Exam file used by ExamSoft, an online assessment-management program; contains an exam downloaded from ExamSoft.

When you download an exam from ExamSoft an XMZX file is created to contain the exam content. You can then open it with SofTest, an ExamSoft application for Windows and OS X. When taking the exam the XMZX file is automatically deleted and replaced with the XMWX "working" file. When you complete the exam, the .XMWX file is replaced by the .XMDX file, which contains the final answers. This file is located in the Answers folder in the SofTest installation directory on your computer. You can then upload the XMDX file to the ExamSoft cloud. ExamSoft allows you to control the entire testing process. It includes exam creation, delivery, scoring, administration, and analysis. It is commonly used in the K-12, undergrad, nursing, medical, pharmacy, law, and dental fields of study.