SLP Praxis 5331 study guide
What the Praxis 5331 covers, and how to study for it
The exam is 132 selected-response questions in 150 minutes, with three approximately equal content categories. Find topic outlines by category and build a study routine around the material you need to revisit.
- Questions
- 132
- Minutes
- 150
- Categories
- 3
- Topic outlines
- 49
Source: ETS 5331 Study Companion (PDF). Checked October 28, 2026.
Need scoring, booking or test-day details? Read the student exam guide and registration checklist.
The blueprint: three categories, equal weight
ETS lists approximately 44 questions and 33⅓% for each category. Keep all three in your review plan and adjust study time to your needs; equal exam weights do not require equal study time. ETS content-category table (PDF).
Foundations and Professional Practice
~44questionsTypical development, anatomy and physiology, the nature of each disorder, research design, ethics, and the laws that govern practice. Mostly recall and recognition.
16 study outlines
- Speech & Language Development Milestones (Birth to 5)Speech Sound Production
- Later Language Development (School-Age Through Adult)Receptive & Expressive Language
- Phonological Development (Processes, Suppression, Acquisition)Speech Sound Production
- Cranial Nerves for Speech-Language PathologyFeeding & Swallowing
- ASHA Code of EthicsAll areas
- Key Legislation (IDEA, 504, ADA, HIPAA, FERPA, Medicare)All areas
- Research Design & Evidence-Based PracticeAll areas
- Hearing & Audiogram InterpretationHearing
- Genetic Syndromes Relevant to SLPReceptive & Expressive Language
- Swallowing Anatomy & Physiology (4 Phases)Feeding & Swallowing
- Laryngeal Anatomy & Voice ProductionVoice, Resonance & Motor Speech
- Literacy, Reading & Written LanguageReceptive & Expressive Language
- Neuroanatomy for SLPs (Motor Systems, Vascular Territories, Hemispheres)Speech Sound Production
- Speech Science & Phonetics (Acoustics, IPA, Distinctive Features)Speech Sound Production
- Professional Practice & Service Delivery (Supervision, SLPAs, Telepractice, IPP)All areas
- Stuttering: Causes, Theories & EpidemiologyFluency
Screening, Assessment, Evaluation, and Diagnosis
~44questionsChoosing a screening or assessment tool, reading the scores it produces, ruling a diagnosis in or out, and knowing when a referral belongs to someone else.
15 study outlines
- Dysphagia Assessment (Bedside, MBSS, FEES, PAS)Feeding & Swallowing
- Pediatric Assessment EssentialsReceptive & Expressive Language
- Traumatic Brain Injury & Cognitive-CommunicationCognitive Communication
- Cleft Palate & Craniofacial AnomaliesSpeech Sound Production
- Dementia & Right Hemisphere DisordersCognitive Communication
- Autism Spectrum Disorder & Social Communication
- Multilingual Service Delivery & Dialectal VariationReceptive & Expressive Language
- Voice Assessment: Perceptual, Acoustic & Functional MeasuresVoice, Resonance & Motor Speech
- Pediatric Feeding: Assessment & Clinical Decision-MakingFeeding & Swallowing
- Fluency Assessment Across the Life SpanFluency
- Standardized Testing & PsychometricsAll areas
- AAC Assessment & Feature MatchingAAC
- Cluttering & Atypical Fluency DisordersFluency
- Stuttering Assessment & CounselingFluency
- Pragmatic Assessment Across the Life Span
Planning, Implementation, and Evaluation of Treatment
~44questionsSelecting a target, picking an approach, sequencing it, measuring whether it worked, and deciding what to change when it did not.
18 study outlines
- Aphasia Classification (Types, Features, Lesion Sites)Receptive & Expressive Language
- Motor Speech Disorders (Dysarthria Types & CAS)Speech Sound Production
- Named Treatment Approaches (Comprehensive List)Receptive & Expressive Language
- Dysphagia Management (Compensatory, Rehabilitative, IDDSI)Feeding & Swallowing
- Fluency Disorders & TreatmentFluency
- AAC Systems & ImplementationAAC
- Voice Disorders & TreatmentVoice, Resonance & Motor Speech
- Treatment Planning & Documentation (SMART Goals, Progress Notes)All areas
- Hearing Technology & Aural RehabilitationHearing
- Social Communication Assessment & Intervention
- AAC Implementation & Communication Partner StrategiesAAC
- Cochlear Implants & Hearing Technology CandidacyHearing
- Counseling & Family-Centered PracticeReceptive & Expressive Language
- Speech Sound Disorders: Intervention (Articulation, Phonology & CAS)Speech Sound Production
- Language Intervention (Receptive and Expressive)Receptive & Expressive Language
- Cognitive-Communication Intervention (TBI, RHD, Dementia)Cognitive Communication
- Head and Neck Cancer, Laryngectomy & TracheostomyVoice, Resonance & Motor Speech
- Gender-Affirming Voice & CommunicationVoice, Resonance & Motor Speech
The nine areas of practice and our planning weights
The nine areas span the three categories. The ETS blueprint (PDF) does not give a question count for each area. The percentages below are our internal study-planning heuristics, not official exam weights or validated estimates of your test's composition. Use them to organize practice, not to decide that an area can be skipped.
