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The CPTE blueprint 2025, explained

The blueprint is the document the exam is built from: what is tested, in what proportions, in which section. Read properly, it is a study plan. Here is what each number means and how to use it.

From CAPR's CPTE Blueprint 2025 as summarised in the Candidate Guide (November 2025). Download the blueprint and its Companion Guide from alliancept.org.

Two sections, one result

SectionWeightPointsItem types
Oral60%150 (10 cases × 15)Structured cases, three questions each, answered aloud
Written40%10075–80% traditional multiple-choice, 20–25% enhanced (image, video or audio); 80% vignette-based in sets of four, 20% stand-alone

Domains of Practice — what kind of competence

Seven domains, each with entry-to-practice milestones. The split between sections is the part most candidates never look at.

DomainTotalWrittenOral
Assessment and Diagnosis20% ± 312%8%
Care Planning20% ± 312%8%
Client Safety and Client-Centred Care15% ± 35%8%
Professional Responsibilities15% ± 33%14%
Collaboration12% ± 24%7%
Communication10% ± 22%7%
Practice Management8% ± 22%7%
Total100%40%60%

Figures as published in Table 2 of CAPR's CPTE Blueprint 2025. The Written and Oral columns are shares of the total exam score, and CAPR marks them as approximate values, so some rows don't add exactly to their total and the Oral column sums to 59%.

Share within each section

The same weights expressed as a share of each section, from the milestone lists later in CAPR's Blueprint. This is the view to use when you plan practice for one section.

Domain% of the written section% of the oral section
Assessment and Diagnosis30%13%
Care Planning30%13%
Client Safety and Client-Centred Care13%13%
Professional Responsibilities7%24%
Collaboration10%12%
Communication5%12%
Practice Management5%12%
What the split tells youThe written section is mostly clinical (assessment and care planning are about 24 of its 40 percentage points). The oral section is mostly professional: safety, responsibilities, collaboration, communication and practice management are about 43 of its 60 percentage points. Preparing for the oral as "clinical cases spoken aloud" misses where the marks are.

Areas of Practice — which conditions

AreaShare of exam content
Musculoskeletal50% ± 5
Neurological20% ± 2
Cardiovascular-Respiratory15% ± 2
Other Systems15% ± 2

Each area contains condition categories with expected depth. Not every item is tagged to an area — non-clinical questions sit outside these percentages.

Turning it into a study plan

  1. Allocate content time by area: half your clinical study on musculoskeletal, a fifth on neurological, the rest split between cardiovascular-respiratory and other systems.
  2. Allocate practice time by section: the oral is 60% of the exam and comes first on the day. Oral practice should be at least as much of your week as written questions, and it should start early, not after the written content is "done".
  3. Give the professional domains their own block. Consent, privacy, scope, delegation, documentation and reporting under Canadian regulation: 15% of the exam and the area where the clinical answer is right and the regulatory answer is missing.
  4. Practise vignette sets. Eighty of the hundred written questions arrive in linked fours where the scenario evolves; practise them that way, not as isolated questions.
  5. Practise media questions. Twenty to twenty-five of the hundred include an image, video or audio; make sure your mocks do too.

PT StudyBuddy's CPTE program is built on this split — 64 written lectures in blueprint order, 34 oral sessions from the start, an ethics and professional-responsibilities module, and mocks in the vignette-plus-stand-alone format.

See the CPTE program All guides

Common questions

Where is the official CPTE blueprint?

CAPR publishes the CPTE Blueprint 2025 and a Companion Guide as PDFs under Preparing for the CPTE → CAPR Resources → General Overview. The Companion Guide describes what each content area is meant to include; read both.

Is every question tagged to a body system?

No. CAPR says some items assess non-clinical competencies that don't need a specific condition, so the Areas of Practice percentages don't cover every item.

Which domain is the biggest surprise for candidates?

Professional Responsibilities: about 7% of the written section but 24% of the oral section (3% and 14% of the total exam score). Candidates who prepared for the old written exam alone routinely under-prepare it.

Does the blueprint tell me the pass mark?

No. It sets the content and weights. The passing standard is set separately for each section by criterion-referenced standard setting and combined 60/40 into one result.