360 multiple-choice questions across 12 blocks of 30, for a total testing time of 7 hours 36 minutes (33 minutes per block) plus up to 50 minutes of total break time and an optional 10-minute tutorial. Roughly 15–20% of items include graphics, with on-screen zoom, pan, and contrast tools plus an on-screen calculator available. You can skip and flag questions within a block, but not after you submit that block. The exam is offered in English and French only.