ap literature review pdf

AP® English Literature

The best ap® english literature review guide for 2024.

• The Albert Team
• Last Updated On: January 29, 2024

Scoring a 5 on the AP® English Literature and Composition exam is no easy task. In 2019, for example, only 6.2% of students earned a 5 on the test. While this statistic may be discouraging at first glance, it does indicate that a perfect score is possible for those willing to do extra preparation and practice. In 2022, nearly 17% of test-takers earned a 5 – a big improvement!

It may take some hard work, but it’s possible to ace this exam! We’re here to help.

In this comprehensive review, we’ll unpack the exam’s basic format, analyze the common structures and shapes of AP® Literature questions, provide useful tips and strategies for scoring a 5, and offer a variety of helpful additional resources and study tools.

Let’s get to it!

What We Review

How is the AP® English Literature and Composition Exam formatted? 

The AP® English Literature and Composition exam is divided into two sections: multiple-choice and free-response. 

The multiple-choice section is broken into five chunks equipped with 8-13 questions each, totaling 55 questions. You will be asked to analyze excerpts from diverse literary texts, including prose fiction, drama, or poetry. Moreover, there will always be at least 2 prose fiction passages and 2 poems in this section of the exam. The fifth text can be either. 

The multiple-choice section has a time limit of 1 hour, and it counts as 45% of your overall exam score. 

Section 2 of the exam, often informally called the “essay section,” contains 3 free-response prompts which demand literary analysis of a given poem, a passage of prose fiction, or an excerpt from a play. 

The first two prompts will provide a passage or a poem requiring analysis, while the third and final prompt will ask you to engage with a concept, issue, or element in a literary work that you are expected to have encountered during the school year. A list of appropriate works is provided for the third prompt. 

You have 2 hours to complete Section 2, which comprises 55% of your final exam score.

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How Long is the AP® English Literature and Composition Exam?

The AP® English Literature and Composition exam is 3 hours long. Students will have 1 hour to complete the multiple-choice section (55 questions) and 2 hours to complete the free-response section (3 questions). 

Since you must answer 55 questions in 60 minutes on the multiple-choice portion of the exam, you should pace yourself at about 1 minute per question and about 12 minutes per passage. 

Likewise, since the free response section is timed at 120 minutes, you should aim to complete each essay in 40 minutes or under.

Time yourself when you practice, and don’t get caught up trying to answer a question that you totally do not know the answer to. Don’t rush through the test, but don’t take too much time.

How Many Questions Does the AP® English Literature and Composition Exam Have? 

Section i: multiple-choice.

• 5 passages, 55 questions total: 8-13 questions per passage
• Passages include 2 Prose, 2 Poems, and 1 of either

Section II: Free-Response

• 1 literary analysis of a given poem
• 1 literary analysis of a given passage of prose fiction
• 1 literary argument

What Topics are Covered on the AP® English Literature and Composition Exam? 

Perhaps the best way to begin thinking about the topics covered on the exam is through a holistic approach. Overall, the test assesses the six big ideas covered within the AP® English Literature and Composition course itself: 

• Figurative Language
• Literary Argumentation

These components comprise the whole exam, and you will be tested specifically on material from these broad concepts. 

Now, let’s return to its formatting. Remember, the exam is divided into multiple choice and free response, each carrying its own set of demands and topics.

Section I: Multiple Choice

Since the AP® English Literature and Composition exam is a skills-based test, there’s no way to know what specific passages or topics might appear on the official exam. Rather, CollegeBoard uses a variety of excerpts from literary texts, including prose, poetry, and drama. 

The passages often range from the 16th to the 21st century, and the authors and literary works change yearly. So it is imperative that you sharpen your critical reading skills and hone your ability to engage with the forms, styles, and content of a diverse range of literature. 

However, we have some good news. We do know how the multiple choice section is organized and weighted. It is divided into three broad units: short fiction, poetry, and longer fiction or drama, with each unit carrying its own weighted percentage. The chart below outlines this weighting:

Moreover, the multiple choice portion of the exam can be further broken down into 7 assessed skills:

Remember, the multiple-choice section will include five sets of 8 to 13 questions per set, so be prepared to encounter many if not all of these skill sets per passage. But it is safe to say that you should review certain skill categories more thoroughly than others on account of how frequently they appear on the exam. 

Below we’ve compiled a descending list of priorities for you to consider. 

• Skill Category 4 : Explain the function of the narrator or speaker
• Skill Category 1 : Explain the function of character
• Skill Category 3 : Explain the function of plot and structure
• Skill Category 5 : Explain the function of word choice, imagery, and symbols
• Skill Category 7 : Develop textually substantiated arguments about interpretations of part or all of a text
• Skill Category 6 : Explain the function of comparison
• Skill Category 2 . Explain the function of setting

Section 4, “Explain the function of the narrator or speaker,” should be studied the most since it holds a substantial amount of weight in determining your score. Skill category 2, as you see above, accounts for a small percentage of the exam so we recommend you don’t spend hours upon hours brushing up on the function of the setting. Don’t blow it off, though!

Section II: Free Response

Like the multiple choice section, the free response portion is also skills-based. We cannot predict what specific passages or poems will make it onto the test, but we do know the type(s) of essays you will be required to write:

• 1 Poetry Analysis: After reading a poem of 100 to 300 words, you will respond to a prompt based on the poem with a well-developed essay. Your essay, of course, must offer a defensible interpretation, make adequate use of textual evidence, engage critically with cited evidence, and use appropriate grammar and punctuation when communicating its argument. These requirements are present throughout all three free-response essays. 
• 1 Prose Fiction Analysis: This part of the free response section will provide a passage of prose fiction (500 to 700 words) and, like the poetry analysis, ask you to respond to a prompt through writing a well-developed essay. Your argument must adhere to the rigor and clarity outlined above in the poetry analysis description.
• 1 Literary Argument Essay: Here, you will be given an open-ended topic and be asked to write an evidence-based argumentative essay in response to the topic. There will be a quote or small passage to read, a corresponding prompt, and an extensive list of literary works you may use when developing your argument. While you do not have to use a work from this list, you must select a work of literary merit. Avoid choosing fantasy novels or works designed more for pure entertainment. It needs to be a work of “deep” literature.

What Do the AP® English Literature and Composition Exam Questions Look Like?

Multiple choice examples:.

The Course and Exam Description (CED) for AP® Lit provides 10 practice questions that address prose fiction and 9 practice questions that address poetry.

Below, we’ll look at examples of each question type and cover the skills and essential knowledge they address. First, we will examine the multiple-choice questions involving prose fiction:

Skill: 5.B Explain the function of specific words and phrases in a text.

Essential Knowledge: FIG-1.M Descriptive words, such as adjectives and adverbs, qualify or modify the things they describe and affect readers’ interaction with the text.

Skill: 4.C Identify and describe details, diction, or syntax in a text that reveal a narrator’s or speaker’s perspective.

Essential Knowledge: NAR-1.R Information included and/or not included in a text conveys the perspective of characters, narrators, and/or speakers.

Skill: 3.C Explain the function of structure in a text.

Essential Knowledge: STR-1.F A text’s structure affects readers’ reactions and expectations by presenting the relationships among the ideas of the text via their relative positions and their placement within the text as a whole

Now that we’ve taken a look at samples of multiple-choice questions involving prose fiction, let’s turn our attention toward questions that address poetry. 

Skill 7.B: Develop a thesis statement that conveys a defensible claim about an interpretation of literature and that may establish a line of reasoning. 

Essential Knowledge: LAN-1.D A thesis statement expresses an interpretation of a literary text, and requires a defense, through use of textual evidence and a line of reasoning, both of which are explained in an essay through commentary.

Skill 4.C: Identify and describe details, diction, or syntax in a text that reveal a narrator’s or speaker’s perspective.

Essential Knowledge: NAR-1.X Multiple, and even contrasting, perspectives can occur within a single text and contribute to the complexity of the text.

Skill: 5.D Identify and explain the function of an image or imagery.

Essential Knowledge: FIG-1.O Descriptive words, such as adjectives and adverbs, contribute to sensory imagery.

As you see, these questions force you to engage with literature more critically and technically. CollegeBoard’s main objective is to shape you into a budding literary critic capable of producing college-level work, so they consistently ask questions that look like those above. 

To develop your skills to a level that would be acceptable by a university, then, the test-makers over at CollegeBoard often craft questions involving analysis of literary devices, character perspective, figurative language, and more. The individual skills assessed by these questions are designed to take your thinking to a much higher level.

Free Response Examples: 

The Course and Exam Description (CED) for AP® Lit also provides samples of free response questions. Let’s begin by taking a look at a sample of a poetry-based free response prompt.

Poetry Analysis

Skills: 4.C, 7.A, 7.B, 7.C, 7.D, 7.E

Note how the prompt is somewhat vague and open-ended. While it does ask you to hone in on a specific topic within the poem—aging—through discussion of the writer’s use of poetic elements and techniques, it also does not specify which of those elements and techniques should be discussed:

• Then, in a well-written essay, analyze how Emerson uses poetic elements and techniques to convey the speaker’s complex perspective on aging.

So, it is imperative that you come to this exam with a deep and clear understanding of literary devices and motifs such as parallelism, imagery, irony, etc.

If you struggle with literary and rhetorical terms, check out our guide on essential AP® Literature Rhetorical Terms !

In a bit, we’ll provide some additional resources to help you build your knowledge of these literary tools.

Prose Fiction Analysis

Skills: 1.A, 7.A, 7.B, 7.C, 7.D, 7.E

The prompt requires you to read the excerpt and construct a well-developed literary analysis in response. Like the poetry prompt, note how this prompt is somewhat vague and open-ended. Again, it points you in a direction but leaves it up to you on how you’re going to get there:

• Then, in a well-written essay, analyze how Kincaid uses literary elements and techniques  to portray the complexity of the narrator’s new situation.

Therefore, it is imperative that you come to the test prepared with knowledge of literary elements and techniques.

Literary Argument 

Skills: 1.E, 2.C, 7.A, 7.B, 7.C, 7.D, 7.E

Unlike the other two essays, this prompt contains neither a prose excerpt nor a poem. Rather, it provides a brief quote and then asks you to expand on its central concept and, in our case, the notion of home. 

It then provides a list of works that would suit your analysis. You are to select one work from the list or choose another work of literary merit and analyze it in the context of the prompt. Again, note how much of the analysis is up to you. The prompt points you in a direction and then leaves you on your own to select how you’re going to get there. 

Therefore, it is imperative that you have not only a solid understanding of literary terms and concepts but also a diverse and deep history of reading. We will direct you toward some additional resources that will strengthen your knowledge below but start by consulting our Ultimate AP® English Literature Reading List to get started!

