OCC Study Guide 2026
Everything you need to pass the OCC exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.
OCC exam key facts
- Diplomates taking the AOBFP Longitudinal Assessment receive 30 questions during their first attempt. Source
- The AOBFP Longitudinal Assessment questions are untimed and may be completed at the physician's own pace. Source
- The passing requirement for the AOBFP Longitudinal Assessment is a cumulative score of 80% on the 30 questions. Source
- The annual fee for the AOBFP Longitudinal Assessment is $225. Source
- Diplomates receive a second opportunity to revisit missed questions seven days after completing their initial attempt. Source
- Physicians completing continuous certification under current requirements hold a 9-year certificate. Source
📋 OCC Exam Format at a Glance
📚 OCC Topics to Study (24)
✍️ Sample OCC Questions & Answers
1. A counterstrain tender point for the iliopsoas is located at which anatomical landmark?
The anterior counterstrain tender point for the iliopsoas is located on the medial surface of the ASIS and is treated by hip flexion, abduction, and external rotation.
2. What role do professional conferences play in skill development?
Professional conferences serve as crucial platforms for skill development by offering a wide range of educational sessions, workshops, and presentations on the latest research and clinical practices. They also provide invaluable networking opportunities, allowing attendees to connect with peers, experts, and mentors. This exchange of knowledge and ideas fosters professional growth and collaboration.
3. Which statistical measure describes the probability that a patient without the disease will test negative on a diagnostic test?
Specificity = true negatives / (true negatives + false positives) — it is the probability that a disease-free person tests negative.
4. Which Chapman's reflex point is associated with the heart and is found anteriorly between the 2nd and 3rd intercostal space, left of the sternum?
The anterior Chapman's point for the heart is located between the 2nd and 3rd ribs, just left of the sternum.
5. In osteopathic palpation, what does 'tissue texture abnormality' in an acute setting typically feel like?
Acute somatic dysfunction presents with boggy, edematous, warm tissue due to inflammation and increased sympathetic activity.
6. In a cohort study examining smoking and lung cancer, researchers find a hazard ratio (HR) of 3.2. What does this represent?
A hazard ratio of 3.2 means the exposed group (smokers) have 3.2 times the instantaneous rate of the outcome (lung cancer) compared to the unexposed.
🎯 Free OCC Practice Tests
📖 OCC Guides & Articles
What Practice Test Geeks adds beyond an AI chat for OCC
An AI chatbot can quiz you, but it can't reproduce the exam conditions or keep your record. Here you get:
- A timed, full-length OCC mock exam — 100 questions in 120 minutes with a 70% pass mark, modeled on the official exam's question count and time limit, followed by a score report broken down by exam domain.
- A fixed OCC question bank: the same test every attempt, so your score is comparable from one try to the next instead of changing with every regenerated quiz.
- Progress saved on your device: completed tests, scores and missed questions stay in My Progress, so you can retake only what you got wrong.
- A printable OCC cheat sheet you can print or save as a PDF.
- OCC flashcards built from the same question bank.
- Free OCC practice tests with the correct answer shown after each question.
How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy
Sources & references
Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy
- certification.osteopathic.org — Test delivery, registration deadline, renewal, score validity, fees, exam format, passing score, registration, retake policy, test dates · verified Oct 2026