Candidates seeking ASHA certification in speech-language pathology or audiology can use this page to prepare for the associated Praxis exam. Choose practice sets, review explanations for sample questions, and compare the verified exam requirements for CCC-SLP and CCC-A. These practice questions are written with AI tools for study; they are not real exam questions. Use them alongside official ASHA certification information and ETS Praxis materials.
Numbers in brackets link to the official sources listed under Sources & last verified. Dates that have passed are removed automatically.
| Item | Detail | Source · Verified |
|---|---|---|
| Number of questions (CCC-A (Praxis 5343)) | 120 selected-response questions[1] | praxis.ets.org · Oct 27, 2026 |
| Number of questions (CCC-SLP (Praxis 5331)) | 132 selected-response questions[2] | praxis.ets.org · Oct 27, 2026 |
| Time limit (CCC-A (Praxis 5343)) | 2 hours (120 minutes)[1] | praxis.ets.org · Oct 27, 2026 |
| Time limit (CCC-SLP (Praxis 5331)) | 150 minutes[2] | praxis.ets.org · Oct 27, 2026 |
| Passing score (CCC-A (Praxis 5343)) | 162 (100–200 scale)[3] | American Speech-Language-Hearing Association · Oct 27, 2026 |
| Passing score (CCC-SLP (Praxis 5331)) | 162 (100–200 scale)[4] | American Speech-Language-Hearing Association · Oct 27, 2026 |
| Exam fee (CCC Application (with Membership)) | $490 for certification and ASHA membership[5] | American Speech-Language-Hearing Association · Oct 27, 2026 |
| Exam fee (CCC Application (without Membership)) | $446 for certification without membership[5] | American Speech-Language-Hearing Association · Oct 27, 2026 |
| Exam fee (Praxis Exam (5331 / 5343)) | $146 per test[2] | praxis.ets.org · Oct 27, 2026 |
| Retake fee (Praxis Exam (5331 / 5343)) | $146 per retake[2] | praxis.ets.org · Oct 27, 2026 |
| Retake policy | Wait at least 28 days between Praxis attempts; exam must be passed within 2-year application period[6] | praxis.ets.org · Oct 27, 2026 |
| Validity | Praxis scores valid for 5 years prior to application submission[4] | American Speech-Language-Hearing Association · Oct 27, 2026 |
| Renewal | 30 PDHs every 3-year interval plus annual dues/fees[7] | American Speech-Language-Hearing Association · Oct 27, 2026 |
| Delivery | At home (online) or at a test center[2] | praxis.ets.org · Oct 27, 2026 |
| Score release | Unofficial scores at end of test; official score report posted to Praxis account on score reporting date[8] | praxis.ets.org · Oct 27, 2026 |
| Testing window | Year-round continuous testing[9] | praxis.ets.org · Oct 27, 2026 |
According to American Speech-Language-Hearing Association, “The 120 selected-response test questions focus on content related to the major practice areas of prevention, identification, assessment, and intervention, together with foundational knowledge and knowledge of standards of professional practice.”[1]
The Praxis exams covered here are associated with ASHA certification in speech-language pathology and audiology. Passing the exam should not be treated as confirmation that your certification application is approved. Consult the American Speech-Language-Hearing Association’s certification pages for the requirements that apply to your application.
For CCC-SLP, Praxis 5331 contains 132 selected-response questions and allows 150 minutes. For CCC-A, Praxis 5343 contains 120 selected-response questions and allows 120 minutes. ASHA’s passing score is 162 on a 100–200 scale for either exam. This is a scaled score, so do not interpret it as a required percentage of correct answers on these practice sets.
Testing is offered throughout the year. ETS lists at-home online testing or a test center; check the relevant ETS test page when arranging your appointment. You may view unofficial scores at the end of the test, while the official report appears in your Praxis account on the score reporting date.
Allow at least 28 days between attempts, and pass within the 2-year application period. The exam costs $146 per attempt. Check ETS’s appointment policy and ASHA’s certification information before planning a retake or submitting an application.
Prepare for the CCC - ASHA Certification of Clinical Competence exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.
These are practice questions written for this site, not questions from the real exam. Each explanation shows why the right answer is right and why the others are wrong.
