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During an initial consultation, what is the FIRST step a certified mastectomy fitter should perform?

A
B
C
D
to track
2026 Statistics

Key Facts: CMF Exam

125

Total Questions

ABC exam page (abcop.org)

2.5 hrs

Exam Time

ABC exam page (abcop.org)

Scaled

Passing Score

ABC criterion-referenced scoring

$215

Total Cost

ABC fees page ($160 exam + $55 application)

6x/year

Exam Cycles

ABC fees & dates page (every other month)

Jan 2025

Current Test Content Outline

ABC mastectomy fitter test content outline

ABC's Certified Mastectomy Fitter exam has 125 multiple-choice items in a 2.5-hour computer-based test. The five content domains are Patient Evaluation (29%), Formulation of the Treatment Plan (16%), Implementation of the Treatment Plan (32%), Continuation of the Treatment Plan (8%), and Practice Management (14%). Exams are offered every other month via Meazure Learning at 600+ test centers or by remote proctoring.

Sample CMF Practice Questions

Try these sample questions to test your CMF exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1During an initial consultation, what is the FIRST step a certified mastectomy fitter should perform?
A.Show the patient available prosthesis options
B.Review the patient's medical history and physician prescription
C.Fit the patient with a temporary foam form
D.Measure the patient for a prosthesis
Explanation: The first step in any mastectomy fitting is to review the patient's medical history and physician prescription. This provides critical information about the type of surgery performed, treatment status, healing progress, and any contraindications that would affect fitting decisions. Measuring, showing options, or fitting a form would all come after understanding the clinical context.
2Which type of mastectomy involves removal of the entire breast, underlying chest muscles, and axillary lymph nodes?
A.Skin-sparing mastectomy
B.Radical mastectomy
C.Simple mastectomy
D.Modified radical mastectomy
Explanation: A radical mastectomy (Halsted mastectomy) involves removal of the entire breast, the pectoralis major and minor muscles, and all axillary lymph nodes. This procedure is rarely performed today but is important for fitters to understand because it results in significant tissue loss and chest wall changes that affect prosthesis fitting.
3A patient presents six weeks post-lumpectomy with noticeable asymmetry between her breasts. Which prosthesis type is MOST appropriate?
A.Partial breast form (shell or shaper)
B.Swim form
C.Foam leisure form
D.Full silicone breast form
Explanation: A partial breast form (shell or shaper) is specifically designed for patients who have had a lumpectomy or breast-conserving surgery and need to restore symmetry. These forms compensate for the tissue removed during surgery without replacing the entire breast. A full form would be excessive, and foam or swim forms are not designed for daily asymmetry correction post-lumpectomy.
4What is the primary purpose of a weighted silicone breast prosthesis?
A.To restore body balance and prevent postural problems
B.To protect the surgical site from impact
C.To provide warmth to the chest wall
D.To speed up the healing process after surgery
Explanation: The primary purpose of a weighted silicone breast prosthesis is to restore body balance and prevent postural problems that can develop from uneven weight distribution. Without proper weight compensation, patients can experience shoulder, neck, and back pain, as well as spinal curvature. The prosthesis mimics the weight of the natural breast to maintain musculoskeletal alignment.
5When measuring a patient for a breast prosthesis, which measurements are typically required?
A.Chest circumference, breast width, and projection of the remaining breast
B.Only the bra cup size from before surgery
C.Height and weight of the patient
D.Only the chest circumference
Explanation: Proper fitting of a breast prosthesis requires multiple measurements including chest circumference, breast width (base), and projection (how far the breast extends from the chest wall) of the remaining breast. These measurements ensure the prosthesis matches the contralateral breast in size, shape, and projection for optimal symmetry and comfort.
6A patient who had a mastectomy three weeks ago asks to be fitted for a permanent silicone prosthesis. What is the MOST appropriate response?
A.Advise the patient that a temporary lightweight form is recommended until the surgical site has fully healed
B.Fit the permanent prosthesis but instruct the patient to wear it only a few hours per day
C.Refuse to see the patient until six months post-surgery
D.Proceed with fitting the permanent prosthesis immediately
Explanation: At three weeks post-surgery, the surgical site is still healing and the chest area may be swollen, tender, and subject to change. A temporary lightweight form (typically fiber-fill or foam) is recommended during this period. Most physicians recommend waiting 6-8 weeks or until the incision is fully healed before fitting a permanent weighted silicone prosthesis.
7Which of the following is a common sign of lymphedema that a mastectomy fitter should recognize?
A.Redness and warmth limited to the surgical incision
B.Swelling in the arm, hand, or chest wall on the affected side
C.Numbness in the fingertips only
D.Sharp shooting pain in the opposite arm
Explanation: Lymphedema is a chronic condition involving swelling caused by a compromised lymphatic system, commonly occurring after axillary lymph node removal. A mastectomy fitter should recognize swelling in the arm, hand, or chest wall on the affected side as a key indicator. Early identification allows for timely referral to appropriate medical professionals for compression therapy and management.
8What is the MOST important consideration when selecting a mastectomy bra for a patient?
A.Proper fit with pockets that securely hold the prosthesis in place
B.Whether it matches the patient's pre-surgical bra style
C.The color and pattern of the bra
D.The brand name and retail price
Explanation: The most important consideration in selecting a mastectomy bra is proper fit with pockets that securely hold the prosthesis in place. The pockets prevent the prosthesis from shifting, which could cause discomfort, asymmetry, and skin irritation. Proper band and cup fit also ensure comfort and support throughout the day.
9How should a silicone breast prosthesis be cleaned?
A.Machine wash on a gentle cycle with bleach
B.Soak in rubbing alcohol for 30 minutes
C.Wash gently with mild soap and warm water, then pat dry
D.Wipe down with antibacterial disinfectant wipes daily
Explanation: Silicone breast prostheses should be cleaned gently with mild soap and warm water, then patted dry with a soft towel. This preserves the silicone material while maintaining hygiene. Harsh chemicals, bleach, alcohol, and abrasive cleaning methods can damage the silicone outer layer and shorten the prosthesis lifespan.
10Under Medicare guidelines, how often is a patient typically eligible for a replacement breast prosthesis?
A.Every two years
B.Only once after surgery
C.Every six months
D.Every year
Explanation: Under Medicare guidelines, patients are typically eligible for a replacement breast prosthesis every two years (every one year for the initial prosthesis after surgery in some cases). This timeframe accounts for normal wear and changes in the patient's body. Fitters must understand these timelines to properly advise patients and ensure correct billing.