And if you’re not an avid reader, do not fret! You can guarantee the AP® English Literature and Composition course itself will cover at least one of the books on the list. You will likely be familiar with at least 2-3 of the texts just from taking the course. And if all else fails, you may select your own work of literary merit to discuss!

Free Response Rubric Breakdowns

In previous years, the AP® Lit essays were scored using holistic rubrics on a scale of 0-9. However, after the 2019 exam, the evaluation changed to a new analytic rubric which runs on a scale of 0-6. 

Switching to an analytic rubric from a holistic one can be difficult, especially if you’ve already taken another AP® English class or prepared using the holistic version. But, unlike the holistic rubric, the analytic model tells you exactly what to include in your essay to earn maximum points. 

Consider the new analytic rubric a How-To Guide, designed to earn you a 6 on each essay. And, unlike the AP® Lang exam, all three AP® Lit essays are graded essentially through the same rubric.

Below, we’ll spend some time breaking down the elements of the new rubric. First, let’s take a look at the Thesis row.

Row A: Thesis (0-1 Points)

A well-developed thesis statement is crucial to making your overall argument effective and convincing. Unsurprisingly, the Thesis row on the rubric is essentially all or nothing; you either earn the point or you don’t.

Let’s break down the wording on the rubric to further understand the significance of the thesis point.

It’s important to note what the rubric warns against: 

• No thesis at all
• The thesis only restates the prompt
• The thesis merely summarizes 
• The thesis does not respond to the prompt 

Doing any of these will miss the mark, and a weak thesis often leads to a weak essay. Rather, the rubric emphasizes that you: 

• Respond to the prompt with a thesis that presents a defensible interpretation of the poem, prose passage, or selected work.

Easier said than done, we know. But notice the key phrase, “defensible interpretation.” The basis of your argument, the rubric insists, is entirely up to you as long as you adequately defend and your point. This means you must be ready to dig into the text, cite textual evidence, and analyze your findings sophisticatedly and persuasively. Your thesis, then, must contain a claim. 

If thesis statements are particularly troubling to you, we recommend tuning into CollegeBoard’s official online workshop . It’s helpful, really. 

Below are two examples of thesis statements from the 2019 exam:

• This thesis statement thoroughly considers both the positive and negative consequences of idealism and explains how this portrayal illuminates the meaning of the work as a whole.
• This thesis statement fails to identify a character and confusingly identifies the government’s repressive efforts as presenting a “fabricated view of an Ideal world.” It ultimately makes no claim and overly generalizes.

Row B: Evidence and Commentary (0-4 Points)

Think of evidence and commentary as the meat of your essay. This is where you will really dig into your argument, cite the text, and make specific claims and arguments.

As mentioned, this portion of the rubric works on a scale of 0-4:

As you see, earning all four points requires direct and specific textual citation and thorough, deep analysis throughout your entire essay. Cite evidence that fits your main argument, do not simply cite for the sake of citation. Always avoid paraphrasing (except on the third free-response question where paraphrasing is acceptable). Do not simply cite text and then give a basic summary. Dig deep and analyze. 

If you struggle with analyzing evidence and developing commentary, check out one of our many practice models ! 

Row C Sophistication (0-1 Points)

Similar to the Thesis row, the Sophistication evaluation is also all or nothing — you either earn the point or you don’t. 

However, earning the sophistication point is not as cut and dry as earning the thesis point. You can’t really pinpoint or locate sophistication in the way you can a thesis statement. If it’s there, it’s everywhere; if not, it’s nowhere. 

So to unpack this complex idea, let’s return to the rubric. 

The rubric states that essays that earn the point “demonstrate sophistication of thought and/or develop a complex literary argument.” 

To be more precise, this means that your essay does these four things: 

• Identifies and explores complexities or tensions within the poem, prose passage, or selected work. 
• Situates your overall interpretation within a broader, more universal context. 
• Accounts for alternative interpretations of the poem, prose passage, or selected work. 
• Employs a style that is consistently vivid and persuasive.

Conversely, then, you will not earn the point if your essay:

• Contains sweeping generalizations
• Only hints at other positions or interpretations
• Uses overly complex sentences or language that doesn’t add anything to the argument

Above all, sophistication cannot be reduced to a checkbox. You can’t really add it here or there. It must pervade the entire essay for you to earn the point. It’s a difficult task, but it can be done with a little practice and perseverance. 

For additional tips on writing well-developed analyses, check out our guide on how to tackle prose passages !

What Can You Bring to the AP® English Literature and Composition Exam?

If you’re taking the  digital  exam, you must use a laptop computer (Mac, Windows, or school-managed Chromebook). Because the full-length digital AP® Exams require typewritten free responses, the exams can’t be taken on smartphones. For more details,  here is the full digital AP® exam specifications  from College Board.

If you’re traveling to a testing location to take an in-person exam, make sure to arrive early. If you’re testing digitally from home, be sure all of your digital login details are confirmed beforehand.

Given the sheer importance and seriousness surrounding AP® exams, the College Board has imposed very strict rules and regulations regarding what you can and cannot bring into your testing room (if you’re testing in-person at a school). Not adhering to these rules can lead to score invalidation and even room-wide exam cancellation, so it’s important to know what you can and cannot bring with you on testing day!

What You Should Bring to Your AP® English Literature Exam

If you’re taking the paper AP® English Literature exam in-person at school, you should bring:

• At least 2 sharpened No. 2 pencils for completing the multiple choice section
• At least 2 pens with black or blue ink only. These are used to complete certain areas of your exam booklet covers and to write your free-response questions. CollegeBoard is very clear that pens should be black or blue ink only, so do not show up with your favorite neon gel pen!
• You are allowed to wear a watch as long as it does not have internet access, does not beep or make any other noise, and does not have an alarm. It should be a standard analog or digital watch, nothing fancy!
• If you do not attend the school where you are taking an exam, you must bring a government issued or school issued photo ID.
• If you receive any testing accommodations , be sure that you bring your College Board SSD Accommodations Letter.

What You Should NOT Bring to Your AP® English Literature Exam

If you’re taking the paper AP® English Literature exam in-person at school, you should NOT bring:

• Electronic devices. Phones, smartwatches, tablets, and/or any other electronic devices are expressly prohibited both in the exam room and break areas. Seriously, do not bring these into the testing room. You could invalidate the entire room’s scores.
• Books, dictionaries, highlighters, or notes 
• Mechanical pencils, colored pencils, or pens that do not have black/blue ink. Sometimes the lead used in mechanical pencils cannot be read when run through the scantron reader, so it is best to just avoid them altogether. 
• Your own scratch paper
• Reference guides
• Watches that beep or have alarms
• Food or drink

This list is not exhaustive. Be sure to double-check with your teacher or testing site to make sure that you are not bringing any additional prohibited items.

How to Study for AP® English Literature and Composition: 7 Steps

Start with a diagnostic test to see where you stand. Ask your teacher if they can assign you one of our full-length practice tests as a starting point. Your multiple choice will be graded for you, and you can self-score your free response essays using the College Board’s scoring guidelines. If you would prefer to take a pencil and paper test, Princeton Review or Barron’s are two reputable places to start. Be sure to record your score.

Once you’ve completed and scored your diagnostic test, it’s time to analyze the results and create a study plan. 

• If you used Albert, you’ll notice that each question is labeled with the skill that it assesses. If any skills stand out as something you’re consistently getting wrong, those concepts should be a big part of your study plan. 
• If you used Princeton Review, Barron’s, or another paper test, do your best to sort your incorrect answers into the skill buckets from Albert’s AP® English Literature and Composition Standards Practice .

The tables below sort each set of skills into groups based on their Enduring Understandings and Big Ideas.

Big Idea: Character 

ENDURING UNDERSTANDING: Characters in literature allow readers to study and explore a range of values, beliefs, assumptions, biases, and cultural norms represented by those characters.

Big Idea: Setting

ENDURING UNDERSTANDING: Setting and the details associated with it not only depict a time and place, but also convey values associated with that setting.

Big Idea: Structure

ENDURING UNDERSTANDING: The arrangement of the parts and sections of a text, the relationship of the parts to each other, and the sequence in which the text reveals information are all structural choices made by a writer that contribute to the reader’s interpretation of a text.

Big Idea: Narration

ENDURING UNDERSTANDING: A narrator’s or speaker’s perspective controls the details and emphases that affect how readers experience and interpret a text.

Big Idea: Figurative Language

ENDURING UNDERSTANDING: Comparisons, representations, and associations shift meaning from the literal to the figurative and invite readers to interpret a text.

Big Idea: Literary Argumentation 

ENDURING UNDERSTANDING: Readers establish and communicate their interpretations of literature through arguments supported by textual evidence.

Once your list of practice questions is complete, check out our Ultimate List AP® English Literature Tips for some pointers.

Now that you’ve developed a study plan for the multiple choice section, it’s time to tackle the FRQs. You should have self-scored your essays using CollegeBoard’s scoring guidelines . If you notice that there is one particular prompt you struggled with, use Albert’s AP® Lit FRQ Approach Guide to help hone your skills!

Check out Albert’s AP® Lit FRQ prompts for more practice!

If you didn’t struggle with a particular prompt as much as you did a particular part of the rubric, try to figure out what went wrong. Does your thesis restate the prompt instead of proposing your own position? Did you generalize too much? Did you remember to provide evidence but forget to augment it with commentary and analysis? Maybe your word choice wasn’t varied enough to earn the sophistication point.

Whatever element you struggled with, have a look at our comprehensive page dedicated to AP® Lit for some expert advice!

Once you’ve developed an effective study plan using the links and practice above, and you’ve identified the skills which need more practice, it’s time to set your plan in motion. Check and mark your calendar. How many days, weeks, or months do you have until your exam? Pace your studying according to this time-frame. Pro-tip: If you only have a few weeks or days to go, prioritize the skills that you scored the lowest on. 

About halfway through your study schedule, plan to take a second practice test to check your progress. You can either have your teacher assign another full-length Albert practice test or use one of the additional practice tests included in whatever AP® English Literature and Composition review book you purchased. Use these results to inform the rest of your study schedule. Are there skills that you improved on or scored lower on this time? Adjust accordingly, and use our tips in the next section to guide you.

AP® English Literature and Composition Review: 15 Must Know Study Tips

5 AP® English Literature and Composition Study Tips for Home

1.  read as much as possible..

And read widely. Read everything from epic poetry and Victorian novels to New Yorker articles and album reviews to Buzzfeed-style listicles. Read a combination of high and lowbrow texts to make your knowledge more worldly and syncretic.

