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Free COT Practice Test

Pass the Certified Ophthalmic Technician exam with confidence.

Start with a free COT practice test and build exam-ready confidence for the Certified Ophthalmic Technician exam.

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No signup to begin No credit card Instant scoring
1000+COT Questions
22Exam Domains
10Free Questions
2026Updated
What you get

Everything your COT certification prep needs

Practice expert-vetted questions, find your weak domains, and turn every mistake into a focused review plan.

Expert-vetted questions

Every question is reviewed by an experienced COT professional for clarity, accuracy and practical exam relevance.

See what to study next

Domain analytics show which parts of the exam blueprint are holding you back.

Turn mistakes into confidence

Missed questions become a review list, so nervous guessing turns into focused repetition.

1,000+ exam-realistic questions
All 22 COT domains
Weighted to the exam blueprint
Clear answer explanations
Updated for the 2026 exam
Instant, one-time access
Know where you stand

Your exam readiness

Track your readiness, domain strengths, and recent results at a glance.

Your exam readiness

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Domain performance
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This is a preview of your analytics Track your real exam readiness, weak domains, and quiz history with Fast Track and Pass Confidence.
Study by domain

Practice the COT exam by domain

1. History and Documentation

3% of the exam

Identify weak areas and improve with focused review.

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2. Visual Assessment

7% of the exam

Identify weak areas and improve with focused review.

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3. Visual Field Testing

3% of the exam

Identify weak areas and improve with focused review.

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4. Pupil Assessment

4% of the exam

Identify weak areas and improve with focused review.

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5. Tonometry

4% of the exam

Identify weak areas and improve with focused review.

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6. Keratometry

3% of the exam

Identify weak areas and improve with focused review.

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7. Ocular Motility Testing

6% of the exam

Identify weak areas and improve with focused review.

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8. Lensometry

3% of the exam

Identify weak areas and improve with focused review.

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9. Refraction, Retinoscopy & Refinement

5% of the exam

Identify weak areas and improve with focused review.

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10. Biometry

5% of the exam

Identify weak areas and improve with focused review.

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11. Supplemental Testing

2% of the exam

Identify weak areas and improve with focused review.

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12. Microbiology

3% of the exam

Identify weak areas and improve with focused review.

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13. Pharmacology

3% of the exam

Identify weak areas and improve with focused review.

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14. Surgical Assisting

6% of the exam

Identify weak areas and improve with focused review.

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15. Ophthalmic Patient Services and Education

12% of the exam

Identify weak areas and improve with focused review.

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16. General Medical Knowledge

5% of the exam

Identify weak areas and improve with focused review.

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17. Optics and Spectacles

5% of the exam

Identify weak areas and improve with focused review.

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18. Contact Lenses

5% of the exam

Identify weak areas and improve with focused review.

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19. Ophthalmic Imaging

7% of the exam

Identify weak areas and improve with focused review.

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20. Photography and Videography

6% of the exam

Identify weak areas and improve with focused review.

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21. Equipment Maintenance and Repair

1% of the exam

Identify weak areas and improve with focused review.

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22. Medical Ethics, Legal and Regulatory Issues

2% of the exam

Identify weak areas and improve with focused review.

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Built for practice, not passive reading Active recall and repetition build real exam-day readiness.
Written to match the real exam Every question mirrors the style, difficulty, and phrasing of the actual COT exam.
Aligned to the COT blueprint Weighted across every exam domain, so you practice exactly what's tested.
Choose your prep window

Pick the plan that matches your exam date

Tell us when your exam is and the plan that fits lights up. Every plan unlocks the full question bank; analytics and longer access scale with your timeline.

The official COT exam costs $325 per attempt - every plan here is a fraction of a retake.

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Before you decide

Frequently asked questions

Straight answers about the COT exam, the questions, pricing, the free trial, and how this fits your prep.

The COT exam spans 22 domains - History and Documentation (3%), Visual Assessment (7%), Visual Field Testing (3%), Pupil Assessment (4%), Tonometry (4%), Keratometry (3%), Ocular Motility Testing (6%), Lensometry (3%), Refraction, Retinoscopy & Refinement (5%), Biometry (5%), Supplemental Testing (2%), Microbiology (3%), Pharmacology (3%), Surgical Assisting (6%), Ophthalmic Patient Services and Education (12%), General Medical Knowledge (5%), Optics and Spectacles (5%), Contact Lenses (5%), Ophthalmic Imaging (7%), Photography and Videography (6%), Equipment Maintenance and Repair (1%), and Medical Ethics, Legal and Regulatory Issues (2%). Every practice question maps to one of them, so you train on exactly what's tested.

The Certified Ophthalmic Technician (COT) exam has 200 questions and is completed in 3 hours. Our timed practice tests mirror that length and pacing, so exam day feels familiar.

No - and that matters. These are original practice questions written to mirror the style, difficulty, and domain coverage of the COT exam blueprint. We never distribute actual exam content, so practicing here keeps you fully compliant with official exam policies.

No. COT Exam Prep is an independent study resource for Certified Ophthalmic Technician (COT). It is not affiliated with, sponsored by, or endorsed by the official certifying body or exam administrator.

What candidates say

Trusted by COT candidates

Real feedback from COT candidates on Reddit.

★★★★★
Sourced from Reddit

"took this way too close to my exam date, was cramming nights after clinic. the mistake review feature actually saved me on ocular motility questions, kept missing the same concept until it clicked. passed, still kinda relieved not thrilled."

r/ophthalmology Posted on Reddit
★★★★★
Sourced from Reddit

"honestly wasnt sure the multiple choice format would even match real IJCAHPO style but cot-practice-test.hub.invalid felt pretty close. the patient education questions were the ones that actually showed up in similar form on test day. glad i didnt skip those."

r/COT Posted on Reddit
★★★★★
Sourced from Reddit

"im not a great test taker so i needed alot of reps before things stuck. did the mock exams on repeat, mostly for tonometry and pupil stuff since i kept blanking on those in clinic. passed first try, didnt expect that tbh."

r/ophthalmology Posted on Reddit

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