someone fresh out of an SLP program — it's the breadth and pacing that bite. Voice, motor speech, dysphagia, and audiology questions trip up candidates whose clinical placements skewed toward pediatric language. That coverage gap is exactly the pressure point our help is built to remove.
The Praxis SLP is the last standardized gate between your degree and your CCC — and a re-test means another 28-day wait, another $146, and a CFY start date that slips. Exam Assist pairs you with a vetted SLP/audiology specialist and works on a pay-after-you-pass model — so the risk sits with us, not you. No upfront fee, guaranteed results: Exam Assist handles the sitting end to end, and you settle only after the verified result.
Tell us your test (5331 or 5343), delivery method (Prometric or at-home ProctorU), test date, and which states or ASHA pathway you're aiming for. A couple of minutes over WhatsApp, Telegram, or Discord.
We review your timeline, target, and the 162 cut score, and tell you plainly whether it's realistic — before any money is discussed. If it isn't a fit, we say so.
Exam Assist handles the sitting end to end. You're matched with a specialist who maps the work around your weak content areas, the ETS Secure Browser environment, and ProctorU's check-in rules — discreetly and confidentially.
You only pay once your passing score is confirmed on your official ETS report. No verified result, nothing owed.
Pay-after-you-pass support for clinical licensure and certification exams, including remotely-proctored health credential tests.
ServiceSupport tailored to live-proctored, secure-browser exams like the at-home Praxis through ProctorU.
BookStart the conversation and get an honest feasibility answer before any money changes hands.
See the full pay-after-you-pass arrangement and how matching works for the 5331 and 5343.
Straight answers about the Praxis SLP & Audiology tests
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