Make a schedule for personal reading time and stick to it. Reading widely, of course, has incalculable benefits that will not only help you score a 5 on the test but also strengthen your academic performance across the board. 

Reading will help you develop a more impressive vocabulary and a better understanding of varied sentence structure and syntax. The more you read, the better equipped you will be to score a 5 on this exam.

2. Become familiar with the Western Canon.

The Western canon, often referred to simply as “The Canon,” is the body of high-culture literature, music, philosophy, and works of art that is highly valued in the West, i.e., the poems, prose passages, and drama selections that you will mostly see on the AP® Lit exam. 

The canon contains the “classics,” so to speak, and it includes everything from Homer to Junot Diaz. Cultivating a basic understanding of these texts and their authors will not only familiarize you with the history and development of the English tradition but also strengthen your understanding of the so-called “conversation of literature,” the innumerable and complex ways that authors and their works speak to each other and interact. We recommend reading at least the first chapter of Harold Bloom’s book on the subject to get a basic understanding. 

We also insist that you familiarize yourself with the various problems that the perseverance of such a canon produces. During the 80s and 90s, a canon war of sorts took place among English departments, with progressives aiming to dismantle the canon on the grounds that it neglects many African-American, female, queer, and impoverished writers in favor of spotlighting “dead white males.” 

This friction between advocates and opponents of the canon is extremely important to the history and status quo of literary criticism, and understanding this battle will deeply enrich your understanding of literature and increase your chances of scoring a 5 on the exam.

3. Read Thomas Foster’s How To Read Literature Like a Professor .

This book is a lively and entertaining introduction to the tools frequently used in literary criticism, including symbolism, theme, context, irony, and more. It is an excellent way to begin thinking deeply about literature, and it offers clear examples of close-reading.

It also discusses a wide variety of works that will help familiarize you with the canon. It’s very accessible too. Buy it, read it, mark it up, and keep it by your side throughout class. It’s a great tool. 

4. Make flashcards.

You will need to have a strong understanding of different literary devices, authors, works, and rhetorical techniques, and you don’t want to waste time scrambling for definitions on the day of the exam. 

Make yourself some flashcards with the most common literary devices, authors, works, and rhetorical techniques, and carve out at least 30 minutes per day to review. If you’d prefer to use an online resource, make some flashcards over at Quizlet ! 

5. Form study groups!

The beauty of reading literature is that it often produces different and conflicting responses in people, so discussing literature with your friends is a good way to explore new and diverse perspectives. 

What you bring to a text, for instance, may be completely different from what your friend or peer brings. Discussion is a great way to comprehend and investigate difficult works. And it’s also pretty fun!

5 AP® English Literature and Composition Multiple Choice Study Tips

1. practice, practice..

Practice answering multiple choice questions as often as you can. AP® English Literature and Composition multiple choice questions will address either fiction, poetry, or drama, and they will ask you to identify and analyze various literary devices, techniques, and motifs. So study these very devices. If you find yourself totally stuck, consult our guide on how to tackle the multiple choice section . 

2. Sharpen your close-reading skills.

The true key to acing the multiple choice section of this exam is staying engaged with the passages provided to you and actively reading. That means staying alert through the passages, marking them up, and engaging with them directly, not passively skimming them.

Find a method of active reading that works best for you. Some like to mark up the passage extensively, while others prefer to just read the passage twice and take notes here and there. Select which method works for you and go with it. However, do not just choose the easy or lazy way out. You’ll regret it later when you receive your scores. 

3. Look over the questions before reading the passage.

This is often a semi-controversial piece of advice because it doesn’t work for all readers. But it can be helpful if you’re someone who gets easily distracted when reading old prose passages or difficult poetry! 

If you find your mind wandering when reading AP® Lit passages, glancing at the questions beforehand can give your brain a purpose to focus on and a point of entry into the passage. It’s always easiest to begin searching when you know what you’re looking for.

4. Use process of elimination.

Often, an AP® Lit multiple choice question will have one or two answer choices that can be crossed off pretty quickly. So try and narrow your choices down to two possible answers, and then choose the best one. 

If this strategy isn’t working on a particularly difficult question or it seems to hold you up longer than you’d like, it’s perfectly okay to circle it, skip it, and come back to it at the end. Do not get hung up on eliminating choices. Rather, use this strategy to make your reading more efficient and quicker. 

5. It doesn’t hurt to guess.

Obviously, while guessing on every single question isn’t a good strategy and will lead to a 1 on the exam, an educated guess on particularly difficult questions that you truly don’t know how to answer can help. You are scored only on the number of correct answers you give, not the number of questions you answer, so it makes sense to guess on questions that you seriously have no idea how to answer.  

5 AP® English Literature and Composition FRQ Study Tips

1. practice your writing skills by answering questions from collegeboard’s archive of past exam questions or explore our free response practice modules ..

Typically, the same skills are assessed from year to year, so practicing with released exams is a great way to brush up on your analysis skills, and our review practice allows you to pinpoint skills you may need help with.

2. Explore and use the rubric!

The best part about the updated AP® English Literature and Composition revised rubrics and scoring guidelines is that it’s very clear to discern which elements are needed to earn full credit for your essay. Granted, it can be tough to include each element—especially that tricky sophistication section—but the rubric’s outline offers a clear and concise portrait of the perfect essay .

Be sure to construct your thesis statement into a clear and definable interpretation. Provide specific evidence and compelling commentary that supports your thesis. If you check these boxes, then you will have a much greater chance of developing a clear and defensible interpretation. 

3. Pay attention to the task verbs employed in your free response prompts .

Task verbs are verbs that essentially indicate what it is you should do in your free response. The three common task verbs include: 

• Analyze: Examine methodically and in detail the structure of the topic of the question for purposes of interpretation and explanation.
• Choose: Select a literary work from among provided choices.
• Read: Look at or view printed directions and provided passages.

4. Have a solid understanding of literary devices.

Most of the FRQ’s require you to not only specifically identify a passage’s array of literary and rhetorical devices but also analyze and unpack how those devices construct mood, meaning, tone, and more. Study up, read the aforementioned Foster book , and take a look at our list of 15 Essential Rhetorical Terms to Know For AP® English Literature . 

5. Fine-tune your thesis statement.

Your thesis statement is arguably the most important sentence in your essay. It informs the reader of your central argument and summarizes your interpretation, and it sets the tone for the rest of your essay. It is imperative that you master the tricky art of the thesis statement before taking your exam. 

Many university writing centers offer online education on thesis statements that can prove extremely beneficial. Consult UNC Chapel Hill’s thesis statement handout for extra help!

The AP® English Literature and Composition Exam: 5 Test Day Tips to Remember

Be sure you put at least something in your stomach before taking the exam, even if it might be in knots from nerves. You don’t need to eat a deluxe breakfast of pancakes, eggs, bacon, biscuits, etc. (unless that’s your routine), but you do need to eat at least something . Your brain and your body need the energy. If you’re hungry during the exam, it might be harder for you to focus, leading to a lower score or an incomplete exam.

2. Make sure you know the location of your testing site before taking the test.

You do not want to be scrambling and running around the school trying to find your testing room on the day of the exam. Know your room number and know how to get there. There’s truly nothing worse than running around your school trying to find a room when a hugely-important test is underway. 

If you’re getting a ride from a parent or friend, be sure they know the address beforehand. If you’re taking public transit, check the schedule. If you are taking your exam at your own school, don’t get too comfortable. Be sure you know the room number! This is something small but impactful that you can do to reduce your stress the morning of your exam.

3. Prepare everything you need the night before.

Waking up and scrambling to choose an outfit, find pencils, or make breakfast will just stress you out and put you in a negative headspace. Plan your outfit the night before to reduce stress and have an easy breakfast ready to go.

Being prepared saves time and cuts back unnecessary stress. 

And wear something comfortable. You don’t want to be adjusting your outfit throughout the test. It’ll just be distracting. 

4. Bring mints or gum with you.

The rules say that you can’t have food or drink in the testing room, but mints and/or gum are usually allowed unless it’s against your testing site’s own rules. If you find yourself getting distracted, pop a mint or a stick of gum in your mouth! This can help to keep you more awake and focused.

5. Remember to breathe and just relax.

Seriously, just breathe. If you’ve followed the rest of the tips in this post, listened to your teacher, read up on your literary devices, and done your homework, then you’re well-prepared for this exam. Trust yourself. Know that you have done all you can do to prepare and don’t cram the morning of the exam. Last-minute studying helps no one, and it often just leads to stress!

AP® English Literature and Composition Review Notes and Practice Test Resources

Ap® collegeboard’s official youtube channel.

This YouTube channel provides tons of tips, advice, and strategies for tackling the AP® English Literature and Composition exam. It offers online seminars and classes on a diverse range of Lit-related topics such as plot structure, unpacking symbolism, and crafting strong commentary. The best thing about it is that real-life teachers lead the classes, so they feel very personalized.

If you’re a more visual learner who thrives on video content, then this channel is perfect for you!

How-to Guide for Literary Analysis Essays

While we 100% do not condone using Sparknotes textual summaries to get your way through AP® English Literature, we do recommend taking a look at some of their guides and workshops and using them as supplementary resources. This how-to guide offers a 7-step method of approaching literary analysis that might help you get the ball rolling if you’re totally stuck.

This guide is perfect for anyone needing to brush up on their writing skills or anyone needing to find a solid step-by-step approach to writing the free response questions.

AP® English Literature Jeopardy Game

This online Jeopardy game is not only tons of fun but also super helpful in developing your memory and strengthening your understanding of basic literary elements and devices. It contains categories involving poetry terms, general Lit, syntax, style, and figurative language. It’s a great way to review basic terms for the exam, and you can play with up to ten people through its make-your-team feature.  

This is a perfect review for anyone looking to quickly review literary terms in a fun way.

Ms. Effie’s Lifesavers

If you’re a seasoned AP® English teacher, Ms. Effie (Sandra Effinger) probably needs no introduction! Ms. Effie’s Lifesavers website has helped many AP® Lang and AP® Lit teachers plan effective and thoroughly aligned lessons and assignments. Sandra was an AP® Reader for many years, so she knows her stuff. She has tons of free content on her page, as well as a Dropbox full of AP® English goodies for anyone who makes a donation via her PayPal. You’ll find resources for both AP® Language and AP® Literature here. 

Ms. Effie’s webpage is perfect for all students. Really, it has material that would benefit those looking for quick reviews, deeper analysis of free response questions, or help with multiple choice questions.

Summary: The Best AP® English Literature and Composition Review Guide

Remember, the structure of the AP® Lang exam is as follows:

Because AP® English Literature and Composition is a skills-based course, there’s no way to know what specific passages, poems, authors, or concepts might make it onto the official exam. But, we do know exactly which skills will be assessed with which passages, so it’s best to center your studying around brushing up on those skills!

