The Neurology MOC exam is a straightforward test that focuses on the fundamentals of Neurology practice. The eventual pass rate is much higher than many other specialties (97-99% depending on the year). Based on our survey data, however, most Neurologists do take a few weeks to prepare, so the high pass rate may be in part due to a high level of preparation as well as years of clinical practice.

Here are some common questions that we are asked about the Neurology MOC Exam:

How much does the exam cost?

The exam costs $1500, which consists of a $700 application fee and an $800 exam fee. Late applications will be charged an additional $500 late fee.

How many questions are on the exam?

There are 220 multiple choice questions. There is only one best answer for each question. Candidates also have the option to skip or flag the question for review.

How long is the exam?

The exam is 5 hours long. It is broken down into four sections, with optional breaks in between each section.

Where can I take the exam?

You can take the computerized exam at one of more than 200 testing sites around the United States.

How should I prepare for the exam?

There are many textbooks, practice assessments and online courses for groups and individuals to prepare for the MOC exam, like the Clinical Neurology Comprehensive Review. Additionally, the American Academy of Neurology offers an in-person exam preparation course. More information can be found here. You may want to familiarize yourself with the format and screen functions of the computerized test ahead of time. You can find screenshots and descriptions of the function of each screen here. There is a correlation between the number of Neurology MOC practice questions taken and the first time pass rate. Board Vitals is one of the most used question banks for the Neurology recertification exam.

What subjects are covered?

The exam covers 26 different topics specific to neurology. The largest portions of the exam cover epilepsy and episodic disorders, cerebrovascular disease, neuromuscular diseases and movement disorders, each of which account for approximates 10% of the exam.

How is the exam scored?

Candidates will be given a percentage correct score, which is rounded to the nearest whole number. Candidates must achieve a specific percentage to pass the examination. Questions inserted for testing purposes will not count toward the candidate’s score. There is no pre-defined passing rate. There is no penalty for guessing, so candidates are encouraged to answer every question, even if they are unsure of the answer.

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