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North American Veterinary Licensing Examination — Information & Free Practice

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North American Veterinary Licensing Examination

Provider
International Council for Veterinary Assessment (ICVA); delivered at Prometric testing centers
Format
Computer-based multiple-choice examination; each question presents a clinical scenario or vignette followed by a question requiring one answer from a list of response options; about 15-20% include graphics such as photos or radiographs. Beginning with the October-November 2026 NAVLE the test is divided into twelve blocks of 30 questions each.
Exam questions
360 multiple-choice questions
Time limit
Around seven and a half (7.5) hours
Passing score
Score report gives a pass or fail designation and a three-digit scaled score
Exam fee
$825 (USD) standard NAVLE fee; $1,220 (USD) international NAVLE fee (standard fee + international fee of $395)
Examination outline
  • Clinical Practice (competency domain; target blueprint 70%) (70%)
    • Data Gathering and Interpretation (target blueprint 35%) — Create or update medical records
    • Data Gathering and Interpretation (target blueprint 35%) — Develop a differential diagnosis
    • Data Gathering and Interpretation (target blueprint 35%) — Formulate a diagnostic plan
    • Data Gathering and Interpretation (target blueprint 35%) — Formulate possible differential diagnoses
    • Data Gathering and Interpretation (target blueprint 35%) — Interpret cytologic specimens
    • Data Gathering and Interpretation (target blueprint 35%) — Interpret diagnostic images (e.g., ECG, endoscopy, ultrasound, x-ray)
    • Data Gathering and Interpretation (target blueprint 35%) — Interpret findings from laboratory tests (e.g., urine, blood, tissue)
    • Data Gathering and Interpretation (target blueprint 35%) — Interpret findings from physical examination
    • Data Gathering and Interpretation (target blueprint 35%) — Interpret findings from postmortem specimen
    • Data Gathering and Interpretation (target blueprint 35%) — Interpret principles of pathophysiology and mechanism of action
    • Data Gathering and Interpretation (target blueprint 35%) — Interpret results of system-specific examination (e.g., ophthalmic, cardiovascular, musculoskeletal, dental)
    • Data Gathering and Interpretation (target blueprint 35%) — Investigate possible exposure of companion animal to toxin
    • Data Gathering and Interpretation (target blueprint 35%) — Investigate possible exposure of food or game animal to toxin
    • Data Gathering and Interpretation (target blueprint 35%) — Observe or interpret an animal’s mental status and other aspects of behavior
    • Data Gathering and Interpretation (target blueprint 35%) — Obtain animal health history from client
    • Data Gathering and Interpretation (target blueprint 35%) — Obtain diagnostic images (e.g., ultrasound, x-ray)
    • Data Gathering and Interpretation (target blueprint 35%) — Obtain specimens or samples for laboratory studies (e.g., urine, blood, tissue)
    • Data Gathering and Interpretation (target blueprint 35%) — Perform general physical examination
    • Data Gathering and Interpretation (target blueprint 35%) — Perform postmortem examination to determine cause of death
    • Data Gathering and Interpretation (target blueprint 35%) — Perform standard diagnostic tests on samples (e.g., urine, blood, tissue)
    • Data Gathering and Interpretation (target blueprint 35%) — Perform system-specific examination (e.g., ophthalmic, cardiovascular, musculoskeletal, dental)
    • Data Gathering and Interpretation (target blueprint 35%) — Prioritize need for diagnostic procedures considering available resources
    • Data Gathering and Interpretation (target blueprint 35%) — Read and interpret production records or farm-based computer reports to understand herd-level health parameters
    • Data Gathering and Interpretation (target blueprint 35%) — Review animal medical records to determine health status
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Administer a biological or pharmacological agent other than anesthesia, including blood, vaccinations, drugs, and medications
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Administer general anesthesia
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Administer local anesthesia
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Apply a splint, cast or other stabilization device
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Care for wounds or surgical incisions (e.g., suture, dress)
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Determine prognosis
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Establish a rehabilitation plan
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Establish a treatment plan
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Evaluate a treatment outcome
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Formulate or evaluate a behavior modification plan
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Formulate patient/herd/population management and treatment plans (e.g., stall rest, medication, raising curtains in a pig barn, testing feed)
