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100+ Free BOC-CMF Practice Questions

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Which is an appropriate use of a silicone equalizer/shaper?

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2026 Statistics

Key Facts: BOC-CMF Exam

~100

Total Items

BOC CMF MCQ

2 yrs

Silicone Coverage

Medicare 1 per breast

WHCRA

1998 Federal Law

Mandates private insurance coverage

500 hrs

Experience

OR BOC-approved program

BOC CMF is the post-mastectomy external breast prosthesis fitter credential. ~100 items, 2-3 hours. Master surgical procedures (lumpectomy/mastectomy/modified radical), silicone weighted prosthesis (gold standard), post-mastectomy bras (internal pocket, no underwire), Medicare coverage (1 silicone/2 yrs, 2-6 bras/yr), L-codes (L8000 bra, L8030 silicone form), and lymphedema awareness.

Sample BOC-CMF Practice Questions

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

1Which surgical procedure removes the entire breast along with axillary lymph nodes but preserves the chest wall muscles?
A.Lumpectomy
B.Simple mastectomy
C.Modified radical mastectomy
D.Radical mastectomy
Explanation: A modified radical mastectomy removes the entire breast and axillary lymph nodes while preserving the pectoralis major muscle, distinguishing it from the older radical mastectomy.
2What is the primary functional benefit of a weighted silicone breast prosthesis compared to a lightweight foam form?
A.Lower cost to the patient
B.Maintains shoulder and spine balance
C.Easier to clean
D.Better color matching
Explanation: A weighted silicone prosthesis matches the weight of the natural contralateral breast, helping maintain shoulder symmetry, spinal alignment, and posture, which is the gold standard for unilateral mastectomy patients.
3How often will Medicare typically cover a replacement silicone breast prosthesis per breast?
A.Every 6 months
B.Every year
C.Every 2 years
D.Every 5 years
Explanation: Medicare covers one silicone breast prosthesis per breast every 2 years, with non-silicone (foam/fabric) forms covered every 6 months.
4Which HCPCS L-code is used for a silicone breast prosthesis?
A.L8000
B.L8020
C.L8030
D.L8035
Explanation: L8030 is the HCPCS code for a silicone breast prosthesis (mastectomy form). L8000 is the mastectomy bra, L8020 is a non-silicone form, and L8035 is the custom-molded prosthesis.
5What essential structural feature distinguishes a post-mastectomy bra from a standard bra?
A.Underwire support
B.Internal pockets to hold the prosthesis
C.Padded cups
D.Convertible straps
Explanation: Post-mastectomy bras have built-in internal pockets in each cup designed to securely hold a breast prosthesis in place against the chest wall.
6A patient who underwent a lumpectomy with significant tissue removal but breast preservation would BEST be fitted with which type of prosthesis?
A.Full silicone weighted form
B.Partial/equalizer prosthesis
C.Custom-molded prosthesis
D.Attachable silicone prosthesis
Explanation: A partial or equalizer prosthesis (also called a shell or shaper) is designed to fill in volume differences after lumpectomy, restoring symmetry to the contralateral breast.
7Which lymph node region is most commonly affected by dissection during a modified radical mastectomy?
A.Cervical
B.Axillary
C.Inguinal
D.Mediastinal
Explanation: Axillary lymph node dissection is performed during modified radical mastectomy because breast lymphatic drainage primarily flows to the axilla, and removal helps stage the cancer.
8What is the most important reason to avoid blood pressure measurements on a patient's affected arm after axillary lymph node dissection?
A.It causes severe pain
B.It increases lymphedema risk
C.It alters BP readings
D.It dislodges the prosthesis
Explanation: Compression of the affected arm from blood pressure cuffs can impair lymphatic drainage and trigger or worsen lymphedema, a chronic swelling condition.
9Which professional is required to provide the written order for a Medicare-covered breast prosthesis?
A.A licensed certified mastectomy fitter
B.A physician, NP, or PA
C.A registered nurse
D.A medical social worker
Explanation: Medicare requires a written order from a treating physician, nurse practitioner (NP), or physician assistant (PA) before a breast prosthesis can be provided and billed.
10What is the appropriate first step in fitting a post-mastectomy patient for a breast prosthesis?
A.Show her the prostheses on display
B.Conduct a private consultation and assessment
C.Measure her chest wall immediately
D.Give her a catalog to choose from
Explanation: A private consultation establishes rapport, addresses emotional concerns, reviews medical history, and discusses goals and lifestyle before any measurements or product selection.

