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Quick answer
The Texas Medical Board (TMB) jurisprudence exam tests physician applicants on the Medical Practice Act and TMB rules. It is taken online through My TMB, costs nothing, and has no limit on attempts. You need a score of 75 or better. TMB does not publish the number of questions or a time limit.
About the exam
Texas Medical Jurisprudence Exam (Texas Medical Board)
Every physician applying for a Texas medical license must pass the Texas medical jurisprudence examination. The Medical Practice Act makes the Texas Medical Board (TMB) responsible for giving it to all applicants (Occupations Code 155.054). Faculty temporary licensees, physician assistants, acupuncturists and several other TMB-regulated professions take their own versions. This practice test covers the physician exam.
The exam is about law, not clinical medicine. TMB describes its subject as the Texas statutes in the Occupations Code and the Board rules in the Texas Administrative Code: eligibility for a license, registration and renewal, continuing medical education, scope of practice, and how complaints are investigated and enforced. In practice that means the Medical Practice Act (Occupations Code Chapters 151 to 168), the Controlled Substances Act and medical records privacy law in the Health and Safety Code, and the Board's rules in 22 TAC Part 9.
TMB reorganized and renumbered all of its rules on January 9, 2025, so older study guides that cite chapters such as 165 or 190 are out of date. Recent changes also include a continuous National Practitioner Data Bank query on every license holder (Occupations Code 153.017, from September 1, 2025) and new required CME topics on forensic evidence collection and on nutrition and metabolic health (22 TAC 161.35, amended September 3, 2026). Every question in this bank cites the section it comes from.
Exam format
Medical Jurisprudence (TMB): questions, time and pass mark
| Item | Official exam | Status |
|---|---|---|
| Questions | Not published by TMB. | Not published by the agency; practice test uses 50 |
| Time limit | Not published on TMB's current pages. | Not published by the agency; practice test uses 60 minutes |
| Pass mark | 75 or better. | Verified Oct 2026 (TMB FAQ; 22 TAC 161.6) |
| Cost | No cost for each attempt. | Verified Oct 2026 (TMB Jurisprudence Exam page) |
| Attempts | Unlimited. The statute exempts the jurisprudence exam from the three-attempt limit on licensing exams. | Verified Oct 2026 (Occ. Code 155.056(a-1); TMB FAQ) |
| Where | Online, through your My TMB account once you have a pending application. Chrome or Firefox on a PC or Mac works best. | Verified Oct 2026 (TMB FAQ) |
| Study guide | TMB offers a view-only study guide inside My TMB. It cannot be printed or downloaded. | Verified Oct 2026 (TMB FAQ) |
The practice test above draws 50 questions with a 60-minute timer and a 75% pass mark. Practice mode lets you work one topic at a time with explanations after every answer, and the cheat sheet view lists every question and answer for review.
Cost and booking
Fees, where to take it and retakes
The exam is free and there is nothing to book. When TMB has your license application on file, the exam appears in your My TMB account and you can take it when you are ready. Your score is recorded electronically and attached to your application, and a certificate of completion stays viewable in My TMB.
If you do not reach 75, you can go back into My TMB and take it again. TMB states no limit and no waiting period. A physician who held a faculty temporary certificate and passed the exam within the year before applying for a full license does not need to take it again.
What’s covered
250+ practice questions, by topic
Written from Texas Occupations Code Chs. 151-168 (Medical Practice Act), Health and Safety Code Chs. 181 and 481, and 22 TAC Part 9. Every explanation cites its section.
- Medical Practice Act, the Board and its authority38
- Licensing, registration, renewal and CME38
- Disciplinary process: complaints, grounds, sanctions, penalties50
- Medical records, confidentiality, consent and the physician-patient relationship38
- Prescribing, controlled substances, PMP and pain management37
- Delegation and supervision of PAs, APRNs and other personnel24
- Telemedicine, advertising, office-based anesthesia and other practice rules25
Official sources
Facts on this page were checked against these pages in October 2026.
Why people fail
The mistakes that cost people the Medical Jurisprudence (TMB)
- Treating it as a formality. The exam is free and unlimited, so many applicants skim the law the first time and then need several attempts, which delays the application.