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Perform common therapeutic/surgical procedures (e.g., tissue biopsy, wound drainage)
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Perform major surgical procedures (e.g., abdominal, orthopedic)
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Prescribe a biological or pharmacological agent
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Refer clients to veterinary specialists for further diagnostic studies or treatment
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Synthesize multiple sources of diagnostic information, including local disease prevalence, to determine diagnosis
    • Health Maintenance and Problem Management (listed in the target blueprint as 'Health Maintenance and Prevention', 35%) — Treat minor injuries or trauma (e.g., abrasions, lacerations, eye wounds)
  • Preventive Medicine and Animal Welfare (competency domain; target blueprint 15%) (15%)
    • Animal Welfare Issues and Concerns (target blueprint 6%) — Certify that animals or animal products meet certain standards (e.g., living conditions, sanitation, health or disease status)
    • Animal Welfare Issues and Concerns (target blueprint 6%) — Conduct or oversee an animal welfare audit
    • Animal Welfare Issues and Concerns (target blueprint 6%) — Conduct periodic/annual examinations on client animals and discuss vaccination, deworming, diet, exercise, and other wellness considerations
    • Animal Welfare Issues and Concerns (target blueprint 6%) — Explain to client the components of an animal welfare audit
    • Animal Welfare Issues and Concerns (target blueprint 6%) — Identify and take action on animal welfare problems
    • Animal Welfare Issues and Concerns (target blueprint 6%) — Verify that diseased or infected animals have been managed according to professional or governmental guidelines
    • Animal Welfare Issues and Concerns (target blueprint 6%) — Work with community groups or regulatory bodies to address the ethical treatment, health, and welfare of animals
    • Environmental Health and Safety (target blueprint 5%) — Apply isolation or quarantine and/or disinfection measures to own work environment as a means of disease prevention/control
    • Environmental Health and Safety (target blueprint 5%) — Ensure proper disposal of biomedical waste
    • Environmental Health and Safety (target blueprint 5%) — Evaluate animal environments to identify possible epidemiological problems and public health concerns
    • Environmental Health and Safety (target blueprint 5%) — Inform client or community about effective methods for managing animal or human waste
    • Environmental Health and Safety (target blueprint 5%) — Inspect practice environment (e.g., clinic, vehicle) to ensure that it is safe and accessible
    • Environmental Health and Safety (target blueprint 5%) — Instruct client about methods to humanely terminate diseased animals and dispose of infected carcasses
    • Environmental Health and Safety (target blueprint 5%) — Instruct staff, colleagues, or others about proper technique for disposal of biomedical waste
    • Environmental Health and Safety (target blueprint 5%) — Monitor workplace to verify that it complies with hazardous materials requirements
    • Veterinary Public Health (target blueprint 4%) — Apply isolation or quarantine procedures as a means of disease prevention and control
    • Veterinary Public Health (target blueprint 4%) — Collaborate or consult with clients, health professionals, government agencies, or community groups on public health issues such as food safety and zoonotic disease
    • Veterinary Public Health (target blueprint 4%) — Conduct a community education workshop on some topic related to animal or human health
    • Veterinary Public Health (target blueprint 4%) — Consult with community stakeholders about animal population control
    • Veterinary Public Health (target blueprint 4%) — Discuss animal care options with an immunocompromised owner
    • Veterinary Public Health (target blueprint 4%) — Formulate a patient/herd management and/or treatment plan for public health and/or zoonotic disease cases or concerns
    • Veterinary Public Health (target blueprint 4%) — Inform clients or community about prevention and treatment of zoonotic organism exposure
    • Veterinary Public Health (target blueprint 4%) — Inspect food to ensure consumer safety
    • Veterinary Public Health (target blueprint 4%) — Investigate a disease outbreak
    • Veterinary Public Health (target blueprint 4%) — Participate in disease control or eradication program
    • Veterinary Public Health (target blueprint 4%) — Participate in epidemiologic inquiry of a reportable disease by collecting, handling, or transporting specimens/samples
    • Veterinary Public Health (target blueprint 4%) — Report a transboundary or zoonotic disease to state, regional, or national agency
    • Veterinary Epidemiology and Biostatistics (no separate subdomain percentage is published in the target blueprint) — Apply the fundamentals of epidemiology and/or biostatistics