About the BOC-CMF Exam

BOC Certified Mastectomy Fitter — for fitters of post-mastectomy external breast prostheses and bras. Covers breast anatomy and cancer/surgical procedures (lumpectomy, mastectomy, modified radical), prosthesis types (silicone weighted, lightweight, partial, attachable, custom, leisure/swim), fitting process (measurement, sizing, evaluation), post-mastectomy bras (pocket placement, no underwire), patient care/emotional sensitivity, lymphedema management, and Medicare billing (HCPCS L8000-L8035, every 2 yrs silicone, every 6 mo non-silicone).

Questions

100 scored questions

Time Limit

2-3 hours (per BOC)

Passing Score

Scaled (BOC-set)

Exam Fee

Per BOC (BOC)

BOC-CMF Exam Content Outline

25%

Prosthesis Types & Selection

Silicone weighted, lightweight, partial/equalizer, attachable, custom, leisure/swim

25%

Fitting Process

Measurement, sizing, evaluation, comfort assessment, troubleshooting, follow-up

15%

Anatomy & Breast Cancer

Breast anatomy, cancer types, surgical procedures, reconstruction, lymphedema

15%

Post-Mastectomy Bras

Bra construction (internal pocket), pocket placement, no underwire option, sports/leisure

10%

Patient Care & Emotional

Body image, communication, sensitivity, going-flat option, lymphedema

10%

Documentation & Billing

Medicare coverage frequency, HCPCS L8000-L8035, written order, WHCRA

How to Pass the BOC-CMF Exam

What You Need to Know

  • Passing score: Scaled (BOC-set)
  • Exam length: 100 questions
  • Time limit: 2-3 hours (per BOC)
  • Exam fee: Per BOC

Keys to Passing

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

BOC-CMF Study Tips from Top Performers

1Master Medicare frequency: 1 silicone prosthesis/2 yrs, 1 non-silicone/6 mo, 2-6 mastectomy bras/yr
2Memorize HCPCS L-codes: L8000 (bra), L8020 (mastectomy form), L8030 (silicone), L8035 (custom)
3Drill prosthesis selection: silicone gold standard for posture/balance; lightweight for limited weight tolerance
4Apply lymphedema awareness: post-axillary node dissection — avoid BP/IV affected arm; refer for compression sleeve
5Recognize patient choice: respect "going flat" decision; never pressure reconstruction

Frequently Asked Questions

How often does Medicare cover a silicone breast prosthesis?

Medicare Part B covers ONE silicone breast prosthesis per breast every TWO years (24 months). Foam/non-silicone forms are covered every 6 months. Mastectomy bras: 2-6 per year (typically 2 every 6 months). Coverage requires Standard Written Order from physician/NP/PA documenting medical necessity post-mastectomy/lumpectomy. Replacement before the frequency limit requires documentation of medical necessity (size change, damage).

What is WHCRA and how does it affect coverage?

WHCRA (Women's Health and Cancer Rights Act of 1998) requires group health plans + insurers covering mastectomy to ALSO cover: reconstruction of the affected breast, surgery on the contralateral breast for symmetry, prostheses, and treatment of physical complications including lymphedema. WHCRA does NOT change Medicare DMEPOS rules but ensures private insurance coverage. Medicaid coverage varies by state.

Can a patient receive a prosthesis without reconstruction?

Yes — patient choice. Many women choose to NOT pursue reconstruction (the "going flat" option) and instead use external prostheses, or no prosthesis at all. The CMF must respect the patient choice. External prostheses are valid long-term solutions: silicone weighted (gold standard for posture/balance) or lightweight options. Reconstruction is patient-driven medical decision, not a prerequisite to prosthesis fitting.

How should I study for BOC CMF?

Plan 30-60 hours over 4-8 weeks. Focus weighted study on Prosthesis Types (25%) and Fitting Process (25%) — together half the exam. Master the silicone vs lightweight vs partial vs attachable vs custom prosthesis decision tree, post-mastectomy bra construction, Medicare coverage frequencies + L-codes, and lymphedema risk management. Sensitivity training is essential — many programs require completion before sitting for CMF.