CMA practice test: free CMA (AAMA) exam questions with explanations
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Practise for the CMA (AAMA) Certification Exam for medical assistants with original questions on the three official content categories: clinical competency, general (legal, ethics, communication) and administrative (billing, coding, scheduling). Start with 5 free questions, then take two timed tests of 60 questions in 48 minutes, split like the official outline, with an explanation for every answer and your score per category.
- 5 free questions
- 2 timed tests, 120 questions
- Real pace: 48 s per question
- Score per content category
- Practice certificate PDF
How many questions are on the CMA exam, and what is the passing score?
| CMA (AAMA) exam | Official facts |
|---|---|
| Questions | 200 multiple choice: 180 scored, 20 unscored pretest questions placed at random |
| Time | Four 40-minute segments, 160 minutes of testing, three optional breaks (5, 10 and 5 minutes) |
| Scoring | Scaled score from 200 to 800, based on the number of correct answers |
| Passing score | 405 (minimum passing score set by the Certifying Board) |
| Results | Pass or fail on screen right after the exam, official score report by e-mail about 24 hours later |
| Retakes | Up to 6 attempts in 12 months, each with a new application and fee |
| Fee | $125 for AAMA members and completing students or recent graduates, $250 for most nonmembers |
| Recertification | Every 60 months, by exam or continuing education |
Source: AAMA Certification page and CMA (AAMA) Certification Exam Application and Policies, aama-ntl.org, checked 23 October 2026. The exam is given by PSI at a test center or with remote proctoring. Because the score is scaled, 405 is not a percentage: you cannot turn it into a number of correct answers.
What is on the CMA (AAMA) exam: the content outline
The official content outline divides the 180 scored questions into three categories:
| Category | Scored questions | Share | On MyLevel (per test) |
|---|---|---|---|
| Clinical competency | 106 | 59% | 35 |
| General | 38 | 21% | 13 |
| Administrative | 36 | 20% | 12 |
- Clinical competency: patient intake and vital signs, medical terminology, safety and infection control, examinations and procedures, specimen collection and lab testing, and pharmacology including dosage calculations and immunizations.
- General: legal and ethical issues (HIPAA, consent, liability, mandatory reporting, advance directives) and communication with patients and the care team.
- Administrative: billing, coding and insurance (CPT, ICD-10-CM, HCPCS), and scheduling and health information management.
Source: Content Outline for the CMA (AAMA) Certification Exam, aama-ntl.org, checked 23 October 2026. The AAMA has published an updated outline for exams on or after July 2027; if your exam is before then, the current outline applies.
What you practise on MyLevel
Every MyLevel question is an original question written on the topics of the official outline, with one correct answer, three wrong ones and a short explanation. The two full tests have 60 questions in 48 minutes each. That is MyLevel's own length, at the same pace as the real exam (160 minutes for 200 questions = 48 seconds per question), so you also practise your timing. After each test you see your score per category, so you know whether to spend your study time on clinical, general or administrative topics.
The AAMA sells its own CMA (AAMA) Review Exam with 200 questions for $30 (members) or $45 (nonmembers), with access ending 30 days after you start (AAMA learning center, checked 23 October 2026). MyLevel is a different, independent product: 2 timed tests for $9.99, a one-time payment with no subscription and no time limit, which also unlocks every other MyLevel job test.
Taking the NHA certification instead of the AAMA one? Practise with the CCMA practice test, built on the NHA CCMA test plan.
How to study for the CMA exam
- Start with clinical competency: it is 59% of the scored questions. Learn normal vital signs, the order of draw, injection routes and angles, and OSHA and infection control rules until they are automatic.
- Practise dosage math by hand: desired / have x quantity, 1 kg = 2.2 lb, 1 g = 1,000 mg, and Celsius to Fahrenheit (C x 9/5 + 32).
- Know your scope: on legal and communication questions, the right answer usually keeps the patient safe, protects privacy and sends diagnosis and treatment questions to the provider.
- Learn what each code set does: ICD-10-CM for diagnoses, CPT for services, HCPCS Level II for supplies and equipment, and the difference between copay, coinsurance and deductible.
- Train under time: take a full MyLevel test, read every explanation of what you missed, study your weakest category and then retake the test. Aim for 70% or more in every category, and 80% for a margin.
MyLevel is independent and not affiliated with, or endorsed by, the American Association of Medical Assistants (AAMA) or its Certifying Board. CMA (AAMA) is a credential of the AAMA. All questions are original practice questions written by MyLevel on the topics of the published content outline, not real CMA (AAMA) exam questions, and a practice score is not a CMA (AAMA) score or certification.
Sample question with explanation
Which code set reports the patient's diagnosis, the reason for the visit?
- CPT
- HCPCS Level II
- NDC
- ICD-10-CM
Show the answer
Answer: D. ICD-10-CM
ICD-10-CM codes describe diagnoses and symptoms. CPT codes describe procedures and services, and HCPCS Level II covers supplies, equipment and some services.
Frequently asked questions
Is this CMA practice test free?
Yes, you can start with 5 free questions with explanations from the clinical, general and administrative categories. Two full timed tests of 60 questions cost $9.99 once, with no subscription.
How many questions are on the CMA exam?
The CMA (AAMA) Certification Exam has 200 multiple-choice questions: 180 scored and 20 unscored pretest questions. You answer them in four 40-minute segments, 160 minutes in total, with up to 20 minutes of optional breaks (aama-ntl.org).
What is the passing score for the CMA exam?
The minimum passing score is 405 on a scaled score from 200 to 800 (aama-ntl.org, October 2026). A scaled score is not a percentage. On MyLevel, aim for at least 70% in every category and 80% for a safe margin.
How much does the CMA exam cost?
$125 for AAMA members and for completing students and recent graduates, and $250 for most nonmembers (CMA (AAMA) Exam Application and Policies, October 2026). The fee is nonrefundable and every retake needs a new application and fee.
What is the difference between CMA and RMA?
They are different credentials from different organizations. The CMA (AAMA) comes from the American Association of Medical Assistants; the RMA (Registered Medical Assistant) comes from American Medical Technologists (AMT), and the CCMA from the National Healthcareer Association (NHA). Each has its own eligibility rules and exam. MyLevel's practice tests follow the CMA (AAMA) content outline.
Can I unlock only this test?
There is one option, so you never have to choose: the $9.99 job pack, one time. It unlocks the 2 full tests on this page and every other MyLevel job test, with no subscription and a full refund within 14 days if it does not help you.
Do I get a certificate?
Yes. After a full practice test you can download a MyLevel practice certificate (PDF) with your score. It is a personal record of your practice, not an official document and not a CMA (AAMA) certification.
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