    • Veterinary Epidemiology and Biostatistics (no separate subdomain percentage is published in the target blueprint) — Interpret biostatistical or epidemiologic principles or problems
    • Veterinary Epidemiology and Biostatistics (no separate subdomain percentage is published in the target blueprint) — Investigate epidemiologic problems
  • Communications (competency domain; the target blueprint lists 'Communication' at 8%) (8%)
    • Communications with Veterinary and Other Professionals (target blueprint 'Communication with Veterinary and other Professionals' 3%) — Build relationships with junior colleagues or new graduates
    • Communications with Veterinary and Other Professionals (target blueprint 'Communication with Veterinary and other Professionals' 3%) — Consult with other veterinarians or veterinary specialists regarding animal care
    • Communications with Veterinary and Other Professionals (target blueprint 'Communication with Veterinary and other Professionals' 3%) — Delegate delivery of veterinary care and services to associates or staff
    • Communications with Veterinary and Other Professionals (target blueprint 'Communication with Veterinary and other Professionals' 3%) — Deliver verbal case summaries to other veterinarians or members of the health care team
    • Communications with Veterinary and Other Professionals (target blueprint 'Communication with Veterinary and other Professionals' 3%) — Describe disaster preparedness plan to coworkers
    • Communications with Veterinary and Other Professionals (target blueprint 'Communication with Veterinary and other Professionals' 3%) — Engage regulatory bodies to improve standards of practice or to address other professional issues
    • Communications with Veterinary and Other Professionals (target blueprint 'Communication with Veterinary and other Professionals' 3%) — Explain results of research to non-veterinary health workers (e.g., staff, other agencies)
    • Communications with Veterinary and Other Professionals (target blueprint 'Communication with Veterinary and other Professionals' 3%) — Guide the work of associates or other staff in the delivery of veterinary services
    • Communications with Veterinary and Other Professionals (target blueprint 'Communication with Veterinary and other Professionals' 3%) — Mentor and supervise veterinary and veterinary technician students
    • Communications with Veterinary and Other Professionals (target blueprint 'Communication with Veterinary and other Professionals' 3%) — Respond to unprofessional or unethical behavior in others
    • Communications with Veterinary and Other Professionals (target blueprint 'Communication with Veterinary and other Professionals' 3%) — Train staff in animal health and care
    • Communications with Veterinary and Other Professionals (target blueprint 'Communication with Veterinary and other Professionals' 3%) — Write a case summary for use by other veterinarians or members of the health care team
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Advise client on health maintenance for herd, flock or individual pet (e.g., husbandry, production management, public health, wellness exams)
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Advise client regarding appropriate and inappropriate pharmacy compounding
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Discuss euthanasia with client
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Discuss strategies with producer or client to reduce antibiotic resistance and/or antibiotic residues
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Discuss the limits of legal extra-label drug use with client
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Ensure that client understands the effects of prescribed pharmaceuticals, including chemotherapeutics (e.g., withdrawal time, side effects)
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Explain diagnosis and prognosis to clients using lay terminology
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Explain research results to client, describing its implications for animal care
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Help clients differentiate trustworthy from unreliable information (e.g., from Internet or advertisements) to support the care of their animals
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Inform client of bad news (e.g., animal terminal illness, show animal that can’t be bred)
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Instruct clients on how to obtain diagnostic information from an animal’s home environment (e.g., sleeping respiratory rate, stool or urine samples)
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Instruct clients on methods for isolating and quarantining diseased animals
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Negotiate payment plan with a client
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Obtain informed consent from client
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Provide instruction regarding food safety practices
