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The practice exam is only 100 questions and it is all the same questions from the self assessment, but in a different order. I purchased this study guide because I was hoping to have a full practice exam to give me an idea of what the actual exam would be like, however it didn't give me any practice at a all. I had already done all the questions as I had studied as they were the exact same as the self assessment questions.IJCAHPO RESPONSE:We’re sorry you did not find the study guide to be what you were expecting. The study guide is designed to be a tool to help you study and determine which examination content areas would require the most study. It is not meant to be a single source of study. We appreciate your input will keep it in mind for any future revisions.