ABEM (American Board of Emergency Medicine Qualifying Exam) — Free Online Mock Test
Board cert for Emergency Medicine physicians · ~305 Q split into 2 sections of ~152 Q × 190 min each, with a 60-min scheduled break between (total seat time ~8h). Vignette-heavy, time-pressured. Criterion-referenced pass mark (~77 scaled). · Official language: English.
Elite
United States
Medical Licensing
305 questions
380 min
50 distinct variants
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ABEM section breakdown
The ABEM mock test on Wrexa Edge replicates the real exam's section structure — same names, same question count per section, same time limits. Inter-section breaks are enforced.
ABEM scoring & marking scheme
Strategy: ABEM has no negative marking. Attempt every question — blank answers cost you potential marks but cannot pull your score down.
Scale: ABEM (criterion-referenced, pass ~77 scaled).
How ABEM is conducted
Mode
Standard — practice without proctoring on Wrexa Edge, or enable optional webcam proctoring to simulate test-day conditions.
Test format
Linear / fixed-form — every candidate sees the same number of questions per section.
Backtracking
Allowed — you can revisit and change answers within a section.
Mark for review
Available — flag tough questions and return to them before submitting the section.
ABEM time strategy
With 305 questions in 380 minutes, you have about 75 seconds per question on average. Successful candidates aim for the following pacing on each section:
Section 1 (~152 Q)
Target ~75 sec/question. If a question takes more than 113 seconds, mark for review and move on.
Section 2 (~153 Q)
Target ~75 sec/question. If a question takes more than 113 seconds, mark for review and move on.
Wrexa Edge's analytics show your actual time-per-question after every mock so you can spot which sections you're losing time on.
ABEM topics covered
Across the 50 Wrexa Edge variants of ABEM, the following topics appear most often (sample distribution from one variant):
Section 1 (~152 Q)
- Biology — Fundamentals · 37
- Clinical — Cardiology · 4
- Clinical — Respiratory · 4
- Clinical — Gastroenterology · 4
- Clinical — Endocrinology · 4
- Clinical — Neurology · 4
- Clinical — Infectious Disease · 3
- Clinical — Renal · 3
Section 2 (~153 Q)
- Biology — Fundamentals · 38
- Biostats — Test characteristics · 3
- Biostats — Measures · 3
- Biostats — Hypothesis testing · 3
- NEET-Pre — Anatomy Cranial Nerves · 3
- Biostats — Study design · 2
- Biostats — Bias · 2
- Ethics — Autonomy · 2
Sample ABEM questions
A preview of real practice questions from the Wrexa Edge ABEM bank — the same style, phrasing and difficulty you'll face on test day. Full solutions unlock free inside the mock.
Section 1 (~152 Q) · Step 2 — SAH Workup
Q1. A "thunderclap" headache with neck stiffness in an alert patient requires:
Why: Correct answer: D — Non-contrast head CT first, then LP if CT negative — to rule out subarachnoid hemorrhage. Topic: Step 2 — SAH Workup.
Section 2 (~153 Q) · Biostats — Test characteristics
Q2. Sensitivity is defined as:
Why: Correct answer: D — True positives / (True positives + False negatives). Topic: Biostats — Test characteristics.
Section 1 (~152 Q) · Step 2 — PE Workup
Q3. A patient with suspected pulmonary embolism, hemodynamically stable, Wells score = 5 (high) should undergo:
Why: Correct answer: A — CT pulmonary angiography (gold standard). Topic: Step 2 — PE Workup.
Section 2 (~153 Q) · Biostats — Test characteristics
Q4. Specificity is defined as:
Why: Correct answer: A — True negatives / (True negatives + False positives). Topic: Biostats — Test characteristics.
Section 1 (~152 Q) · Step 2 — Pulmonary TB
Q5. A homeless man presents with weight loss, night sweats, hemoptysis, and cavitary upper-lobe infiltrates on CXR. Next step:
Why: Correct answer: B — Isolate in negative-pressure room, collect 3 sputum samples for AFB smear/culture, start empiric 4-drug TB therapy if confirmed. Topic: Step 2 — Pulmonary TB.
Section 2 (~153 Q) · Biostats — Test characteristics
Q6. Positive predictive value (PPV) increases with:
Why: Correct answer: B — Higher prevalence (and higher specificity). Topic: Biostats — Test characteristics.
These are a handful of the 15250 unique ABEM questions across all 50 Wrexa Edge variants — start a free mock to attempt the full set with instant scoring.
ABEM difficulty calibration
Elite tier. Elite-tier: among the toughest exams in its category. Most successful candidates prepare for 6-12+ months.
Board cert for Emergency Medicine physicians · ~305 Q split into 2 sections of ~152 Q × 190 min each, with a 60-min scheduled break between (total seat time ~8h). Vignette-heavy, time-pressured. Criterion-referenced pass mark (~77 scaled). · Official language: English.
Verified content — Wrexa Edge's ABEM bank has been deeply curated with real exam-aligned content (estimated 100% syllabus coverage).
How Wrexa Edge prepares you for ABEM
Real test-day interface
Our vignette skin mirrors the actual ABEM testing software — same timer, palette, tools, and navigation.
50 distinct variants
15250 unique practice questions, each variant a fresh test — not just shuffled options.
Detailed analytics
Scaled score, section accuracy, topic-wise heatmap, time-per-question — see where to focus after every attempt.
Spaced repetition (Notebook)
Wrong answers and flagged questions flow into an SM-2 spaced-repetition deck so you actually retain what you learn.