Use the provided charts to help you understand which skills you should focus on, and use Albert’s AP® English Literature and Composition Course Guide to brush up on your understanding of each skill and its corresponding essential knowledge.

Start with a diagnostic test, either on Albert or with a pencil and paper test via Princeton Review or Barron’s . Once you’ve completed and scored your diagnostic, follow our 7 steps on how to create an AP® English Literature and Composition study plan. 

And remember: start reading now! The more you read, the more equipped you will be to ace this exam. Review the Western Canon, study your literary terms, and begin critically engaging with writers!

Practice answering multiple choice questions on Albert and free-response questions from The College Board’s archive of past exam questions. 

If you’ve followed the rest of the tips in this post, listened to your teacher, and done your homework, you’re well-prepared for this exam. Trust that you have done all you can do to prepare and don’t cram the morning of. Last-minute studying helps no one!

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2024 AP English Literature Exam Guide

15 min read • august 18, 2023

Your Guide to the 2024 AP English Literature Exam

We know that studying for your AP exams can be stressful, but Fiveable has your back! We created a study plan to help you crush your AP English Literature exam. This guide will continue to update with information about the 2024 exams, as well as helpful resources to help you do your best on test day.  Unlock Cram Mode  for access to our cram events—students who have successfully passed their AP exams will answer your questions and guide your last-minute studying LIVE! And don't miss out on unlimited access to our database of thousands of practice questions.

Format of the 2024 AP English Literature Exam

Going into test day, this is the exam format to expect:

Multiple Choice | 1 Hour | 45% of Exam Score

55 questions

5 sets of questions with 8–13 questions per set.

Each set is preceded by a passage of prose fiction, drama, or poetry of varying difficulty.

will always include at least 2 prose fiction passages (this may include drama) and at least 2 poetry passages.

Free Response | 2 hours | 55% of your score

3 questions

• A literary analysis of a given poem
• A literary analysis of a given passage of prose fiction (this may include drama)

An analysis that examines a specific concept, issue, or element in a work of literary merit selected by the student

FRQ Scoring Rubric for the 2024 AP Lit Exam

View an example set of questions and the corresponding  scoring guidelines  from the College Board to get an idea of what they look for in your responses!

Check out our study plan below to find resources and tools to prepare for your AP English Literature exam.

When is the 2024 AP exam and How Do I Take It?

How should i prepare for the exam.

First, download the AP English Literature Cheatsheet PDF - a single sheet that covers everything you need to know at a high level. Take note of your strengths and weaknesses!

Review every unit and question type, and focus on the areas that need the most improvement and practice. We’ve put together this plan to help you study between now and May. This will cover all of the units and essay types to prepare you for your exam

Practice essays are your best friends! The more essays you write, the more automatic the process will come, and the easier the AP exam will be!

Try some of the past exam essays here

We've put together the study plan found below to help you study between now and May. This will cover all of the units and essay types to prepare you for your exam. Pay special attention to the units that you need the most improvement in.

Study, practice, and review for test day with other students during our live cram sessions via  Cram Mode . Cram live streams will teach, review, and practice important topics from AP courses, college admission tests, and college admission topics. These streams are hosted by experienced students who know what you need to succeed.

Pre-Work: Set Up Your Study Environment

Before you begin studying, take some time to get organized.

🖥 Create a study space.

Make sure you have a designated place at home to study. Somewhere you can keep all of your materials, where you can focus on learning, and where you are comfortable. Spend some time prepping the space with everything you need and you can even let others in the family know that this is your study space. 

📚 Organize your study materials.

Get your notebook, textbook, prep books, or whatever other physical materials you have. Also, create a space for you to keep track of review. Start a new section in your notebook to take notes or start a Google Doc to keep track of your notes. Get yourself set up!

📅 Plan designated times for studying.

The hardest part about studying from home is sticking to a routine. Decide on one hour every day that you can dedicate to studying. This can be any time of the day, whatever works best for you. Set a timer on your phone for that time and really try to stick to it. The routine will help you stay on track.

🏆 Decide on an accountability plan.

How will you hold yourself accountable to this study plan? You may or may not have a teacher or rules set up to help you stay on track, so you need to set some for yourself. First, set your goal. This could be studying for x number of hours or getting through a unit. Then, create a reward for yourself. If you reach your goal, then x. This will help stay focused!

AP English Literature 2024 Study Plan

🌱 unit 1: intro to short fiction, big takeaways:.

Unit 1 is the first prose analysis unit, focusing on short fiction.  It helps to establish your prose analysis vocabulary, focusing on identifying and describing basic literary elements such as plot, narrator, and setting. This unit also gives the foundations for writing analyses of text, beginning with paragraph structuring and claim defense.

Definitely do this:

📚 Read these study guides:

Unit 1 Overview: Introduction to Short Fiction

1.1 Interpreting the role of character in fiction

1.2 Identifying and interpreting setting

1.3 Identifying how a story’s structure affects interpretation

1.4 Understanding and interpreting a narrator’s perspective

1.5 Reading texts literally and figuratively

1.6 The basics of literary analysis

🎥 Watch these videos:

Prose Prompt Deconstruction : An overview of the Prose Analysis prompt and strategies for preparing to respond

What Lit Is : An overview of the course and exam and their expectations

📰 Check out this articles:

12 Classic Short Stories : Short stories of literary merit to stretch your analysis muscles

✍️ Practice

Best Quizlet Decks for AP English Literature : Practice with these quizlets to strengthen your AP Lit vocabulary!

🎭 Unit 2: Intro to Poetry

Unit 2 is the first poetry analysis unit, focusing on everyone's favorite figurative language devices -- metaphor and simile .  Because poems often have a specific form, this unit also begins analysis of form/structure and also looks at contrasts in a text (which create the complexity that the exam expects you to analyze).  All of these poetic elements, though, are being analyzed for their function in the poem -- this unit helps you practice looking for why authors make the choices that they do.  

This unit continues the work of Unit 1 in developing paragraphs that establish a claim and provide evidence to support that claim.  It’s more important that you can write a stable, defensible, claim-based paragraph at this point than it is that you can write an entire essay (that might not be as strong).

Unit 2 Overview: Introduction to Poetry

2.1 Identifying characters in poetry

2.2 Understanding & interpreting meaning in poetic structure

2.3 Analyzing word choice to find meaning

2.4 Identifying techniques in poetry to analyze literary works

Literary Device Review : An overview of some literary devices that you may have forgotten, or an introduction to some new ones that you want in your analysis vocabulary.

Defending a Claim : Before practicing your paragraphs, watch this stream for guidance in building a claim from the passage in response to a prompt.

How to Read a Poem : A stream dedicated to developing poetry reading skills, including a useful acronym (SIFT) for prioritizing important elements of a poem.

Annotating for Understanding: This stream guides you through the annotation process, making sure that you are annotating purposefully, and developing your own library of symbols.

📰 Check out these articles:

Poetry Overview : Our Fiveable guide to the poetry analysis question -- what to expect and what you need to do to respond effectively.

If you have more time or want to dig deeper:

Theme Statements and Thesis Statements : This stream teaches you how to determine and state a theme, and how to establish a claim to defend for poem analysis.

💎 Play Figurative Language Trivia ! It’s not the names that are important, but it’s fun to know them, anyway!

🎭 Unit 3: Intro to Longer fiction or Drama

Here we go with the novels!  Because the exam’s literary argument essay (also affectionately known as Q3 in the Lit circles) asks students to analyze a novel-length text, it’s important to get practice on analyzing novels or plays (did someone say, Shakespeare?). This unit boils down to paying closer attention to character and plot, with a sprinkling of setting analysis.  Because novels are longer than short stories, not only can authors spread out the creation of literary elements and go deeper, but you can see more about how it’s done.  

In terms of composition, this unit starts discussing the development of a thesis statement!  So now we can establish a thesis, and then support it with a paragraph (or two).  This means we’re also starting to create a line of reasoning that is introduced in the thesis statement, and supported in the body of your essay.

Unit 3 Overview: Introduction to Longer Fiction and Drama

3.1 Interpreting character description and perspective

3.2 Character evolution throughout a narrative

3.3 Conflict and plot development

3.4 Interpreting symbolism

3.5 Identifying evidence and supporting literary arguments

Theme Statements and Thesis Statements: This stream distinguishes between these two important statements in a Q3 response, and further discusses thesis statements in general.

Annotating for Analysis, part 2: This stream is more about annotating an exam prompt, and then preparing to respond to it.

Characters and Relationships : All about characterization, with terms and tips for understanding the creation of characters and why they matter.

Fiveable study guide to the Literary Argument prompt

💎 Check out John Green’s YouTube channel Crash Course for help analyzing some English teacher novel favorites.  These don’t substitute for reading, but they help when you’re done.

📖 Read this Ultimate AP Literature Reading List from Albert.io to see what you’ve read, or what you might want to read. You might even find them free online, or you can support your local library.

⚔️ Unit 4: Character, Conflict, & Storytelling in Short Fiction

Because of the way that the AP Lit units are structured, we spiral skills and text types, so this is phase 2 of short fiction analysis.  While the first short fiction unit was focused on identifying and describing elements, now you’re being asked to explain the function (that why again) and describe relationships.  

This unit also asks you to start analyzing how those relationships and elements are created by authors.  That means you are reading more closely for diction and syntax and paying more attention to how a speaker/narrator’s perspective is shown to you.

We’re still working on defensible thesis statements and building commentary to make clear connections between our claim and the evidence.  This is what builds the line of reasoning and earns a 4 in evidence and commentary on the Lit rubric.

Unit 4 Overview: Character, Conflict, and Storytelling

4.1 Protagonists, antagonists, character relationships, and conflict

4.2 Character interactions with setting and its significance

4.3 Archetypes in literature

4.4 Types of narration like stream of consciousness

4.5 Narrative distance, tone, and perspective

Prose Analysis Prompt Deconstruction and Strategies : Before you read the text, make sure that you know the task before you, and you’re ready to read with that in mind.

Q2 Thesis and Introduction :  There are some exam-taking tips in here, from a college freshman who conquered the exam.  She also discusses forming a thesis and an introduction that works. Quickly.

Q2 Evidence and Commentary : Practicing creating commentary to respond to the prompt efficiently.  This stream uses practice prompts to show the process of reading a text with the prompt in mind to select evidence while reading.

Short Fiction Overview : Revisit this guide!  Read the section on “How to Read a Short Story.  Like, Really Read It.”

💎 Check out this stream on creating a "boot camp" that was originally meant for teachers, but gives guidelines and suggestions on how to dive into short fiction.

