Our PRPC Prep Exams

Currently, 3 practice examinations are available to support your preparation. These exams may be taken individually or in various combinations, according to your preference. In response to numerous requests for longer-format practice tests that more accurately reflect the duration and demands of the official examination, we have expanded our offerings. The PRPC examination comprises 150 questions administered over a four-hour period. Breaks during the PRPC may be taken, but the clock does not stop.  

We recommend you start with the 150 practice exam.  It is packed with important information and is an excellent practice run.  

It is important that you register with an email and it is highly recommended you record your password and username. You have 2 attempts at your practice exam, but the answer key is able to be viewed even after those attempts. Contact us with any difficulties with Flexiquiz, we are happy to help!

Once in the portal, click on the exam(s) you want to purchase: 

https://www.flexiquiz.com/SC/join-group/PRPCexamprep

PRPC Exam 150 Questions.  This is offered at a 10% discount at 342$.  

The following exams contain questions not included in the PRPC 150 exam above:

PRPC Exam 2 is 38 questions  63$

PRPC Exam 3 is 40 questions  63$ 

Any updates made to exams after purchase by Pelvic Health Prep to better our materials will be automatically updated in your account. 

Access to purchased exams in the portal will end 1 year after purchase.

We will start here with common questions we receive:

(1)Herman & Wallace provides an excellent roadmap for preparation if you know how to use it. (2)Study our free materials.  (3)Take our practice tests! (4)Sign up for our study group.  You need to study, there are some things that just need to be memorized. Being a good clinician and having a pelvic caseload may not be enough.  

No, follow the PRPC study documents.  They are provided to you from Herman and Wallace.  The study guide provided to the PWCS is not even provided by the boards, it is made by therapists to try to provide guidance for exam takers.  The articles and clinical practice guidelines(CPGs) are valuable knowledge and every pelvic therapist should know their CPGs, but memorizing them is not a good strategy for the PRPC.  We have purposely separated out the exam types so that you focus on your specific exam.  

We understand that preparing for certification exams is an investment, and we work hard to provide as much free content as possible to support clinicians.  

Over the years, we have created more than 70 free blogs, study resources, and social media educational posts to help pelvic health clinicians prepare for specialty certification exams. Many clinicians use these resources alone and find them valuable.  You have access to any of our social media platforms to connect with us or other exam participants.  

For those looking for a more structured study experience, our paid resources include continually updated practice examinations, lectures, study groups, flashcards, mentorship opportunities, and additional learning materials. Maintaining current content, updating questions, reviewing evidence, hosting study sessions, and supporting learners requires a significant investment of time and resources.  Each year we attempt to offer more for your investment-last year we added free lectures with your exam purchase.  

Our goal is not simply to provide practice questions—it is to provide a comprehensive learning experience that helps clinicians build confidence, identify knowledge gaps, and prepare more effectively for certification exams.

Download and review the official PRPC resources provided by Herman & Wallace.

The most important resources include:

• Knowledge and Skill Statements
• PRPC Topic Outline
• Sample Questions
• Eligibility Requirements

Official PRPC Information:
https://hermanwallace.com/pelvic-rehabilitation-practitioner-certification

These documents serve as the blueprint for the exam and should guide your study plan from the beginning.

Not all topics are tested equally.

According to Herman & Wallace, the PRPC exam is weighted as follows:

Domain/Percent of Exam

Physiology

20%

Pathophysiology

20%

Interventions

20%

Anatomy

15%

Tests & Measures

10%

Pharmacology

5%

Medical Interventions & Tests

5%

Professional & Legal Requirements

5%

Notice that nearly 60% of the examination comes from:

• Physiology
• Pathophysiology
• Interventions

Many candidates spend months memorizing muscle attachments while neglecting physiology and clinical reasoning. The exam blueprint suggests the opposite approach.

For each body system or diagnosis, ask yourself:

This framework mirrors how many PRPC questions are written and helps develop clinical reasoning rather than simple memorization.

Many candidates underestimate the breadth of content covered on the PRPC.

Examples specifically included within the exam blueprint include:

• HPA axis
• Thyroid disorders
• Diabetes
• Congestive heart failure
• Stroke
• Parkinson's disease
• Multiple sclerosis
• Ehlers-Danlos syndrome
• Lymphedema
• Pulmonary anatomy and physiology
• Psychological conditions
• Pharmacology
• Medical laboratory values

The PRPC is not simply testing recall.

Many questions require you to determine:

• What is the most likely diagnosis?
• What is the most appropriate next test?
• What finding is most concerning?
• When should the patient be referred?

Many clinicians feel less comfortable with medical diagnostics, yet these topics appear regularly on the exam.

Be familiar with:

• Urodynamics
• Defecography
• Manometry
• Colonoscopy
• Pudendal nerve latency testing
• MRI
• Electromyography (EMG)
• CBC interpretation
• PSA testing
• Blood glucose monitoring

Create a study sheet for each test that answers:

• What does the test measure?
• Why is it ordered?
• What abnormal findings may occur?
• How does it impact physical therapy management?

Pharmacology represents a smaller percentage of the exam, but it is often an area candidates avoid.

Focus on major medication categories such as:

• Anticholinergics
• Antimuscarinics
• Diuretics
• Hormones
• Steroids
• Antidepressants
• Muscle relaxants
• GI medications, including laxatives and stool softeners

You do need to understand:

• Why the medication is prescribed
• Common side effects
• Potential impacts on bowel, bladder, sexual, and pelvic symptoms

A common mistake is waiting until the final few weeks before taking practice exams.

Practice questions help you:

• Identify knowledge gaps
• Improve clinical reasoning
• Build testing endurance
• Learn how questions are written

Start using practice questions early in your preparation and allow them to guide your studying.

Questions should not simply measure what you know—they should reveal what you still need to learn.

If your study time is limited, focus on concepts that appear repeatedly throughout the exam blueprint.

• Pelvic floor layers
• Pudendal nerve
• Levator ani
• Pelvic ligaments
• Urinary anatomy
• Gastrointestinal anatomy

• Micturition cycle
• Defecation mechanics
• Sexual response cycle
• Bradley's Loops
• Sacral reflexes
• Hormonal influences

• Urinary incontinence
• Pelvic organ prolapse
• Constipation
• Pelvic pain
• Dyspareunia
• Erectile dysfunction
• Neurologic diagnoses
• Connective tissue disorders

• Pelvic floor muscle training
• Bladder retraining
• Bowel retraining
• Biofeedback
• Manual therapy
• Behavioral interventions
• Neuromuscular re-education