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My ACCS is currently up to date for the current exam which changed June 27,2018. The ACCS study guide covers every critical area needed for the exam. My ACCS can be used as an adjunct along with your study guide of choice. We highly recommend that you purchase the the NBRC ACCS practice SAE. My ACCS study guide contains 188 pages plus 20 ACCS test questions with detailed explanations. A lot of RRT’s have successfully passed the ACCS exam using my study guide.