AP Lit Prose Analysis Practice Prompt Answers & Feedback – Fahrenheit 451 (Diction): The focus of this practice prompt is diction – analyzing it AND using it yourself, with a little syntax thrown in! Try it yourself and compare it with student responses and feedback. 

AP Lit Prose Analysis Practice Prompt Samples & Feedback – The Street : Practicing prose analysis is a great way to prep for the AP exam! Respond to this practice prompt and review practice writing samples and their corresponding feedback.

AP Lit Prose Analysis Practice Essays & Feedback – The Rainbow : Writing essays is a great way to practice prose analysis and prep for the AP exam! Review student responses for an essay prompt and corresponding feedback 

🌈 Unit 5: Structure & Figurative Language in Poetry

We’re going back to poems! This unit asks you to “identify and explain the function” of various poetic elements and devices.  All at the same time. Those literary devices you learned in Poetry I might come in handy here, but the analysis is more about why the author made those choices about repetition, reference, comparison, etc.

In order to select the most significant, “relevant, and sufficient” evidence to support your line of reasoning from your thesis , you have to know the function of the personification or metaphor or imagery.  Ask yourself, “Why would the author write ____ instead of ____?” This helps you analyze the connotations of the choice, and therefore the function in the text.

By now, we’re writing a thesis plus paragraphs.  This is also an opportunity to work on the organization of your essays (hint: organizing by the device is neither efficient nor sophisticated; try to find a shift or two in the poem and use them to develop your paragraph chunks.

Unit 5 Overview: Structure and Figurative Language

5.1 Traits of closed and open structures in poetry

5.2 Use of techniques like imagery and hyperbole

5.3 Types of comparisons in poetry including personification and allusion

5.4 Identifying and interpreting extended metaphors

How Form Creates Meaning: Learn about poetry-specific choices authors make, and what elements of form look like in practice.  Also, explore a couple of common forms and why they might be used.

Open Poetry Study :  An opportunity to practice some of the skills from “How to Read a Poem ”. 

Q1 Evidence and Commentary : Follow the process of reading a poem and selecting evidence in real-time.  You can have an essay before it’s through.

The complexity of Poetry: This is an opportunity to look specifically at how poets create tensions and complexity in their work.  Since this complexity is always a point of analysis on the exam, you can study how it works, and how to write about it

💎 Browse through the Poetry Foundations resources for students , including annotations, poem guides, podcasts, and poet studies.

🛠️ Unit 6: Literary Techniques in Longer Works

Because novels are longer stories, we can look at more elements at a time.  That’s what this unit wants from you -- examining speaker perspective and reliability, the formation and function of literary or contextual symbolism, characterization, character relationships and contrasts, the function of plot events, etc.  All at the same time.  

What you need to know: The bottom line of reading for Q3 is the meaning of the work as a whole or theme .  And you might not fully understand what that is until the novel or play is finished, but you can start to build ideas around what BIG IDEA the author is addressing.  Your job is to keep track of how characters, plot, and setting contribute to the discussion of this big idea (like greed or isolation or jealousy or love or anger or insanity).

Unit 6 Overview: Literary Techniques in Longer Works

6.1 Interpreting foil characters

6.2 Understanding and interpreting character complexity

6.3 Understanding nonlinear narrative structures like flashbacks and foreshadowing

6.4 The effect of narrative tone and bias on reading

6.5 Characters as symbols, metaphors, and archetypes

6.6 Developing literary arguments within a broader context of works

Finding Theme Through Characterization : A discussion of the function of characterization as it applies to the meaning of the work as a whole.

Multiple Choice Questions (MCQs) Resources

Multiple Choice Intro : an introduction to the AP Literature multiple choice -- an overview of the weights, number and types of questions you will encounter, with some tips for practice and preparation.

Prose MC Strategies and Practice: covers all aspects of the Multiple Choice section of the AP Lit Exam, including tips on-time efficiency, annotation, and picking the best answer choice. This is followed by 2 sets of practice passages and questions and explanations for each of the provided answer choices.

English Literature Multiple Choice Study Guide

AP English Literature Multiple Choice Help (MCQ)

AP English Lit MCQ Practice Tests

🏛️ Unit 7: Societal & Historical Context in Short Fiction

The last three units of AP Lit ask you to dig even deeper into what you're reading to analyze it. In Unit 7, you'll focus on how characters fit into the societal and historical context of the work they're in, and how those features can become important facets of stories. Importantly, you'll be asked to analyze how complexity develops over the course of the story.

Unit 7 Overview: Societal and Historical Context

7.1 Sudden and more gradual change in characters

7.2 Epiphany as a driver of plot

7.3 Relationships between characters and groups

7.4 Character interactions with changing and contrasting settings

7.5 The significance of the pacing of a narrative

7.6 Setting as a symbol

7.7 Interpreting texts in their historical and societal contexts

🤾 Unit 8: Advanced Techniques in Poetry

Unit 8 will introduce you to more complicated techniques in poetry that are harder to spot and analyze. You will be asked to identify and analyze devices like punctuation and structural patterns, juxtaposition, paradox, irony, symbols, conceits, and allusions. Although these are a little harder to correctly identify in poetry, if you can master them, they can earn you major points on the exam. Additionally, you'll learn about how to correctly cite and attribute information when writing literary analysis!

Unit 8 Overview

8.1 Looking at punctuation and structural patterns

8.2 Interpreting juxtaposition, paradox, and irony

8.3 How ambiguity can allow for various interpretations

8.4 Identifying symbols, conceits, and allusions

8.5 Learning proper attribution and citation in literary analysis

🚣🏿 Unit 9: Nuanced Analysis in Longer Works

The final unit of AP Lit will task you with creating even more nuanced analyses of longer works and drama. To do this, we'll look at how characters change over the course of the plot and react to the resolution of the narrative, how suspense, resolution, and plot development contribute the meaning of a work, and how inconsistencies and differing perspectives create nuance in longer works.

Unit 9 Overview: Nuanced Analysis

9.1 Looking at a character's response to the resolution of a narrative

9.2 Suspense, resolution, and plot development

9.3 Narrative inconsistencies and contrasting perspectives

Exam Skills 

Breaking Down an Exam Prompt: A discussion of how to break down an AP Literature exam prompt into smaller questions. We end with some do's, don'ts, and common pitfalls for students writing AP Literature essays.

Commentary and Sophistication FAQs: Review the criteria for earning maximum evidence/commentary points and the one sophistication point from the rubric. Next, read scored examples and see what they earned in those two categories.

AP English Literature Free Response Questions (FRQ) – Past Prompts : A sortable list of all the AP English Literature free-response questions.

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Choose Your Test

Sat / act prep online guides and tips, every ap literature practice test available: free and official.

Advanced Placement (AP)

When you're studying for your AP Literature Exam, you're going to want to use practice tests and questions to hone your skills. But where can you find AP literature practice tests? And are all practice exams equally useful for you?

The real exam has 55 multiple-choice questions and three free-response questions, but there are practice tests with every conceivable number and combination of question types.

In this article, you'll learn where to find every official College Board AP English Literature and Composition practice exam, free unofficial tests, and paid practice test resources. You'll also find out which tests are high-quality and how you can best use different practice exams to fulfill your studying needs.

Official Free AP Literature Practice Tests

The gold standard of AP English Literature practice tests and AP English Literature practice exam questions are College Board released materials . That's because the College Board administers the AP exams, so their practice questions are most like the actual AP questions you'll see on the test.

There are three different kinds of resources offered by the College Board: complete released exams from past years, released free-response questions from past years, and sample questions from the "AP Course And Exam Description."

Official Released College Board Exams

There are three official released College Board Exams. However, only the most recent one (from 2012) is complete. The 1999 and 1987 exams have the standard 55 multiple-choice questions, but both are missing parts of the three question free-response section. You can still use them as complete exams if you supplement them with released free-response questions from past years which we recommend since official multiple-choice problems are hard to come by.

2012 AP English Literature and Composition Exam

This is the best AP Lit practice test available. It's the most recent exam released by the College Board, and it follows the format of the current test with 55 multiple-choice questions and three free-response questions. Definitely make use of this test!

1999 AP English Literature and Composition Exam

This test excludes the poetry and prose analysis questions of the free-response section and only has the student choice question. So, to take it as a complete exam, you'd need to supplement it with questions 1 and 2 from the released free-response questions below . You can actually get question 2 for the 1999 test from the official free-response questions bank, but the excerpt for question 1 can't be reprinted, so you'll need to supplement with another poetry analysis question.

1987 AP English Literature and Composition Exam For reasons that are not totally clear, this exam excludes the third essay question, the poetry analysis. If you want to take this as "complete" exam practice, use a free-response poetry analysis prompt from the bank of free response questions linked below.

Or supplement with this tree-poem.

Official Free-Response Questions

There may not be very many complete released exams, but there are tons of free-response questions available from previous administrations of the test. These are great practice, not just for writing complete essays, but for practicing writing thesis statements, outlines, and so on.

What's also great about these is that most of them come with sample response and scoring guidelines, so you'll be able to see exactly what makes a high-quality AP essay by College Board standards. Be aware, though, that some of the prose and poetry excerpts can't be reprinted due to copyright concerns.

Below is the link to all the free-response questions available. The questions go all the way back to 1999, and since there haven't been many changes to the free-response part of the exam, all of these questions can be useful during your studying.

AP English Lit Free Response Questions 1999-2021

Sample Questions From the Course and Exam Description

The 2019 AP English Literature Course and Exam Description has practice multiple-choice questions and free-response questions.They don't add up to a complete test--there are only 19 multiple-choice questions instead of 55–but there are three free response questions (enough for a full test). Even though there aren’t many multiple-choice questions, they are great for simple practice.

If you're looking for more questions like these, you can revisit the old exam description booklets as well . (Just keep in mind that some of the other information in the booklet may be out of date!)

Your Teacher

Your AP teacher may have access to copies of old AP exams that you can use for practice. They probably can't let you take them out of the classroom, but they may be allowed to loan them to you in a supervised setting. This is because teachers can purchase resources directly from the College Board that students can't. Asking your teacher may not bear fruit, but it's worth a try.

Why are you asking me for AP Lit practice tests? I'm your Econ teacher!

Free Unofficial AP Literature Practice Tests

In addition to the free College Board resources, there are also several places online where you can get free, unofficial practice tests. Be aware that, because these resources aren't College-Board created or approved, they are of variable quality. For each of these resources we'll describe what's offered and how it compares to official College Board tests.