- Receptive & Expressive Language20% planning weight
- Speech Sound Production15% planning weight
- Cognitive Communication12% planning weight
- Voice, Resonance & Motor Speech10% planning weight
- Feeding & Swallowing10% planning weight
- Hearing9% planning weight
- Fluency8% planning weight
- Social Communication / Pragmatics8% planning weight
- AAC8% planning weight
Internal planning weights only. They do not predict question counts or passing scores.
How to build a plan you will actually follow
These are adaptable study suggestions. General support for retrieval, spaced review and explanatory questions comes from the IES learning practice guide. That research does not establish this platform's effectiveness or predict a Praxis score.
- 01
Choose one starting topic
Use coursework, an explanation you could not give, or the optional short placement quiz. Twelve questions provide a small sample, not a reliable ranking of every area or a passing-score prediction.
- 02
Keep all three categories in view
Give extra time to gaps that recur across several practice sessions, while keeping broad coverage. Our Big Nine planning weights are study heuristics; they cannot tell you how many questions a weakness will cost on your exam.
- 03
Learn, explain, then try a question
Read a focused outline or concept lesson. Close it and explain the idea in your own words, then try a question and compare your reasoning with the explanation. Return to the concept on another day.
- 04
Check what stays with you
After a delay, try unfamiliar questions on the concept you reviewed. Look for better reasoning and accuracy across several sessions, not just a remembered answer. Give recurring gaps more study time while continuing to sample all three exam categories.
- 05
Rehearse pacing when useful
A timed practice session can help you plan your time. If a full 132-question, 150-minute simulation fits your schedule, leave time afterward to review it. Practice accuracy is not an official scaled score.
- 06
Adjust the final week to your needs
Review recurring misses, close a manageable content gap if needed, and confirm test-day arrangements. Choose a workload that leaves time for rest; there is no universal last-week rule or required question quota.
Dividing the standard testing time by the question count gives about 68 seconds per question on average. This is a pacing calculation, not a per-item time limit.
Where to start today
- Take the free placement quiz
12 questions, about 6 to 7 minutes. An optional small sample to help choose a starting topic; it is not a reliable ranking of all nine areas. Create a free account to get started.
- Try the free practice question
Read an original question with its full rationale, then create a free account to start practicing.
- Browse the outlines by Big Nine area
The same 49 outlines, grouped by area instead of by category.
Common questions
- What does the Praxis 5331 actually cover?
- Three content categories of approximately 44 questions each: Foundations and Professional Practice; Screening, Assessment, Evaluation, and Diagnosis; and Planning, Implementation, and Evaluation of Treatment. ETS lists approximately one third of the exam for each. Keep broad coverage and adjust your study time to your needs.
- Which area should I study first?
- Choose a topic you cannot yet explain, a recurring practice error, or a gap from coursework. The optional short placement quiz offers a small sample to suggest a starting point; it cannot reliably rank every area. Our planning weights do not predict the number of questions on your exam.
- How long should I study for the Praxis 5331?
- There is no universal number of weeks. Start with your schedule, coursework and recurring gaps, then adjust after several study sessions. A placement quiz is optional, and this platform does not offer a validated study-duration or passing-score prediction.
- Are these study outlines free?
- Selected outlines and their audio guides are free previews. Other outline pages show an introduction and contents list. A free account includes the placement quiz and daily practice questions; full outlines beyond the free previews are included with a plan.
- Does ETS publish how many questions each of the nine areas gets?
- The ETS Study Companion publishes approximate content-category weights and the scope of the nine areas, not per-area question counts. The area percentages shown here are our internal planning heuristics, not official exam weights or validated predictions of test composition.
Exam facts: ETS Study Companion (PDF). Study planning advice is our suggestion; platform practice percentages do not predict an official scaled score or whether you will pass.
Free account
Create a free account to start studying
Start with the placement quiz, the free previews and 5 practice questions a day. No credit card required. Build your study plan manually, or use the optional 12-question placement quiz to set your priorities.
Disclaimer: Praxis is a registered trademark of Educational Testing Service (ETS). SLP Study Hub is not affiliated with, endorsed by, or sponsored by ETS or ASHA. The outlines and questions linked from this page are original educational content written for SLP Study Hub and aligned to the publicly available Praxis 5331 test blueprint.
