Certified Medical Assistant^® Practice Test

Free CMA Practice Test 2026 | Medical Assistant Prep

The Certified Medical Assistant^® (CMA) exam, provided by the American Association of Medical Assistants (AAMA), allows candidates to become certified as a medical assistant in the United States. This is an occupation that is expected to have an employment rate increase of 13% by 2035.

Click “Start Test” above to take a free CMA practice test!

Exam Eligibility

To take the CMA (AAMA) Certification Exam, you must qualify under one of the following five eligibility categories:

Medical Assistant Test Outline

The CMA exam consists of 200 multiple-choice questions, 20 of which will not count toward your score. The exam is administered in four 40-minute segments, with optional breaks between each segment.

The questions are split into three content categories:

I. Clinical Competency (106 questions)

The Clinical Competency category is the largest on the exam, taking up 59% of the questions. These are the topics that will be covered in this category:

II. General (38 questions)

The General category contains 38 questions, taking up 21% of the questions. These are the topics that will be covered in this category:

III. Administrative (36 questions)

The Administrative category contains 36 questions, taking up 20% of the questions. These are the topics that will be covered in this category:

Top 5 Most Challenging CMA Questions

Now that you know more about the test, try your hand at some targeted practice!

Over the last year, we’ve compiled the data from about 5,000 test-takers who tried their hand at the practice test at the top of this page. According to the data, around 70% of people answered these five questions incorrectly.

Answer each question and read through the answer explanation, whether you got the answer right or wrong. This will help you ensure you’ve got the topic mastered.

Whether you struggled with these questions or aced them on your first try, be sure to take the full practice test to get a better idea of how prepared you really are!

3. Which of the following laboratory values evaluates blood viscosity?

Hardest Question

Only 24% answered correctly

A.Erythrocyte sedimentation rate B.White blood cell count C.Hematocrit D.International normalized ratio Submit

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Registration

Once you have confirmed your eligibility, you can register for the CMA (AAMA) Certification Exam through the AAMA website. The first things to do are completing the exam application, providing any required documentation, and paying the applicable exam fee.

Once AAMA approves your application, you will receive an eligibility email from PSI, the exam’s testing provider, with instructions for scheduling your appointment. You can choose to take the exam at a PSI testing center or through live remote proctoring, provided you meet the technical requirements.

Make sure the name on your AAMA and PSI records exactly matches your government-issued identification. Any name discrepancies must be corrected before test day.

Fees

The exam fees are as follows:

• Category 1: $125
• Category 2: $125 for AAMA members and $250 for nonmembers
• Category 3: $125 for AAMA members and $250 for nonmembers
• Category 4: $125 for AAMA members and $250 for nonmembers
• Category 5: $125 for AAMA members and $250 for nonmembers

Test Day

Test day will look a little different depending on whether you take the exam remotely or at a testing center.

PSI Testing Center

Arrive about 30 minutes before your scheduled appointment. You’ll need to provide a valid government-issued photo ID that meets AAMA’s identification requirements.

You’ll be asked to store any personal belongings (including your phone) outside the testing area.

Once you take your seat, you will not be allowed to talk to any other test-taker, and you will be allowed breaks only at the designated break time. Failure to follow the test center rules could result in the cancellation of your test and forfeiture of your exam fee.

Live Remote Proctoring (LRP)

You’ll need to use a compatible personal computer with a working webcam, microphone, and reliable internet connection. Work- and school-issued computers are not permitted.

You’ll also need to complete PSI’s system compatibility checks and exam tutorial before your appointment, preferably at least 72 hours in advance.

On testing day, log in approximately 30 minutes before your scheduled start time and present your government-issued photo ID. You’ll be asked to complete a 360-degree scan of your testing area. Your testing area should be a well-lit room free from other people, pets, and unauthorized materials.

How the CMA Exam is Scored

Your score is a result of the number of correct responses on the examination, and will fall in a range of 200-800. The minimum score you need to pass the CMA exam is 405.

At the conclusion of your exam, you will receive an official pass/fail notification. Your official score report is emailed and posted to your AAMA account about 24 hours after the exam.

Your official score report includes your overall scaled score and bar graphs showing your approximate performance in the General, Administrative, and Clinical content areas.

How to Pass

Start with a CMA Practice Test

Before creating your study schedule, take a CMA practice test to establish a starting point. You don’t need to wait until you have reviewed every medical term, procedure, medication, and administrative rule. At this stage, the goal is to identify where your preparation time will have the greatest effect.