Question: The vocal folds are housed within which structure of the larynx?
Answer: B. Thyroid cartilage
Explanation:
Thyroid cartilage is the best answer among these options. It forms the anterior and lateral walls of the larynx, surrounding and protecting the region containing the vocal folds. The wording “housed within” describes that protective framework; it does not mean the folds lie inside cartilage tissue. The epiglottis helps protect the airway during swallowing rather than housing the folds. The cricoid cartilage supports the larynx below the thyroid cartilage. The arytenoid cartilages provide attachment and movement for the vocal folds rather than enclosing them. Remember the distinction between the protective framework of the larynx and the structures that move its folds.
Question: Which cranial nerve provides primary motor innervation to the intrinsic muscles of the larynx?
Answer: B. CN X (Vagus) via the recurrent laryngeal branch
Explanation:
CN X, the vagus nerve, via its recurrent laryngeal branch is correct. That branch supplies motor innervation to most intrinsic laryngeal muscles. The exception matters: the cricothyroid receives its motor supply through the external branch of the superior laryngeal nerve, which also comes from the vagus. CN IX, the glossopharyngeal nerve, does not provide the primary motor supply to the intrinsic laryngeal muscles. CN VII, the facial nerve, primarily controls muscles of facial expression. CN XII, the hypoglossal nerve, primarily controls tongue movement. Remember the vagus for laryngeal motor function, while keeping the cricothyroid exception separate from the usual recurrent laryngeal pattern.
Question: What must speech-language pathologists do to maintain ASHA certification?
Answer: B. Complete continuing education requirements
Explanation:
Complete continuing education requirements is the correct answer. ASHA certification maintenance requires professional development as well as annual dues or fees. Renewing without continuing education therefore leaves a maintenance requirement unmet. Ignoring new research developments does not satisfy the requirement to undertake professional development. Operating without following state licensure laws also does not describe an ASHA certification maintenance requirement and is not a substitute for continuing education. The general rule is to distinguish earning a credential from maintaining it: certification brings ongoing obligations. This question tests recognition of that obligation; use ASHA’s certification maintenance information to check the applicable requirements.
Start with the official ETS material for your intended exam: Speech-Language Pathology 5331 or Audiology 5343. Use its outline to identify relevant topics. The practice-set titles below are study categories on this site, not a verified official exam blueprint.
Choose a set that addresses a gap in your knowledge. Use Anatomy & Physiology of Communication for structure and function, or Evaluation & Diagnostic Techniques to practise assessment reasoning. Before reading an explanation, state why your chosen answer fits and why the alternatives do not.
Keep notes on errors and uncertain guesses. Label the underlying issue, such as confusing a structure with its function or missing an exception. Check the point against official preparation material or your course references, then revisit related questions.
Extend your review with Treatment Planning & Intervention, Ethical & Professional Standards, and Research & Evidence-Based Practice where relevant to your exam. Before test day, check your ETS appointment details and practise pacing against your exam’s verified time limit. Treat practice results as feedback on what to review, not a prediction of your Praxis score.
CCC-SLP uses Speech-Language Pathology Praxis 5331, with 132 selected-response questions and 150 minutes. CCC-A uses Audiology Praxis 5343, with 120 selected-response questions and 120 minutes. The ASHA certification passing score is the same for either exam: 162 on a 100–200 scale.
The Praxis exam costs $146 per attempt, including a retake. The listed CCC application fee is $490 for certification with ASHA membership for applicants not eligible for NSSLHA Conversion, or $446 for certification without membership. These application charges are separate from the Praxis test fee.
You must wait at least 28 days between attempts at the same Praxis test. Each retake costs $146. The exam must be passed within the 2-year application period, so account for both the waiting requirement and your application period when planning another attempt.
You can view unofficial scores at the end of a selected-response test. Your official report is posted to your Praxis account on the score reporting date. For initial certification, official reports must come directly from ETS to ASHA and must have been obtained no more than 5 years before application submission.
CCC-A and CCC-SLP certificate holders must accumulate 30 professional development hours during each 3-year certification maintenance interval and pay annual dues or fees. Professional development and annual payments are both part of maintenance. Consult ASHA’s Maintain Your Certification information for the official requirements.
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