It depends on which OMPT you plan to take.
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OMPT-A, OMPT-B, OMPT-C, and OMPT-E: The test questions and difficulty level are similar to the practice material.
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OMPT-D and OMPT-F: These tests include open-ended and essay-type questions. Some questions cover multiple topics and require several steps to reach the final answer. The practice material provides the basic skills you need, but in the test, you will be expected to combine these skills at a more advanced level. Please refer to the sample questions* to get an idea of the test’s level of difficulty.
💡*Tip: The sample questions are included in the OMPT practice material, in the chapter "Instructions and sample questions".