Varsity Tutors AP Literature Practice Tests

This site has multiple-choice practice quizzes divided by concept--things like "interpreting the passage," "claims and argument," and "interpreting excerpts." The questions aren't worded exactly the same way as AP test questions, but they are still okay for testing your passage-interpretation skills. Basically, the questions test for similar skills, but don't necessarily mimic AP test questions in style.

Also, the site provides the date, title, and author of each work, which is not something you'll receive on the AP exam. You can make a free account at the site to track your scores, but it's not necessary to be able to take the tests.

Kittens not included with free practice tests, unfortunately.

Albert AP English Literature Quizzes

Albert offers multiple-choice quizzes divided into prose, poetry, and drama categories. You are given the title, date, and author of the work--which you will not receive on the real AP exam. Like the Varsity Tutors quizzes, Albert offers questions that test similar skills as the AP exam, but the questions are worded differently.

High School Test Prep Tests

This site offers three short multiple-choice practice tests. You're given the title and author of the work. The questions for these tests are fairly surface-level, so I would only use these if you are working on your reading comprehension skills.

CrackAP English Literature Quizzes

CrackAP has over 40 short AP Lit quizzes. Each quiz gives a passage then has 15 multiple-choice questions on it. The questions are somewhat easier than you'll find on the real AP exam, but if you need some quick practice, this can do the trick. This resource also has examples of past free response questions, which can be useful study tools, too!

Practice Quiz AP English Literature

This site offers a 20-question multiple-choice quiz on two passages--one poetry, and one prose. The passages are extremely basic, however, so I would only use this resource if you are working on your reading comprehension skills.

The queens of AP Lit practice give you their blessing.

Paid Unofficial Practice Tests

There are also several paid resources that offer unofficial practice questions.

This is a subscription service with questions for tons of different tests—SAT, ACT, and AP exams.They also have videos and other review resources. We can't really speak to the quality of the questions because the entire service is behind a paywall of about $25 a month.

The Princeton Review AP Literature Study Guide 2021

Published study guides are an excellent way to practice for the AP Literature exam. These books are put together by experts who have inside knowledge of the test, and The Princeton Review is one of the best out there.

This study guide has three practice tests, along with other types of sample questions and expert explanations to help you improve your analytical skills.

Barron's AP English Literature and Composition, 7th Edition

Like The Princeton Review study guide, the Barron's AP Literature study guide is another great resource for students looking for extra exam prep. This guide has four practice tests and sample essay questions , along with an expert walk-through of the AP Literature exam itself.

If you're looking for a guide that gives you practice and provides tips for mastering the exam, this would be a good pick!

This subscription service offers access to tons of test prep, including the SAT, ACT and lots of AP courses. Their AP Literature resources include two full-length practice tests, three sets of flashcards to help you study, and several instructional videos.

Prices for subscriptions start at $39 dollars per month, and some plans include live tutoring and writing instruction . If you choose to subscribe, you get access to all of their course and test-prep materials, so if you’re taking several AP classes, this could be a good source.

I definitely advise paying for all of these resources with whatever loose foreign change you have lying around.

How to Use AP Literature Practice Tests

How to use a given practice test depends somewhat on the resource itself. We'll offer some recommendations here on how to best use different resources.

Complete Official Released Tests

The best way to use a complete official practice test is to do a practice-run for the exam . So find a quiet room, bring a timer or watch so you can time sections, and get to work! This will help you get familiar with the exam experience so you'll feel more comfortable on exam day!

Since there are two complete AP Lit practice tests, it makes sense to take one early on in your studying time, and one later. You can get a parent, tutor or teacher to grade the exams. The early test will help you figure out what you need to work on, and the later test will show you how you've improved! Since the AP English Literature test is more skills-heavy than content-heavy, you shouldn't feel totally lost taking a practice test even in the middle of the school year.

Official Released Free-Response and Sample Questions

Official resources that aren't complete tests are best for practicing individual sections of the test. The sample multiple-choice questions in the "Course and Exam Description" make for great AP English Literature multiple-choice practice--they'll help you get familiar with the style of the questions and practice close-reading.

The wealth of released free-response questions are great resources for building your timed essay-writing skills. You can practice complete essays or develop essay outlines.

Unofficial Practice Tests and Resources

Since unofficial practice tests aren't going to be quite as similar to the real AP exam as official College Board materials, they won't be quite as useful for preparing for the format of the exam or its questions. However, they can be very valuable close-reading practice. And since that's a critical skill for the exam, it's still worth it to use unofficial resources.

Be very quiet. She's close-reading.

Key Takeaways

Practice tests and questions are a hugely important resource as you prep for the AP Lit exam. The gold standard of practice resources are those that come from the College Board, but there are many other places where you can get practice questions that will help you hone your close-reading skills for the exam. Most of the resources listed in this article are free, but a few are paid.

Remember: official College Board practice tests are best for simulating the exam experience. Actual College Board questions are good for focused preparation for individual sections of the exam--especially the essays. Unofficial resources are best used for further honing your close-reading skills after you’ve practiced with the official materials.

Now that you know where to find these resources, you're ready to start studying for your AP Literature exam!

What's Next?

Wondering what you should be reading for AP Lit? Check out our list of 127 great books to help you prepare for the AP Literature exam.

Need more study guidance for your APs? See my five-step AP prep plan. Or see our guide on when to start studying for your APs.

If you're looking for practice tests for other AP exams, see our assembled practice tests for AP US History , AP Chemistry , AP Biology , AP World History , and AP Psychology .

These recommendations are based solely on our knowledge and experience. If you purchase an item through one of our links, PrepScholar may receive a commission.

Ellen has extensive education mentorship experience and is deeply committed to helping students succeed in all areas of life. She received a BA from Harvard in Folklore and Mythology and is currently pursuing graduate studies at Columbia University.

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By submitting my email address. i certify that i am 13 years of age or older, agree to recieve marketing email messages from the princeton review, and agree to terms of use., guide to the ap english literature and composition exam.

Do you know how to conduct a close reading of prose and poetry? Can you write effectively under time constraints? The AP ® English Literature and Composition exam tests topics and skills discussed in your AP English Literature course. If you score high enough, your AP English score could earn you college credit!

Check out our AP English Literature Guide for what you need to know about the exam:

• Exam Overview
• Structure & Question Types
• How to Prepare

What’s on the AP English Literature & Composition Exam?

The College Board lists 6 Skill Categories that should be covered in your AP English Literature and Composition course, or as you prepare for the test:

•  Character—Characters in literature show a wide range of values, beliefs, assumptions, biases, and cultural norms, and provide an opportunity to study and explore what the characters represent.
• Setting—A setting and the details associated with it represent a time and place, but also convey values associated with the setting.
• Structure—Structure refers to the arrangements of sections and parts of a text, the relationship of the parts to each other, and the sequence in which the text reveals information. These are all choices made by a writer that allow you to interpret a text.
• Narration—Any narrator’s or speaker’s perspective controls the details and emphases that readers encounter; therefore, narration affects how readers experience and interpret a text.
• Figurative language—Comparisons, representations, and associations shift meaning from the literal to the figurative. Figurative language can include word choice, imagery, and symbols. Simile, metaphor, personification, and allusions are all examples of figurative language.
• Literary argumentation—How do you write about literature yourself? You develop your interpretation (using the first five of the Big Six!) and then communicate it. You need to develop a thesis—a defensible claim—and support it with textual evidence. 

The multiple-choice section of the AP English Literature and Composition exam will be testing your knowledge of the Big Six. Each one is weighted a certain amount in the multiple-choice questions.

AP English Literature & Composition Book List

There is no required reading or book list for the AP English Literature exam, but the College Board provides a list of authors and poets with whom you should be familiar and whose work is of the caliber and density that you are expected to understand. These lists include:

• Poetry: W.H. Auden, Elizabeth Bishop, William Blake, Anne Bradstreet, Edward Kamau Brathwaite, Gwendolyn Brooks, Robert Browning, George Gordon/Lord Byron, Lorna Dee Cervantes, Geoffrey Chaucer, Lucille Clifton, Samuel Taylor Coleridge, Billy Collins, H.D. (Hilda Doolittle), Emily Dickinson, John Donne, Rita Dove, Paul Laurence Dunbar, T.S. Eliot, Robert Frost, Joy Harjo, Seamus Heaney, George Herbert, Garrett Hongo, Gerard Manley Hopkins, Langston Hughes, Ben Jonson, John Keats, Philip Larkin, Robert Lowell, Andrew Marvell, John Milton, Marianne Moore, Sylvia Plath, Edgar Allan Poe, Alexander Pope, Adrienne Rich, Anne Sexton, William Shakespeare, Percy Bysshe Shelley, Leslie Marmon Silko, Cathy Song, Wallace Stevens, Alfred, Lord Tennyson, Derek Walcott, Walt Whitman, Richard Wilbur, William Carlos Williams, William Wordsworth, William Butler Yeats
• Drama: Aeschylus, Edward Albee, Amiri Baraka, Samuel Beckett, Anton Chekhov, Caryl Churchill, William Congreve, Athol Fugard, Lorraine Hansberry, Lillian Hellman, David Henry Hwang, Henrik Ibsen, Ben Jonson, David Mamet, Arthur Miller, Molière, Marsha Norman, Sean O’Casey, Eugene O’Neill, Suzan-Lori Parks, Harold Pinter, Luigi Pirandello, William Shakespeare, George Bernard Shaw, Sam Shepard, Sophocles, Tom Stoppard, Luis Valdez, Oscar Wilde, Tennessee Williams, August Wilson
• Fiction (Novel and Short Story): Chinua Achebe, Sherman Alexie, Isabel Allende, Rudolfo Anaya, Margaret Atwood, Jane Austen, James Baldwin, Saul Bellow, Charlotte Bronte, Emily Bronte, Raymond Carver, Willa Cather, John Cheever, Kate Chopin, Sandra Cisneros, Joseph Conrad, Edwidge Danticat, Daniel Defoe, Anita Desai, Charles Dickens, Fyodor Dostoevsky, George Eliot, Ralph Ellison, Louise Erdrich, William Faulkner, Henry Fielding, F. Scott Fitzgerald, E.M. Forster, Thomas Hardy, Nathaniel Hawthorne, Ernest Hemingway, Zora Neale Hurston, Kazuo Ishiguro, Henry James, Ha Jin, Edward P. Jones, James Joyce, Maxine Hong Kingston, Joy Kogawa, Jhumpa Lahiri, Margaret Laurence, D.H. Lawrence, Chang-rae Lee, Bernard Malamud, Gabriel García Márquez, Cormac McCarthy, Ian McEwan, Herman Melville, Toni Morrison, Bharati Mukherjee, Vladimir Nabokov, Flannery O’Connor, Orhan Pamuk, Katherine Anne Porter, Marilynne Robinson, Jonathan Swift, Mark Twain, John Updike, Alice Walker, Evelyn Waugh, Eudora Welty, Edith Wharton, John Edgar Wideman, Virginia Woolf, Richard Wright
• Expository Prose: Joseph Addison, Gloria Anzaldua, Matthew Arnold, James Baldwin, James Boswell, Joan Didion, Frederick Douglass, W.E.B. Du Bois, Ralph Waldo Emerson, William Hazlitt, bell hooks, Samuel Johnson, Charles Lamb, Thomas Macaulay, Mary McCarthy, John Stuart Mill, George Orwell, Michael Pollan, Richard Rodriguez, Edward Said, Lewis Thomas, Henry David Thoreau, E.B. White, Virginia Woolf

Read More: Review for the exam with our AP English Literature Cram Courses

AP English Literature Structure & Question Types

The AP English Literature & Composition exam takes 3 hours to complete and consists of two sections: a multiple-choice section and a free response section.