Optional proctoring
Browser-based face-api detection (no install) — turn it on to simulate a high-stakes environment.
Free to start
No credit card. Sign up, pick a variant, and your first ABEM mock starts in under a minute.
ABEM study plan
A phase-by-phase roadmap from your first concept to test-ready. Stretch or compress each phase to fit the time you have before your attempt.
1
Phase 1 — Learn the syllabus
Weeks 1–4
- Work through every section — Section 1 (~152 Q), Section 2 (~153 Q) — from your core study material
- Make short notes and a formula/fact sheet you can revise quickly
- Attempt topic questions right after finishing each area
2
Phase 2 — Practice & sectionals
Weeks 5–8
- Solve previous-year and practice questions section by section
- Time yourself on Section 1 (~152 Q) and your weakest areas
- Keep an error log and revisit every mistake weekly
3
Phase 3 — Full-length mocks
Weeks 9–12
- Take full-length ABEM mocks in the real test interface
- Analyse accuracy, time per question and silly mistakes after each mock
- Revise from notes and re-attempt only weak-topic questions
Where ABEM can take you
A strong ABEM result opens up these careers and higher-study paths:
Clinical practice
A pass grants the licence required to practise and treat patients in your jurisdiction.
Residency & specialisation
Qualifies you for residency, postgraduate training and specialist certification.
Hospital & public health roles
Positions across hospitals, public-health services and research institutions.
Frequently asked questions
- What is the ABEM exam pattern?
- American Board of Emergency Medicine Qualifying Exam contains 305 questions across 2 sections: Section 1 (~152 Q), Section 2 (~153 Q). Total duration is 380 minutes (about 75 seconds per question).
- Does ABEM have negative marking?
- No — ABEM has no negative marking. Each correct answer is worth 1 mark, so attempt every question.
- How is ABEM scored?
- Scaled score range: 0 to 100. ABEM (criterion-referenced, pass ~77 scaled).
- How can I practise ABEM online for free?
- Wrexa Edge gives you 10 free full-length ABEM mock tests — with instant scoring, detailed explanations and analytics — plus 40 more with Pro. Start practising in under a minute, no card required.
- What is the difficulty level of ABEM?
- ABEM is rated Elite difficulty on Wrexa Edge. Elite-tier: among the toughest exams in its category. Most successful candidates prepare for 6-12+ months. Board cert for Emergency Medicine physicians · ~305 Q split into 2 sections of ~152 Q × 190 min each, with a 60-min scheduled break between (total seat time ~8h). Vignette-heavy, time-pressured. Criterion-referenced pass mark (~77 scaled). · Official language: English.
- How long is the ABEM exam?
- ABEM runs for 380 minutes total across 2 sections. On Wrexa Edge the timer is enforced exactly as on the real exam — including mandatory inter-section breaks.
- What topics are covered in ABEM?
- ABEM is split into: Section 1 (~152 Q), Section 2 (~153 Q). Each section is timed and weighted separately. Board cert for Emergency Medicine physicians · ~305 Q split into 2 sections of ~152 Q × 190 min each, with a 60-min scheduled break between (total seat time ~8h). Vignette-heavy, time-pressured. Criterion-referenced pass mark (~77 scaled). · Official language: English.
- What tools or aids are allowed during ABEM?
- No special tools are required.
- Is the ABEM test adaptive?
- No — ABEM is a fixed-form (linear) test. Every candidate sees the same number of questions per section.
- How many ABEM mock tests does Wrexa Edge offer?
- Wrexa Edge generates 50 distinct ABEM variants — each with different question content, not just shuffled options — the first 10 free for everyone and 40 more with Pro. That's 15250 unique practice questions in the real test-day interface.
- Is there a free ABEM test series 2026?
- Yes. The Wrexa Edge ABEM test series for 2026 gives you 10 free full-length mock tests (50 in total) plus subject-wise and topic-wise tests — instant scoring and detailed analysis, no card required.
- Are ABEM previous year question–style papers included?
- Every ABEM mock is modelled on the official exam pattern and the style of previous years' papers — the same 305-question structure, sections and marking — so your practice mirrors the real paper you'll sit.
- Which is the best free ABEM mock test online?
- Wrexa Edge's ABEM mock test replicates the real exam interface, timing and marking scheme, with instant score, section-wise analysis and 50 fresh variants — a strong free choice for 2026 preparation.
- Can I take the ABEM mock test on mobile?
- Yes. ABEM mock tests run in any browser on mobile, tablet or desktop — no app or download needed. Start on your phone and your progress and analytics sync when you sign in.
- What is the ABEM syllabus?
- The ABEM syllabus maps to its 2 sections: Section 1 (~152 Q), Section 2 (~153 Q). Wrexa Edge's mock tests cover the complete syllabus topic by topic — see the topics-covered breakdown above — so you practise every area at real exam difficulty.
- What is the eligibility for ABEM?
- Eligibility for ABEM — age, qualification and number of attempts — is set by the official conducting body and can change each cycle, so always confirm the current official notification before applying. Wrexa Edge focuses on realistic ABEM practice: 10 free full-length mocks in the exact exam pattern, ready whenever you are.
- When is the ABEM exam and how should I prepare?
- Official ABEM exam dates are announced by the conducting body for each cycle — check the latest notification for the current schedule. To be ready, follow a phased study plan and take full-length timed mocks; Wrexa Edge gives you 10 free ABEM mocks with instant scoring so you can track your readiness week by week.
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