Review your results by section:

• Clinical Competency: Can you complete patient intake and discharge tasks, measure and recognize vital signs, maintain infection control, prepare patients for examinations, assist with procedures, collect and process specimens, understand anatomy and physiology, and apply medication-safety principles?
• General Knowledge: Can you apply legal and ethical requirements, protect patient information, obtain appropriate consent, recognize mandatory-reporting situations, communicate therapeutically, and respond appropriately to different patient needs?
• Administrative Knowledge: Can you schedule appointments, manage health information, apply basic coding and billing principles, verify insurance coverage, process claims, and maintain accurate medical records?

You should also examine narrower weaknesses within each category. For example:

• Do you know how to measure blood pressure but struggle to identify an abnormal result?
• Can you identify laboratory equipment but not the correct order of specimen-processing steps?
• Do you recognize a medication but confuse its route, contraindications, or adverse effects?
• Can you identify an insurance form but not the action required after a claim rejection?

Identifying those specific weaknesses will show you what to study instead of repeatedly reviewing material you already understand.

Review Difficult Questions

After each practice session, review every question you answered incorrectly AND every question you guessed on or answered with low confidence. Guessing correctly does not necessarily mean that you have mastered the skill.

For each difficult question, determine which of the following caused the problem:

• You did not understand the medical terminology, anatomy, or physiology.
• You knew the procedure but completed the steps in the wrong order.
• You overlooked an infection-control or patient-safety requirement.
• You selected an action outside the medical assistant’s role.
• You failed to identify information that should be documented or reported.
• You confused two medications, routes, dosages, or adverse effects.
• You made a dosage-calculation or metric-conversion error.
• You misunderstood a legal or ethical requirement.
• You confused coding, insurance, scheduling, or record-management procedures.
• You understood the topic but spent too long reaching an answer.
• You changed a sound answer without identifying evidence that it was wrong.

Then, outline a specific plan for improvement based on what you discovered. In other words, don’t just say, “I need to study clinical procedures.” Specify that you need to practice maintaining a sterile field, selecting the correct patient position, or identifying the proper order of venipuncture tubes.

Similarly, replace “review administrative duties” with a precise goal such as distinguishing an explanation of benefits from a remittance advice, understanding the purpose of an Advance Beneficiary Notice, or reviewing how rejected claims are handled.

Utilize Answer Explanations

Answer explanations are an underutilized studying resource. To take full advantage of them, read the explanation for every question you found difficult, including questions you answered correctly.

For each one, make sure you can confidently explain:

1. Why the correct answer is correct
2. Why each incorrect option is wrong
3. What medical-assisting responsibility or principle is being tested
4. Which information in the question supports the answer
5. How the action protects the patient, maintains compliance, or supports accurate care
6. How the same concept could appear in a different scenario

For clinical questions, do not stop after identifying the correct procedure. Reconstruct the complete process. For vital-sign and laboratory questions, determine whether the result is normal, abnormal, or potentially urgent. Then identify what the medical assistant should record, repeat, or report.

For legal and ethical questions, identify the exact principle involved. Determine whether the scenario concerns privacy, release of information, informed consent, negligence, abandonment, assault, battery, mandatory reporting, controlled substances, advance directives, or another requirement.

Study Concepts, Not Individual Questions

Memorizing the answer to one CMA practice question will not prepare you for a different patient, procedure, medication, or office situation. Your goal should be to understand the process behind the answer and apply it when the details change.

For example, learn how a requested test, tube additive, collection order, labeling requirements, handling instructions, and possible contamination affect specimen collection.

Similarly, learn how to listen to an upset patient, clarify the concern, maintain professional boundaries, attempt appropriate service recovery, and determine when another healthcare team member should become involved.

The exact questions on your test will be different from the ones you encounter during practice. If you can explain a skill without looking at your notes and then apply it correctly to a new question, that is a good indication that you have mastered it.

Certified Medical Assistant Online Prep Course

If you want to be fully prepared, Mometrix offers an online CMA prep course designed to give you everything you need to succeed!

Here’s what you’ll find in the CMA course:

Everyone learns differently, so we’ve tailored the CMA online prep course to ensure every learner has what they need to prepare for the Certified Medical Assistant exam.

Click below to check it out!

FAQs

By Kate Nockunas

Kate has been Mometrix’s Nursing and Medical Editor for over four years. She has a bachelor’s degree in Communications from Vanderbilt University, a bachelor’s degree in Nursing from Marymount University, and a master’s degree in Education from Johns Hopkins. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU.

Edited by Aaron Lanni

Aaron is the content manager and lead editor for Mometrix Academy. He regularly produces, updates, proofreads, and edits content to ensure it meets Mometrix’s quality and accessibility standards.

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Certified Medical Assistant is a registered trademark of American Association of Medical Assistants, which is not affiliated with Mometrix Test Preparation and does not endorse this page.