Multiple-Choice

AP English Literature multiple-choice questions are grouped in sets.  You will be given 5 passages or poems to read, with 8-13 multiple-choice questions to assess your reading comprehension. Each multiple-choice question has 5 answer choices (A through E). That’s a lot of reading then recalling, understanding, and interpreting. Use your time effectively and wisely! 

Free Response

• Respond to the prompt with a thesis that presents an interpretation and may establish a line of reasoning.
• Select and use evidence to develop and support your line of reasoning.
• Explain the relationship between the evidence and your thesis.
• Use appropriate grammar and punctuation in communicating your argument.

How to Interpret AP English Literature Scores

AP scores are reported from 1 to 5. Colleges are generally looking for a 4 or 5 on the AP English Literature exam, but some may grant credit for a 3. (Here's a quick overview of AP credit policy .) Each test is curved so scores vary from year to year. Here’s how AP English Lit students scored on the May 2022 test:

Source: College Board

How can I prepare?

AP classes are great, but for many students they’re not enough! For a thorough review of AP English Literature content and strategy, pick the AP prep option that works best for your goals and learning style.

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AP English Literature Vocabulary Terms

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See our listing below of the best AP English Literature & Composition vocab resources. These quizzes include hundreds of terms and the PDF review sheet is great for last minute test prep.

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Book Review: A dark secret exposed about a World War II internment camp in ‘First Frost’

This cover image released by Viking shows “First Frost” by Craig Johnson. (Viking via AP)

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Walt Longmire and his deputy are poking around in his basement when she spots a relic of his youth, a hundred-pound Bob Simmons-model surfboard.

“You’re too big to surf,” she says.

“I didn’t used to be,” he says.

She notices that the front of the board is heavily dented.

“Tell me about that,” she says.

It’s a long story, he replies. In fact, it’s long enough to form the heart of “First Frost,” Craig Johnson’s 20th crime novel featuring Longmire, the sheriff of fictional Absaroka County, Wyoming.

Flash back to the summer of 1964. Walt and his pal Henry Standing Bear, whose football careers at the University of Southern California recently came to an end, have enlisted in the military with the expectation that they will be sent to Vietnam. Their plan is to drive cross country to their assigned training facilities, but they have barely made it to Arizona when Walt’s truck runs off the road, stranding them in the small desert town of Bone Valley.

The town, they soon find, is as unwelcoming as its name. Get out as soon as you can, they are repeatedly told. Sometimes it’s a warning, sometimes a threat. Clearly something is wrong here, and Walt, already demonstrating the courage and persistence of a future sheriff, can’t let go of the mystery.

Meanwhile, back in the present, Longmire is under investigation for a fatal shooting recounted in “The Longmire Defense,” last year’s installment of the series. The victim was a member of a wealthy and politically powerful family, which is now out for vengeance.

The author moves smoothly between the two time periods, keeping both stories moving at a crisp pace. The old story is the more suspenseful one involving, among other things, murderous drug smugglers, a former judge who runs Bone Valley like a dictator, and a dark secret about the incarceration camps of Japanese Americans during World War II that had once operated nearby.

Johnson’s vivid, tightly written novel may remind readers of “Bad Day at Black Rock,” a 1955 film in which an Army veteran played by Spencer Tracy arrives in a western town to deliver a medal and discovers the populace is harboring a dark secret.

Readers new to the series won’t have difficulty following the action, and longtime Longmire fans are likely to appreciate how the author fleshes out the main character’s backstory.

Bruce DeSilva, winner of the Mystery Writers of America’s Edgar Award, is the author of the Mulligan crime novels including “The Dread Line.”

AP book reviews: https://apnews.com/hub/book-reviews

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Title: text generation: a systematic literature review of tasks, evaluation, and challenges.

Abstract: Text generation has become more accessible than ever, and the increasing interest in these systems, especially those using large language models, has spurred an increasing number of related publications. We provide a systematic literature review comprising 244 selected papers between 2017 and 2024. This review categorizes works in text generation into five main tasks: open-ended text generation, summarization, translation, paraphrasing, and question answering. For each task, we review their relevant characteristics, sub-tasks, and specific challenges (e.g., missing datasets for multi-document summarization, coherence in story generation, and complex reasoning for question answering). Additionally, we assess current approaches for evaluating text generation systems and ascertain problems with current metrics. Our investigation shows nine prominent challenges common to all tasks and sub-tasks in recent text generation publications: bias, reasoning, hallucinations, misuse, privacy, interpretability, transparency, datasets, and computing. We provide a detailed analysis of these challenges, their potential solutions, and which gaps still require further engagement from the community. This systematic literature review targets two main audiences: early career researchers in natural language processing looking for an overview of the field and promising research directions, as well as experienced researchers seeking a detailed view of tasks, evaluation methodologies, open challenges, and recent mitigation strategies.

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• Delayed development of spinal stenosis at the spinal cord stimulator percutaneous lead entry point: case report and literature review
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• Hunter Xavier Leech 1 ,
• http://orcid.org/0000-0002-2147-3523 David Anthony Provenzano 1 ,
• Leonard DeRiggi 2 and
• David Oliver-Smith 3
• 1 Pain Diagnostics and Interventional Care , Sewickley , Pennsylvania , USA
• 2 Brighton Radiology Associates , Monaca , Pennsylvania , USA
• 3 Allegheny Health Network , Pittsburgh , Pennsylvania , USA
• Correspondence to Dr David Anthony Provenzano, Pain Diagnostics and Interventional Care, Sewickley, Pennsylvania, 15143, USA; davidprovenzano{at}hotmail.com

Background Spinal cord stimulation (SCS) is an efficacious treatment for various refractory chronic pain syndromes. Serious complications including spinal cord compression (SCC) are rare with 19 previous reports which are mainly attributed to fibrotic scar tissue formation at the distal end of the leads at the location of the contacts. We report a case of SCC following SCS implantation at the lead entry location secondary to a delayed progression of spinal canal stenosis.

Case presentation A patient in her early 70s underwent SCS implantation with adequate therapeutic benefit for approximately 2 years before citing complaints of increasing lower back pain and lower extremity radicular pain. Lumbar spine X-rays excluded lead migration as a causative factor. An MRI of the lumbar spine obtained 30 months following SCS implantation demonstrated a marked interval progression of central canal stenosis secondary to facet and ligamentous hypertrophy manifesting in compression of the spinal cord at the lead entry location. An L1–L2 decompressive laminectomy with hardware removal resulted in the resolution of her symptoms. A literature search conducted with the PubMed database identified previously published cases of SCC following SCS implantation which highlighted the rarity of this complication.

Conclusion Our case report urges physicians of SCS patients, noting a loss of therapeutic benefit with their device, to investigate new pathologies including SCC. Furthermore, our case highlights clinical symptoms and surgical treatments of SCC. Paddle leads are more commonly implicated in published cases of SCC than percutaneous leads. Lastly, MRI conditionality is critical to identifying cases of SCC.

• Spinal Cord Stimulation
• CHRONIC PAIN

https://doi.org/10.1136/rapm-2024-105499

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Introduction

Spinal cord stimulation (SCS) is an effective treatment for challenging pain states; however, complications can arise. According to the US Food and Drug Administration, SCS implants comprise the third-highest number of adverse events from medical devices behind only insulin pumps and total hip arthroplasties. 1 2 Most reported complications arise from hardware malfunctions, primarily including lead migration and lead fractures. 3 A rare but serious complication following SCS implantation is spinal cord compression (SCC), which typically results from fibrotic scar tissue and/or mechanical lead compression of the spinal cord. To our knowledge, we report the first case of significant stenosis progression at the site of SCS percutaneous lead entry secondary to facet and ligamentous hypertrophy following SCS implantation.

Materials and methods

Case report and literature review, case report.

A patient in her early 70s presented to a pain management physician with lower back pain and lower extremity radicular pain which began several years prior. Her medical history included an L3–S1 laminectomy with an L4–L5 instrumental fusion. She underwent epidural steroid injections and trialed pharmacological management without relief. She also met with a neurosurgeon who deemed that she was not a surgical candidate. A supine lumbar MRI scan 3 months before SCS implantation demonstrated mild spinal stenosis with an anteroposterior (AP) cross-sectional area (CSA) of the dural sac of 103.08 mm 2 (<100 mm 2 is indicative of central stenosis, 4 an AP diameter of 14.09 mm, and facet joint hypertrophy at L1–L2 which was unchanged since her lumbar MRI 6 months prior ( figure 1 ). Additionally, her preoperative thoracic MRI did not demonstrate any significant stenosis. She underwent an SCS trial with two percutaneous leads (Nevro, Redwood City, California, USA) with 60%–70% overall improvement in her pain without any complications. She subsequently underwent an SCS implant with two percutaneous leads and a rechargeable generator. The first lead entered at the T12–L1 interspace, and the lead was guided to the superior endplate of T8. The second lead entered at the L1–L2 interspace because the lead migrated to the anterior epidural space during multiple entry attempts at T12–L1. The second lead was guided to the superior endplate of T9.

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Supine MRI scan obtained 2 months prior to the spinal cord stimulator trial. (A) T2 sagittal and (B) T2 axial images demonstrating mild central canal stenosis at L1–L2 with trace left-sided facet joint effusion. Appearance is unchanged compared with the lumbar MRI scan obtained 6 months prior.

The patient experienced 75% relief overall including 50% relief of her low back pain and 100% relief of her bilateral lower extremity radicular symptoms for 18 months before noting increased pain in her lumbar spine despite various sessions of programming optimization. Thoracic spine X-rays were obtained to trace the SCS system which did not demonstrate significant lead migration. Two months later, the patient again noted increased pain in her lumbar spine secondary to a fall. Updated X-rays of the thoracic spine again did not demonstrate significant lead migration. Physical examination revealed no neurological deficits.

