Free CCMA practice · Updated October 2026

CCMA respiratory, digestive and urinary systems practice questions, with every answer explained

Anatomy and physiology is 8 of the 150 scored items on the NHA CCMA. Answer 10 exam style questions on respiratory, digestive and urinary systems and see exactly which concepts would cost you points on test day.

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Where the CCMA points are150 scored items
General patient care
28
Foundational knowledge
15
Infection control and safety
15
Patient intake and vitals
14
Phlebotomy
12
Care coordination and education
12
Administrative assisting
12
Anatomy and physiology
8
Source: NHA CCMA test plan (2022)You are here ↑
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Q1Respiratory

Which muscle is the primary muscle of breathing?

What these respiratory, digestive and urinary systems questions test

These questions cover respiratory, digestive, urinary, endocrine and reproductive. Each one shows the correct answer and why every other option is wrong, so a miss tells you exactly what to review before the CCMA.

RespiratoryDigestiveUrinaryEndocrineReproductiveCardiovascularNervous systemIntegumentaryMusculoskeletalSpecial senses

All 10 questions with answers explained

Prefer to read first? Every question from the practice set above, with the correct answer and why each wrong option is wrong.

Q1Which muscle is the primary muscle of breathing?
  1. Pectoralis major
  2. Rectus abdominis
  3. Diaphragm
  4. Deltoid

Answer: C. The diaphragm contracts and flattens during inhalation, enlarging the chest cavity so air flows in. It relaxes during quiet exhalation.

Why not A: The pectoralis major moves the arm.

Why not B: The rectus abdominis flexes the trunk and assists forced exhalation.

Why not D: The deltoid moves the shoulder.

Exam tactic: Diaphragm down = air in.

Q2Which organ has both digestive (enzyme) and endocrine (insulin) functions?
  1. Appendix
  2. Pancreas
  3. Liver
  4. Stomach

Answer: B. The pancreas secretes digestive enzymes into the small intestine and produces insulin and glucagon from the islets of Langerhans to regulate blood glucose.

Why not A: The appendix has no major digestive or hormonal role.

Why not C: The liver produces bile but not insulin.

Why not D: The stomach produces acid and pepsin, not insulin.

Exam tactic: Pancreas: enzymes + insulin.

Q3What is the functional unit of the kidney that filters blood?
  1. Nephron
  2. Alveolus
  3. Neuron
  4. Villus

Answer: A. Each kidney contains roughly a million nephrons, which filter the blood, reabsorb what the body needs, and form urine.

Why not B: An alveolus is an air sac in the lung.

Why not C: A neuron is a nerve cell.

Why not D: A villus absorbs nutrients in the intestine.

Exam tactic: Nephron = kidney filter.

Q4Which gland regulates metabolism and sits in the front of the neck?
  1. Thymus
  2. Thyroid gland
  3. Parathyroid only
  4. Adrenal gland

Answer: B. The thyroid, located in the anterior neck, produces hormones (T3 and T4) that regulate metabolic rate. The parathyroid glands, on its back surface, regulate calcium.

Why not A: The thymus is in the chest and supports immune development.

Why not C: The parathyroids regulate calcium rather than metabolic rate.

Why not D: The adrenal glands sit on top of the kidneys.

Exam tactic: Thyroid = metabolism. Parathyroid = calcium.

Q5In the male reproductive system, which organ produces sperm?
  1. Urethra
  2. Testes
  3. Seminal vesicles
  4. Prostate gland

Answer: B. Sperm are produced in the seminiferous tubules of the testes. The prostate and seminal vesicles add fluid to semen, and the urethra carries semen and urine out of the body.

Why not A: The urethra transports but does not produce sperm.

Why not C: The seminal vesicles add fluid to semen.

Why not D: The prostate adds fluid to semen.

Exam tactic: Testes produce; glands add fluid.

Q6Which vessels are the site of oxygen, nutrient, and waste exchange with the tissues?
  1. Veins
  2. Aorta
  3. Capillaries
  4. Arteries

Answer: C. Capillaries have walls one cell thick, allowing exchange of oxygen, carbon dioxide, nutrients, and wastes between the blood and the tissues.

Why not A: Veins carry blood back to the heart.

Why not B: The aorta is the largest artery.

Why not D: Arteries carry blood away from the heart.

Exam tactic: Exchange happens in capillaries.

Q7What is the function of the myelin sheath around many nerve fibers?
  1. It connects skeletal muscles to the bones
  2. It stores long-term memories in the brain
  3. It produces the cerebrospinal fluid
  4. It insulates the axon and speeds conduction

Answer: D. Myelin is a fatty insulating layer that allows impulses to jump between gaps (nodes of Ranvier), greatly increasing conduction speed. Damage to myelin occurs in diseases such as multiple sclerosis.

Why not A: Tendons connect muscles to bones.

Why not B: Memory involves brain regions such as the hippocampus.

Why not C: Cerebrospinal fluid is produced in the ventricles of the brain.

Exam tactic: Myelin = insulation = speed.

Q8How does the skin help regulate body temperature?
  1. By producing insulin when the body is warm
  2. By sweating and adjusting blood flow near the surface
  3. By storing bile to release heat from digestion
  4. By producing more red blood cells when it is cold

Answer: B. When the body is warm, sweat evaporates and surface vessels dilate to release heat. When cold, vessels constrict to conserve heat.

Why not A: Insulin is produced by the pancreas.

Why not C: Bile is stored in the gallbladder.

Why not D: Red blood cells are made in the bone marrow.

Exam tactic: Hot: sweat and dilate. Cold: constrict.

Q9Where are blood cells produced in adults?
  1. Cartilage
  2. Periosteum
  3. Red bone marrow
  4. Yellow bone marrow

Answer: C. Red marrow, found in flat bones and the ends of long bones in adults (such as the pelvis, sternum, and vertebrae), produces red cells, white cells, and platelets. Yellow marrow is mostly fat.

Why not A: Cartilage does not produce blood cells.

Why not B: The periosteum is the membrane covering bone.

Why not D: Yellow marrow stores fat.

Exam tactic: Red marrow makes blood.

Q10Which part of the eye is the colored part that controls the size of the pupil?
  1. Retina
  2. Cornea
  3. Sclera
  4. Iris

Answer: D. The iris is the colored muscular ring that adjusts the pupil to control how much light enters the eye.

Why not A: The retina detects light.

Why not B: The cornea is the clear front covering.

Why not C: The sclera is the white outer layer.

Exam tactic: Iris = color + pupil size.

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More about the CCMA

PassPulse is an independent exam preparation tool. We are not affiliated with, endorsed by, or sponsored by the National Healthcareer Association (NHA), the American Association of Medical Assistants (AAMA), American Medical Technologists (AMT) or the National Center for Competency Testing (NCCT). Exam, credential and product names mentioned on this page are trademarks of their respective owners and are used only to identify the exams described.

These practice questions are written by PassPulse to reflect the published exam content outline. They are not actual exam questions. Questions, answers and explanations may contain errors or be out of date, and they are for exam study only, not for clinical or professional practice: always check facts against the certifying body's official materials, current standards and your employer's policies. Scores and projections on this page are estimates based on a small number of questions and do not predict your result on the real exam. Area weights come from the official outline as of the date shown; always confirm current exam details with the certifying body.
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