how to pass the INBDE

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The INBDE is 500 multiple-choice items over two days — Day 1 has 360 items and Day 2 has 140 case items, with Day 2 within 7 days of Day 1 at the same Prometric center — scored pass/fail on a 49–99 scale with 75 as the minimum pass (a scaled score, not a percentage). The 2026 exam fee is $890, plus a $435 processing fee for non-CODA (internationally trained) candidates. Failers get a 13-area diagnostic report and face a 60-day wait, a 4-attempts-per-12-months cap, and a 5-year/5-attempt rule, then one attempt per 6 months. First-attempt failure ran 7.2% for CODA candidates and 34.9% for non-accredited candidates in 2025, after the harder June 2024 performance standard.