26 months post-SCS implant, she reported increased pain in her low back and bilateral lower extremities in the anterior thigh consistent with neurogenic claudication. She reported inadequate relief with 20% relief overall with the SCS device including 20% relief of her low back pain and 0% relief of her bilateral lower extremity radicular symptoms. Due to inadequate pain relief, the patient powered off the device for several weeks without a significant difference in her overall pain. The patient’s condition worsened with perceived lower extremity weakness, although not present on physical exam. An updated supine MRI of the lumbar spine obtained 30 months following SCS implantation revealed notable interval progression manifesting in moderate to severe stenosis with an AP CSA of the dural sac of 64.71 mm 2 (37% decrease from pre-implant MRI and an AP diameter of 10.43 mm (26% decrease pre-implant MRI)) at the lead entry site (L1–L2) secondary to facet and ligamentous hypertrophy ( figure 2 ). Additionally, her pre-trial MRI demonstrated trace left-sided facet joint effusion at L1–L2 which progressed significantly to bilateral facet joint effusion in her post-implant/pre-explant MRI. The patient was referred to a neurosurgeon who conducted an L1–L2 decompressive laminectomy and removal of both leads and battery. At the time of the operation, significant ligamentum flavum and facet joint hypertrophy were confirmed. After the procedure, the patient reported significant improvements in her low back pain, lower extremity radicular pain, and perceived lower extremity weakness.

Supine MRI scan obtained 30 months following the spinal cord stimulator implant. (A) T2 sagittal and (B) T2 axial images demonstrating a notable interval progression at L1–L2 resulting in moderate to severe spinal canal stenosis and moderate right and moderate to severe left neuroforaminal narrowing with significant bilateral facet joint effusion secondary to bilateral facet arthropathy, small broad-based disc bulge, and bilateral ligamentum flavum hypertrophy. White arrow denotes SCS electrode. SCS, spinal cord stimulation.

Literature review

A comprehensive literature review of the PubMed database was conducted with the keytext words: SCS and SCC and refined to include only case reports. The references of identified articles involving previously published cases of SCC following SCS implantation were also reviewed to identify additional references not recognized by the PubMed database search. In total, 74 articles from 1985 to 2024 were identified and reviewed to determine inclusion in the literature review. Inclusion criteria were (1) English language articles, (2) human subjects, (3) patients aged ≥18 years old, (4) patients implanted with an SCS device, (5) patients suffering from SCC following SCS implantation, and (6) SCC was not an immediate postoperative complication. Of the 74 articles identified by the PubMed search, 13 were included, 10 were excluded due to non-English language articles, 32 were excluded as patients were not implanted with an SCS device, 16 articles were excluded due to the absence of SCC following SCS implantation, and 3 articles were excluded due to SCC being an immediate postoperative complication of the SCS implant procedure. Additionally, five articles were included on review of the references of the previously identified articles. In total, 18 articles with 19 cases were included in the literature review ( table 1 ).

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Literature review of published case reports of spinal cord compression following chronic spinal cord stimulation

Table 1 provides a summary of published cases of delayed SCC following SCS implant including the case reported here. 5–22 Paddle leads were more commonly implicated in SCC following SCS implantation (73.7%; 14/19). In one reported case off SCC, the lead type was not specified. 22 All instances of compression occurred at either the thoracic or cervical spine at the distal portion of the lead (100%; 20/20). Furthermore, loss of efficacy (LOE) was reported in a majority of cases (80%; 16/20). Lastly, SCS explant (90%; 18/20) and/or a decompressive laminectomy (80%; 16/20) were commonly employed surgical treatment modalities.

Although SCS is an efficacious and safe treatment for multiple pain syndromes, there exists a spectrum of risks and adverse events that may follow device implantation. One of the reported adverse events is SCC. A comprehensive literature review was conducted which demonstrated SCC following SCS implant is reported infrequently with only 19 published cases. In all 19 cases, the location of SCC occurred at the final lead placement either in the cervical or thoracic spine. To our knowledge, this is the first published instance of SCC secondary to progressive stenosis forming around an SCS electrode at the lead entry location.

The literature review ( table 1 ) demonstrated that the majority (73.7%; 14/19; in one case the lead type was not documented) of SCC-reported cases involve paddle leads. Two types of SCS leads are used for SCS, percutaneous and paddle leads. Percutaneous leads are used more frequently and are inserted into the epidural space through a Tuohy needle with minimal disturbance to the patient’s surrounding bone, muscle, and fascia. 16 In contrast, paddle leads are placed via a more invasive procedure involving a laminotomy. The higher prevalence of SCC with paddle than percutaneous leads could be explained by the larger surface area of the paddle electrode and the associated invasiveness of the procedure which disrupts the patient’s native anatomy and may result in the development of more fibrotic tissue.

In addition, the literature reviewed demonstrated that SCC occurred at the final placement location in either the cervical or thoracic spine in all previously reported cases (100%; 19/19). None of the nineteen cases occurred at the lead entry location as documented in this case report. The prevalence of spinal canal stenosis at typical percutaneous lead entry sites (ie, T12–L2) for thoracic cases is low. A radiological study examining 43,255 lumbar MRIs for spinal stenosis from T12–L1 to L5–S1 demonstrated that the highest incidence of moderate or greater spinal canal stenosis occurred at L4–L5 (12.9%) and L3–L4 (9.1%); conversely, the lowest incidence occurred at L1–L2 (1.4%) and T12–L1 (0.4%). 23 The mean AP spinal canal diameter at the L1 level ranges from 16.11 to 16.7 mm, and the mean AP spinal canal diameter at the T12 level ranges from 16.6 to 16.8 mm. 24–27 A commonly used criterion to classify lumbar stenosis is by visualizing the AP central canal diameter to be less than 10 mm. 4 In the case reported here, there was minimal spinal canal stenosis (AP diameter=14.09 mm) demonstrated on the pre-trial MRI at L1–L2.

To our knowledge, we report the first case of late-onset stenosis progression at the lead entry site (L1–L2) secondary to ligamentous and facet hypertrophy. Mechanical compression at the final placement has been shown secondary to SCS equipment and fibrotic scar tissue. Nearly all previously reported cases of SCC occurred secondary to fibrotic scar tissue formation (79%; 15/19). When inserting either a percutaneous or paddle lead, physicians need to be cognizant of the impact that this equipment will have on the spinal canal diameter at both the lead entry and final lead placement sites. The approximate lead diameters (i.e. thickness) for paddle and percutaneous leads are 2 mm and 1.3–1.4 mm, respectively ( table 2 ). 28 In this case, the progression of stenosis was due to a combination of factors including ligamentous hypertrophy, facet hypertrophy, disc degeneration, and the SCS lead. The pre-trial MRI did not demonstrate a contraindication to the entry location for the second SCS lead at L1–L2.

Diameter of percutaneous leads of spinal cord stimulator manufacturers 29–33

Almost half of the cases of SCC were identified via MRI (45%; 9/20). Therefore, it is helpful to have an MRI conditional system if the clinical picture is concerning for SCC since diagnostic imaging can be used to ascertain its occurrence. A prior case report described a patient with an SCS device that was not MRI conditional and suffered from SCC highlighting the importance of MRI in diagnosing soft tissue masses surrounding SCS leads. 14 The authors contend that the SCC could have been identified sooner if the device was MRI conditional. 14 MRI also possesses greater resolution in identifying spinal canal stenosis and cord compression compared with other radiographic modalities and is superior in identifying soft tissue masses. Our case further emphasizes the need for MRI conditional systems when deploying SCS treatment.

In 80% of the cases (80%; 16/20), a patient noted a LOE with their SCS system with worsening neurologic symptoms preceding the identification of SCC. Although LOE following SCS implants can occur for a multitude of reasons, in individuals who once had satisfactory pain relief that demonstrate no radiographic evidence of lead migration and cannot regain relief with reprogramming, SCC should be considered in the differential.

All patients (100%; 20/20) underwent surgical intervention either in the form of SCS explant, a decompressive laminectomy, or both. Patients who suffer from SCC following an SCS implant commonly undergo a decompressive laminectomy and/or SCS explant and in table 1 , 80% (16/20) and 90% (18/20) required these surgical treatments, respectively. Of note, two patients, one with a paddle lead 6 and one with percutaneous leads, 15 were able to retain their SCS device including the placed leads after surgical intervention. Five patients had percutaneous leads, 14 had paddle leads, and 1 patient’s lead type was not specified. Out of the five patients with percutaneous electrodes, 80% (4/5) patients underwent SCS explant, and 100% (5/5) patients underwent a documented decompressive laminectomy. Out of the 14 patients with a paddle electrode, 92.9% (13/14) underwent SCS explant and 78.6% (11/14) patients underwent a documented decompressive laminectomy. Fortunately, with timely surgical intervention, most patients demonstrate significant improvements in function and reduction in pain functionality and pain symptoms following SCS removal and additional surgical intervention. In our case, the patient reported an immediate improvement in SCC symptoms postoperatively. Out of the four patients with percutaneous leads and a documented, specified time interval from implant to explant secondary to SCC, the mean time interval was 5 years (range: 1–12 years). Out of the 14 patients with paddle leads and a documented, specified interval from implant to explant secondary to SCC, the mean time interval was 7.5 years (range: 1–17 years).

In conclusion, physicians must be aware of the possibility of spinal stenosis progression at the lead entry and final lead placement locations. Patients with existing SCS systems that present with new neurological symptoms should include SCC in the differential diagnosis. Although fibrotic scar tissue is a known cause of SCC, SCC can also occur secondary to progressive ligamentum flavum and facet hypertrophy, and disc abnormalities. MRI conditionality allows for the use of radiologic imaging to confirm the diagnosis.

Ethics statements

Patient consent for publication.

Consent obtained directly from patient(s).

Ethics approval

The patient consented and provided written authorization for the publication of this case report. Ethics approval was not required for this study as it is a single retrospective case report.

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HXL and DAP are joint first authors.

Presented at Previous presentations: American Society of Regional Anesthesia and Pain Medicine 49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting.

Contributors DAP and HXL were involved with study inception, literature review, and manuscript preparation. LD and DO-S were involved with manuscript preparation.

Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

Competing interests DAP has consulted for Avanos, Boston Scientific, Medtronic, Nevro, and SI Bone. Pain Diagnostics and Interventional Care received research support from Avanos, Medtronic, Nevro, Stimgenics, and Abbott. HXL, DO-S and LD have no conflicts to report.

Provenance and peer review Not commissioned; externally peer reviewed.

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