- Studying from old material. The January 2025 rule reorganization changed every chapter number in 22 TAC Part 9, and several statutes changed in the 2025 legislative session.
- Mixing up the numbers: 48 CME credits every two years with at least 24 formal; a 30-day cure for a CME shortfall; late renewal penalties at 90 days and one year; the seven-year limit on standard-of-care complaints.
- Not knowing the controlled substance rules: when the prescription monitoring program must be checked, the 90-day limit on multiple Schedule II prescriptions, and the 10-day limit for acute pain.
- Overlooking delegation and supervision. Questions on physician assistants and APRNs, prescriptive authority agreements and registering delegates within 30 days are common sources of mistakes.
A study plan that works
- Open the TMB study guide in My TMB and skim it once to see what the Board emphasizes.
- Read the Medical Practice Act chapters on licensing (155, 156), discipline (164) and patient records (159), then the Board rules on CME (161.35) and medical records (163).
- Run this quiz in Practice mode one category at a time, starting with the disciplinary process, which is the largest. Read each explanation and look up the cited section when an answer surprises you.
- Make a one-page sheet of the deadlines, dollar amounts and time limits you keep missing.
- Take timed Tests (50 questions, 60 minutes) until you score 85 percent or better, then take the real exam in My TMB.
Try a few
Sample Medical Jurisprudence (TMB) practice questions
Six questions pulled straight from the bank, with the answer shown. For the timed, no-peeking version, use the quiz above.
Why: Nine physician seats go to M.D. graduates and three to D.O. graduates.
Source: Occupations Code 152.002(a)(1)
Why: An applicant is not eligible while a prosecution is pending for any offense that would be a felony in Texas or a misdemeanor involving moral turpitude.
Source: Occupations Code 155.003(e)(3)
Why: Regardless of the offense, the Board must suspend the license of a physician serving a prison term in a state or federal penitentiary during the term.
Source: Occupations Code 164.058
Why: If the request is denied in whole or in part, the physician must furnish a signed and dated written statement of the reason and place a copy in the patient's records.
Source: Occupations Code 159.006(e)
Why: A prescriber must access the patient's prescription information before prescribing or dispensing opioids, benzodiazepines, barbiturates, or carisoprodol; checking before other controlled substances is optional.
Source: Health and Safety Code 481.0764(a)-(b)
Why: A delegating physician must register the delegate's name, license number, beginning date, and practice locations within 30 calendar days, and notify the Board of termination within 30 days.
Source: 22 TAC 169.5(b)-(c)
FAQ
Medical Jurisprudence (TMB) questions, answered
What is the passing score for the Texas medical jurisprudence exam?
75 or better. The Board's rules also require evidence of passing the Texas jurisprudence examination with a score of at least 75 (22 TAC 161.6). This practice test uses a 75 percent pass mark to match.
How many questions are on the TMB jurisprudence exam?
TMB does not publish the number of questions or a time limit. Our timed test draws 50 questions from a bank of 250 and gives you 60 minutes, which is a practice setting, not the official format.
How much does the Texas medical jurisprudence exam cost?
Nothing. TMB's jurisprudence exam page says there is no limit on the number of attempts and no cost for each attempt. Older pages that list a fee are out of date.
How many times can I take the TMB jurisprudence exam?
As many times as you need. The Medical Practice Act limits licensing exams to three attempts but exempts the jurisprudence exam (Occupations Code 155.056(a-1)), and TMB states no waiting period between attempts.
Where do I take the Texas jurisprudence exam for physicians?
Online, inside your My TMB account. It becomes available once you have a pending license application, or during initial registration if you were licensed through the Interstate Medical Licensure Compact.
What does the Texas medical jurisprudence exam cover?
Texas law that governs physicians: the Medical Practice Act in the Occupations Code and the Board's rules. TMB lists eligibility for licensure, registration renewal, continuing education, scope of practice, and investigations and enforcement. This bank adds prescribing law, records privacy, delegation, telemedicine and advertising rules.
Is this the official TMB exam or study guide?
No. ExamStates is an independent practice site. These are original questions written from the Occupations Code, the Health and Safety Code and 22 TAC Part 9, with the section cited for every answer.