About the CMF Exam

The ABC Certified Fitter-mastectomy (CFm) credential validates that an allied health professional is specifically educated and trained in the provision of breast prostheses and post-mastectomy items and services, including patient assessment, treatment planning, fitting, follow-up care, and practice management.

Questions

125 scored questions

Time Limit

2 hours 30 minutes

Passing Score

Criterion-referenced scaled score (set by ABC)

Exam Fee

$160 (plus $55 non-refundable application fee) (ABC)

CMF Exam Content Outline

29%

Patient Evaluation

Review prescriptions/referrals, obtain comprehensive patient history, discuss expectations and goals, perform diagnosis-specific clinical examination, consult with healthcare professionals, and refer patients when appropriate

16%

Formulation of the Treatment Plan

Use assessment results to formulate a treatment plan with goals and expected outcomes, consult with prescribers, select appropriate post-mastectomy items, and document the treatment plan

32%

Implementation of the Treatment Plan

Discuss treatment plan with patient and caregivers, select and prepare post-mastectomy items, consult manufacturer guidelines, assess fit and comfort, make adjustments, educate on proper use and care, and document all findings

8%

Continuation of the Treatment Plan

Re-evaluate patients through follow-up examinations, identify needs for changes, modify and adjust post-mastectomy items, educate on modifications, and communicate with healthcare professionals

14%

Practice Management

Comply with federal and state regulations, maintain HIPAA compliance, manage billing and reimbursement including Medicare, handle inventory and business operations, and uphold professional ethics

How to Pass the CMF Exam

What You Need to Know

  • Passing score: Criterion-referenced scaled score (set by ABC)
  • Exam length: 125 questions
  • Time limit: 2 hours 30 minutes
  • Exam fee: $160 (plus $55 non-refundable application fee)

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

CMF Study Tips from Top Performers

1Focus heavily on Implementation of the Treatment Plan (32%) and Patient Evaluation (29%) as they make up over 60% of the exam
2Practice identifying anatomical landmarks and selecting correct measurement techniques for various mastectomy types
3Review Medicare billing codes (L8000-L8039) and insurance documentation requirements for post-mastectomy items
4Study manufacturer guidelines for major prosthesis brands including fitting, care, and warranty information
5Understand scope of practice boundaries and when to refer patients to other healthcare professionals

Frequently Asked Questions

How many questions are on the ABC Certified Mastectomy Fitter exam?

The ABC CFm exam consists of 125 multiple-choice items designed to measure your knowledge of mastectomy fitting across five practice domains.

How long is the ABC mastectomy fitter exam?

You have 2 hours and 30 minutes to complete the 125-item multiple-choice exam.

What score do I need to pass the ABC CFm exam?

ABC uses a criterion-referenced scaled scoring method. The passing standard is set by subject-matter experts and is not published as a fixed numeric cutoff.

What are the ABC mastectomy fitter exam content domains?

The five domains are Patient Evaluation (29%), Formulation of the Treatment Plan (16%), Implementation of the Treatment Plan (32%), Continuation of the Treatment Plan (8%), and Practice Management (14%).

How much does the ABC mastectomy fitter exam cost?

The exam fee is $160 plus a $55 non-refundable application fee, for a total of $215. A late application fee of $100 applies if submitted after the deadline.

How often is the ABC mastectomy fitter exam offered?

The exam is offered every other month (six cycles per year) at over 600 test center locations nationwide or online with a live remote proctor through Meazure Learning.