100+ Free CCC-A Practice Questions

Pass your ASHA Certificate of Clinical Competence in Audiology exam on the first try — instant access, no signup required.

✓ No registration✓ No credit card✓ No hidden fees✓ Start practicing immediately

100+ Questions

100% Free

Loading practice questions...

2026 Statistics

Key Facts: CCC-A Exam

120

Selected-Response Qs

ETS Praxis 5343

2 hrs

Time Limit

ETS

162

Passing Scaled Score

ASHA

$146

Exam Fee

ETS Praxis

5 yrs

Score Validity

ASHA

5343

Praxis Test Code

ETS

The CCC-A is the gold-standard credential for US audiologists, accepted by all state licensing boards. The Praxis 5343 must be passed within 5 years of the certification application.

Sample CCC-A Practice Questions

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

1A patient reports difficulty hearing in noisy environments. This is most likely due to a breakdown in which of the following auditory processes?

A.Frequency resolution

B.Temporal resolution

C.Binaural summation

D.Sound localization

Explanation: Frequency resolution is the ability to distinguish between two or more sounds of different frequencies. A breakdown in this process can make it difficult to separate speech from background noise.

2A 45-year-old male presents with a sudden, unilateral hearing loss. Which of the following should be considered in the differential diagnosis?

A.Meniere's disease

B.Acoustic neuroma

C.Ototoxicity

D.All of the above

Explanation: All of the listed conditions can cause a sudden, unilateral hearing loss. A thorough audiological and medical evaluation is necessary to determine the underlying cause.

3A patient with a profound, bilateral sensorineural hearing loss is a candidate for a cochlear implant. Which of the following is a contraindication for cochlear implantation?

A.Absence of the cochlea

B.Ossification of the cochlea

C.Chronic middle ear infections

D.All of the above

Explanation: All of the listed conditions can be contraindications for cochlear implantation. A thorough medical evaluation is necessary to determine if a patient is a suitable candidate.

4An audiologist is asked to recommend a specific brand of hearing aid. Which of the following is the most ethical course of action?

A.Recommend the brand that offers the highest commission.

B.Recommend the brand that the audiologist is most familiar with.

C.Recommend the brand that is most appropriate for the patient's hearing loss and lifestyle.

D.Refuse to recommend a specific brand.

Explanation: The audiologist's primary responsibility is to the patient. The audiologist should recommend the hearing aid that is most likely to meet the patient's needs, regardless of financial incentives or personal preference.

5A patient presents with a conductive hearing loss. This is most likely due to a problem in which part of the ear?

A.Outer ear

B.Middle ear

C.Inner ear

D.Auditory nerve

Explanation: A conductive hearing loss is caused by a problem in the outer or middle ear that prevents sound from being conducted to the inner ear. The middle ear contains the ossicles, which are responsible for transmitting sound vibrations from the eardrum to the inner ear.

6What is the primary purpose of a newborn hearing screening?

A.To diagnose hearing loss

B.To identify infants at risk for hearing loss

C.To determine the cause of hearing loss

D.To recommend treatment for hearing loss

Explanation: The primary purpose of a newborn hearing screening is to identify infants who are at risk for hearing loss. Infants who fail the screening are referred for further diagnostic testing.

7A patient with a mild to moderate hearing loss is having difficulty hearing on the telephone. Which of the following would be the most appropriate recommendation?

A.A hearing aid

B.An amplified telephone

C.A personal listening system

D.All of the above

Explanation: All of the listed devices can be helpful for a person with a mild to moderate hearing loss who is having difficulty hearing on the telephone. The most appropriate recommendation will depend on the patient's individual needs and preferences.

8Which of the following is used to calibrate a sound level meter?

A.A pistonphone

B.An artificial ear

C.A anechoic chamber

D.A reverberation room

Explanation: A pistonphone is a device that produces a known sound pressure level at a specific frequency. It is used to calibrate sound level meters.

9An audiologist is treating a patient who is a minor. Who is the primary decision-maker in the patient's care?

A.The audiologist

B.The patient

C.The patient's parents or legal guardians

D.The patient's primary care physician

Explanation: The patient's parents or legal guardians are the primary decision-makers in the patient's care. The audiologist should provide them with all of the information they need to make an informed decision.

10A patient presents with complaints of dizziness and vertigo. Which of the following tests would be most appropriate to assess the patient's vestibular system?

A.Videonystagmography (VNG)

B.Auditory brainstem response (ABR)

C.Otoacoustic emissions (OAEs)

D.Tympanometry

Explanation: Videonystagmography (VNG) is a test that is used to assess the function of the vestibular system. It involves tracking the patient's eye movements as they are subjected to various stimuli.

About the CCC-A Exam

The CCC-A is awarded by the American Speech-Language-Hearing Association (ASHA) to audiologists who pass the Praxis Audiology exam (test code 5343) and complete clinical practice requirements. The exam is delivered by ETS through Praxis testing centers and contains 120 selected-response questions covering foundations, assessment, treatment, and professional practice in audiology.

Questions

120 scored questions

Time Limit

2 hours

Passing Score

162 (100-200 scale)

Exam Fee

$146 (ETS Praxis (for ASHA))

CCC-A Exam Content Outline

15%

Foundations of Audiology

Acoustics, psychoacoustics, anatomy and physiology, pathologies of the auditory and vestibular systems, and instrumentation.

30%

Screening, Assessment, and Diagnosis

Hearing and vestibular screening, hearing conservation, audiological and vestibular assessment, and differential diagnosis.

30%

Treatment and Intervention

Hearing aids, cochlear implants, assistive listening devices, tinnitus management, and vestibular rehabilitation.

15%

Professional and Ethical Issues

Scope of practice, professional ethics, patient confidentiality, supervision, and research methodology.

10%

Modality-Specific Knowledge

Pediatric, geriatric, educational, and industrial audiology applications across diverse populations.

How to Pass the CCC-A Exam

What You Need to Know

Passing score: 162 (100-200 scale)
Exam length: 120 questions
Time limit: 2 hours
Exam fee: $146

Keys to Passing

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

CCC-A Study Tips from Top Performers

1Master pure-tone audiometry, masking rules, and audiogram interpretation

2Drill differential diagnosis: conductive vs sensorineural vs mixed hearing loss

3Know ABR/OAE protocols and pediatric assessment battery cold

4Practice hearing aid fitting math: real-ear measurement, prescriptive formulas (NAL-NL2, DSL)

5Review vestibular tests: VNG, VEMP, rotational chair, video head impulse test

Frequently Asked Questions

How many questions are on the CCC-A exam?

The Praxis Audiology exam (5343) used for CCC-A certification contains 120 selected-response questions covering all major audiology practice areas.

What is the passing score for the CCC-A exam?

ASHA requires a passing scaled score of 162 on the 100-200 Praxis scale. Some state licensing boards may have higher cut scores.

How long is the CCC-A exam?

Candidates have 2 hours to complete the 120-question computer-delivered Praxis Audiology exam at an ETS test center.

How much does the CCC-A exam cost?

The Praxis 5343 examination fee is $146. Additional ASHA application and annual dues fees apply for full CCC-A certification.

How long are CCC-A exam scores valid?

Praxis Audiology scores submitted for initial CCC-A certification must come directly from ETS to ASHA and must be no more than 5 years old at the time of application.