Trial Occupational Therapy Exam Manual (TOTEM) and the Trial Occupational Therapy Exam (TOTE)

The TOTEM contains 100 practice questions with answers and rationales and is reflective of the National Occupational Therapy Certification Exam (NOTCE). This paperless, web-based resource introduces you to the format of the NOTCE and the type of questions that you may encounter when writing the National Exam.

In addition, when you purchase the TOTEM, you receive a one-time access to the TOTE. TOTE is a paperless, web-based resource and is intended to be used as a measure of readiness for the National Exam. It’s an on-line exam consisting of a 100 questions, with a 2 hour time limit. Once you complete the 100 questions, you are provided with a summary of your score. Answers to the TOTE questions are not provided, but the results are separated by the exam blueprint categories, explained in the exam resource manual . The exam resource manual also includes a sample case study with questions similar to those in the TOTEM/TOTE and NOTCE.

The TOTEM and TOTE combined gives you access to a total of 200 questions, the same amount of questions as the NOTCE. This resource would be ideal for any exam candidates, International and Canadian graduates.

The TOTEM/TOTE is available for purchase through our on-line store, please click here . When purchasing the bundle, please use your student member username and password. Please allow 24 to 48 hours for CAOT to generate the TOTEM eBook license, which will be sent to your e-mail account.

  • You will require internet access to establish your license to view the TOTEM eBook.
  • You will only receive one license, please be sure to activate your license on the device most practical for the eBook. Once you activate the license on one device, you will not be able to move it to another device.
  • You will not be able to print the TOTEM. 
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