CDT exam passing score and which chapters to actually prioritize

by ingrid_p 1,150 views6 replies
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ingrid_pOP
May 25, 2026

I'm a medical assistant with two years of experience in a dermatology practice preparing for the Certified Dermatology Technician exam. The exam is 150 questions and I've heard passing is around 75% but haven't confirmed that officially. My study timeline is 10 weeks at about an hour per day using the official CDT candidate handbook and a skincare textbook my supervising physician loaned me.

My practice scores are around 68-70% after five weeks. The anatomy and physiology of skin sections I'm confident about — working in a derm office every day gives you that foundation naturally. Where I'm struggling is pharmacology content: drug categories used in dermatology, their mechanisms, and contraindications. There are a lot of topical and systemic medications to track across acne, psoriasis, eczema, and skin cancer management.

Is the pharmacology section really as large as it seems, or am I overweighting it? And which drug classes come up most often — retinoids, biologics, antibiotics? I want to triage my remaining five weeks intelligently.

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chloe_g
May 26, 2026

Your 68-70% after five weeks is a solid place to be. Most people find their scores jump in the final three to four weeks when everything starts connecting. Keep the daily practice going and you'll likely land at 75-78% by exam day.

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ingrid_p
May 26, 2026

The procedural section on my exam was lighter than expected — maybe 15% of questions. Don't over-invest there. Clinical knowledge sections covering lesion identification and treatment protocols carry much more weight. Make sure you can identify primary vs secondary lesions and know the ABCDE melanoma criteria inside out.

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sophie_m
May 27, 2026

Pharmacology is probably 20-25% of the exam. Retinoids and teratogenicity warnings, biologics used in psoriasis (TNF inhibitors, IL-17 and IL-23 inhibitors), and topical corticosteroid potency classes are the highest yield. Know the iPLEDGE requirements for isotretinoin cold — I had three questions on that specifically.

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nico_b
May 27, 2026

Infection control and HIPAA basics showed up more than I anticipated — probably five or six questions. Coming from a medical assistant background you probably have that covered, but worth a quick review in your last week so it doesn't catch you off guard.

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LateNightStudy
July 4, 2026

I just passed last month so I can actually help here. The 75% passing score is accurate, that's what I've heard consistently and it matched what I needed. For chapters, don't waste too much time on the basic anatomy stuff early on — focus hard on inflammatory conditions and treatment protocols because those showed up constantly for me. Honestly the procedural knowledge section wasn't as heavy as I expected.

The one thing that made the biggest difference was doing practice questions in timed blocks rather than just reading. After week six I switched to 30-question timed sets and it completely changed how I processed the material. You start to recognize how they phrase answers and it's way less about memorizing and more about clinical reasoning. Good luck, it's totally passable with your timeline.

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CramSession
July 5, 2026

I've been doing the same thing, and honestly the biggest shift for me was stopping to figure out why a wrong answer was wrong instead of just moving on. Like, if you pick A and the answer is C, don't just note it and flip to the next one. Ask yourself what made A seem right, and then you'll stop falling for that trap on similar questions. It slows you down at first but it's so worth it.

For chapters, I'd weight anything related to conditions and treatments the heaviest. I did a ton of reps with a cdt common skin conditions treatment practice test and it caught gaps I didn't even know I had. The pharmacology stuff wasn't as brutal as I expected once I understood mechanisms instead of just memorizing drug names. Ten weeks is plenty if you're consistent.

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