Nick, Again, you have missed a key element of the example and come away with a mistaken impression. The example was not of a time test on emergency medicine -- it was an evaluation of skill in a TASK that is time-dependent (applying a tourniquet). If the evaluation had been a written test asking for a description of how to apply a tourniquet, there would be no reason that extended time could not be granted. Any standardized test for licensure or certification will (by law) include the possibility of extended time for students with disabilities. It is WHOLLY appropriate to give a student extended time on a practice test as will be available on the actual exam. Dr. Jane Jarrow