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Provide verbal instructions to client regarding follow-up care (e.g., medications, wound care, environmental enrichment)
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Recommend management options to clients that are consistent with their cultural norms and personal values
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Refer client for grief counseling
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Talk with client to clarify concerns and expectations regarding type and level of care
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Teach client about preventive care (e.g., nutrition, behavior, dental, vaccines, parasites)
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Use appropriate communication techniques (e.g., open-ended inquiry, empathy)
    • Communications with Clients (target blueprint 'Communication with Clients' 5%) — Write a summary of animal care instructions for a client
  • Professionalism, Practice Management, and Wellness (competency domain; target blueprint 'Professionalism, Practice Management and Wellness' 7%) (7%)
    • Veterinary Practice Management (target blueprint 4%) — Apply appropriate animal restraint
    • Veterinary Practice Management (target blueprint 4%) — Describe workings of benefit plan (e.g., retirement, health insurance) to staff
    • Veterinary Practice Management (target blueprint 4%) — Develop a budget for own practice or employer
    • Veterinary Practice Management (target blueprint 4%) — Develop standard operating procedures (e.g., procedures manual for practice or work environment)
    • Veterinary Practice Management (target blueprint 4%) — Evaluate and purchase major medical equipment
    • Veterinary Practice Management (target blueprint 4%) — Evaluate and purchase office/practice management software
    • Veterinary Practice Management (target blueprint 4%) — Evaluate new medications, products, or treatment procedures to determine suitability for own practice
    • Veterinary Practice Management (target blueprint 4%) — Negotiate work or practice arrangements (e.g., compensation, work schedule) with colleagues
    • Veterinary Practice Management (target blueprint 4%) — Prepare or update employee handbook
    • Veterinary Practice Management (target blueprint 4%) — Purchase expendable supplies (e.g., pharmaceuticals, dressing)
    • Veterinary Practice Management (target blueprint 4%) — Review practice management data, including business and financial records
    • Veterinary Practice Management (target blueprint 4%) — Supervise paraprofessional or technical support staff
    • Professional Development and Lifelong Learning (target blueprint 'Professional Development and Life-Long Learning' 3%) — Attend a professional development seminar or workshop
    • Professional Development and Lifelong Learning (target blueprint 'Professional Development and Life-Long Learning' 3%) — Attend training on emerging technologies in veterinary medicine
    • Professional Development and Lifelong Learning (target blueprint 'Professional Development and Life-Long Learning' 3%) — Conduct oneself in a professional, ethical, and legal manner
    • Professional Development and Lifelong Learning (target blueprint 'Professional Development and Life-Long Learning' 3%) — Consult reference materials (e.g., journals, online databases, other) to help formulate diagnosis or treatment options
    • Professional Development and Lifelong Learning (target blueprint 'Professional Development and Life-Long Learning' 3%) — Encourage veterinarian and support staff wellness
    • Professional Development and Lifelong Learning (target blueprint 'Professional Development and Life-Long Learning' 3%) — Exchange new scientific or technical information with other health professionals
    • Professional Development and Lifelong Learning (target blueprint 'Professional Development and Life-Long Learning' 3%) — Give a talk at a professional meeting
    • Professional Development and Lifelong Learning (target blueprint 'Professional Development and Life-Long Learning' 3%) — Participate in activities of local, national, or international professional association (e.g., state veterinarian association)
    • Professional Development and Lifelong Learning (target blueprint 'Professional Development and Life-Long Learning' 3%) — Participate in online professional development activity
    • Professional Development and Lifelong Learning (target blueprint 'Professional Development and Life-Long Learning' 3%) — Participate in or conduct an investigation to test a new procedure (e.g., diagnostic, nutritional, medication, surgical)
    • Professional Development and Lifelong Learning (target blueprint 'Professional Development and Life-Long Learning' 3%) — Participate in professional development activities (e.g., continuing education, board certification)
    • Professional Development and Lifelong Learning (target blueprint 'Professional Development and Life-Long Learning' 3%) — Read a journal article for professional development
Examination sources

Related license preparation

This examination may be required or accepted as an alternative, depending on the license and application pathway.