CMSA study materials
CMSA study resources

CMSA case studies

CMSA · Put your knowledge to work in context.

The Certified Medical Surgical Assistant (CMSA) credential is a professional certification for medical assistants and comparable clinical support staff who work in medical-surgical settings - ambulatory clinics, hospital medical-surgical units, surgical practices, and procedural areas. It signals that a candidate has demonstrated knowledge across the full breadth of the medical-surgical assistant role rather than a single specialty. The exam is delivered in multiple-choice format and samples nine content domains: patient care and clinical fundamentals (the largest share), asepsis, infection control and safety, vital signs and patient assessment, pharmacology and medication administration, diagnostic testing and laboratory procedures, surgical and procedural assistance, office administration and documentation, professionalism, ethics and law, and communication and patient education. Because the domains are weighted unevenly, preparation should follow those weights rather than chapter order in any single textbook. The CMSA case studies are 5 cases and about 4,043 words.

1

A Repeat Blood Pressure That Does Not Match the Chart

Alvarez, 68, arrives at 2:40 pm for a 2:30 pm follow-up of type 2 diabetes. She has hurried in from the parking garage, is finishing a large coffee, and keeps talking while you inflate the cuff.

781 words, about 4 min
2

Warfarin, a New Antibiotic, and a Phone Call at 9:15

Okafor, 74, calls the front desk. She takes warfarin 5 mg daily; her INR six days ago was 2.4.

758 words, about 4 min
3

Needlestick During a Difficult Venipuncture

At 11:20 am you perform a venipuncture on Mr. R., 47, who is flagged in the record as hepatitis C antibody positive, documented in 2019, with treatment status unclear.

810 words, about 4 min
4

Two Patients Named Robert Miller

At 8:00 am two patients check in four minutes apart: Robert J. Miller, DOB 03/14/1958, scheduled for an annual physical with a CBC and a urine culture, and Robert T.

852 words, about 4 min
5

A Daughter, a Subpoena, and 5 pm

At 3:40 pm a woman calls saying she is the daughter of Mr. Chen, 82, a patient of the practice for 12 years.

842 words, about 4 min