🇺🇸 NBCOT · United States
NBCOT COTA Certification Exam
The NBCOT COTA Certification Exam: 190 questions, a minimum score of 450, and a licence that depends on it. MediFlow prepares you specifically for this exam: 310 practice questions across 9 topics, an explanation for every answer and timed mock exams in the real exam format.
- $39.99 · 3 months of access · one payment · no subscription
- 310 practice questions
- 190 questions · 240 minutes · pass mark score 450
MediFlow Exam Prep
AIAI tutor explains every answer
310 practice questions+123 new in the last 30 days
The challenge
The NBCOT COTA Certification Exam: 190 questions, a minimum score of 450, and a licence that depends on it.
- The exam covers the theory and the practical standards of your profession. Textbooks do not tell you what NBCOT actually asks.
- 190 questions in 240 minutes leave about 76 seconds per question. Speed has to be trained, not hoped for.
- The question style is specific: clinical scenarios, best-answer choices and distractors that look right.
- Working full time leaves little room to plan revision, and a retake costs months of waiting and another exam fee.
How MediFlow solves it
- A question bank built on the published content of NBCOT, organised by topic, so you know what matters.
- Timed mock exams in the real exam format train your pace before the real day.
- Every answer is explained, including why the other options are wrong.
- A study plan up to your exam date tells you what to do each day and brings weak topics back for review.
Three steps to exam day
- 1
Try free questions and see the style of the exam.
- 2
Unlock the package and follow your study plan, topic by topic.
- 3
Take timed mock exams until your results are stable, then sit the exam.
What you can check
- 310 practice questions in 9 topics
- Question bank last updated on 30 October 2026
- Mock exams in the NBCOT exam format
One package, one payment
$39.99 for 3 months of access to this exam. One payment, no subscription, no automatic renewal. Web and app with one account.
Practice material only. MediFlow is independent of NBCOT and cannot guarantee a result.
Exam at a glance
- Questions
- 190
- Duration
- 240 minutes
- Pass mark
- score 450
- Sections
- MCQ incl. multi-select
- Exam type
- Written
- Language
- English
- Authority
- NBCOT
Curriculum
Built from the question bank and updated automatically when new questions are added. 9 modules · 310 questions · Last updated: 30 October 2026
01ADLs, assistive technology and environment33 questions · 10.6 % of the bank
Sample question
Sample question1 / 1 · 0 correctWhat is the maximum slope for a wheelchair ramp under the ADA standards?
Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.
02Assessment tools and interpretation34 questions · 11 % of the bank
Sample question
Sample question1 / 1 · 0 correctA client can move the elbow through full flexion against gravity but cannot hold against any added resistance. What manual muscle test grade is this?
Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.
03Evaluation and occupational profile37 questions · 11.9 % of the bank
Sample question
Sample question1 / 1 · 0 correctAn occupational therapist meets a newly referred adult in an outpatient clinic. Which step should start the evaluation process?
Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.
04Mental health33 questions · 10.6 % of the bank
Sample question
Sample question1 / 1 · 0 correctIn a clubhouse program, what is the main organizing feature?
Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.
05Neurological rehabilitation39 questions · 12.6 % of the bank
Chapters
- Foundations: brain anatomy and clinical localisation
- Foundations: reflexes, the spinal cord and upper versus lower motor neuron signs
Sample question
Sample question1 / 1 · 0 correctWhich strategy helps a client with Parkinson disease who freezes when walking through doorways?
Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.
06Orthopedics, hand therapy and burns35 questions · 11.3 % of the bank
Chapters
- Foundations: the skeleton, spine and pelvis
- Foundations: shoulder, wrist and hand
- Foundations: hip fractures, knee and ankle ligaments
- Foundations: skin structure, primary lesions and burn depth
07Pediatrics and development35 questions · 11.3 % of the bank
Chapters
- Foundations: the newborn and the transition after birth
- Foundations: growth and development
- Foundations: the child's airway, vital signs and resuscitation
08Intervention planning and goals32 questions · 10.3 % of the bank
09Competency and practice management32 questions · 10.3 % of the bank
Sample question
From the module ADLs, assistive technology and environment. Choose an answer to see the explanation.
What is the maximum slope for a wheelchair ramp under the ADA standards?
Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.
What you get
- Question bank with a detailed explanation for every answer
- Timed mock exams in the real exam format, with score report by topic
- Personal study plan up to your exam date and review of weak topics
- AI tutor that explains any question in plain words
- One account for the app (iPhone, iPad) and the browser
From registration to licence
The usual steps with NBCOT. Details can change; check the current rules with NBCOT before you register.
- Check eligibility and collect your documents (degree, experience, good standing).
- Create an account with NBCOT and submit the application.
- Receive the exam eligibility and book a date with the test centre.
- Sit the exam. Results usually come within days.
- After passing: complete licensing (for example primary source verification) and receive your licence.
Frequently asked questions
How much does NBCOT COTA Certification Exam preparation cost?
$39.99 for 3 months of access to this exam. One payment, no subscription, no automatic renewal.
How long is my access?
Access runs for 90 days from purchase for this exam package.
Where can I buy it?
In the MediFlow Exam Prep app (App Store) or on mediflow.ae. Both unlock the same package for your MediFlow account.
Are these real exam questions?
No. MediFlow writes original questions based on the published exam content. We do not use recalled or leaked exam questions and we are not affiliated with NBCOT.
Is the exam format up to date?
The format comes from the published information of NBCOT. Check it with NBCOT before your exam, as authorities can change it.
Ready to start
Begin with free questions or unlock the full package now.
MediFlow is an independent provider. We are not affiliated with any licensing authority or exam provider. Questions are written by MediFlow from published exam outlines; they are not questions from real exams. Always check the format with the authority before your exam.
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One app for every exam
MediFlow Exam Prep on iPhone and iPad: choose your country, profession and exam. Practice questions with explanations, timed mock exams and a study plan. The same account works in the browser.
