Key Takeaways

  • The RMA exam consists of 210 multiple-choice questions to be completed in 2 hours (120 minutes)
  • The passing score is a scaled score of 70 on a 0-100 scale
  • The exam fee is $150 (includes exam registration and first annual membership fee); retakes cost $110
  • The 2024 pass rate is approximately 70%, with the 2023 rate at 71%
  • Testing is available at Pearson VUE test centers and online via OnVUE proctoring
  • The exam covers 4 content domains: Clinical Patient Interaction (33.8%), Administrative Medical Assisting (26.7%), Anatomy & Physiology (20.9%), and Clinical Procedural Tasks (18.6%)
  • AMT offers 5 eligibility routes: education (720+ clock hours), competency certification, work experience (3+ years), military training, and instructor qualifications
  • RMA certification must be renewed every 3 years with 30 CCP points and an annual fee of $75
Last updated: February 2026

RMA (AMT) Registered Medical Assistant Exam Overview

The Registered Medical Assistant (RMA) credential is awarded by American Medical Technologists (AMT) and is one of the most respected medical assistant certifications in the United States. The RMA demonstrates that a medical assistant has met the professional standards of knowledge, skills, and competency required for healthcare practice.

Exam Details at a Glance

DetailInformation
Full NameRMA (Registered Medical Assistant) Certification Exam
Exam BodyAmerican Medical Technologists (AMT)
FormatComputer-based, multiple-choice
Total Questions210
Time Limit120 minutes (2 hours)
Passing ScoreScaled score of 70 (0-100 scale)
Exam Fee$150 (includes exam + first annual fee)
Retake Fee$110
Testing VendorPearson VUE (in-center or OnVUE online)
Testing AvailabilityYear-round
Pass Rate~70% (2024), ~71% (2023)
ResultsPreliminary results at test center; official notification from AMT

About the Exam Format

The RMA exam is a computer-based test (CBT) available at Pearson VUE testing centers or remotely via the OnVUE online proctoring system. Key details about the format:

  • 210 total multiple-choice questions across all four content domains
  • All questions are four-option multiple choice (select one best answer)
  • Questions are distributed proportionally across the four content domains
  • You can navigate between questions and change answers within the exam session
  • There is no penalty for guessing -- answer every question even if unsure
  • You have approximately 34 seconds per question on average

Scoring

The RMA exam uses a scaled scoring system:

  • Raw scores are converted to a scaled score ranging from 0 to 100
  • The passing scaled score is 70
  • Scores are based on a criterion-referenced standard, not a curve
  • If you do not pass, your score report indicates performance by content domain to guide future study
  • Preliminary pass/fail results are typically displayed at the testing center

Content Domain Breakdown

The RMA exam tests knowledge across four content domains:

Domain 1: Anatomy & Physiology (20.9% -- approximately 44 questions)

  • Body systems structure and function
  • Common diseases and disorders
  • Medical terminology (prefixes, suffixes, roots, combining forms)
  • Pathophysiology of major conditions

Domain 2: Administrative Medical Assisting (26.7% -- approximately 56 questions)

  • Insurance and billing procedures
  • Medical coding (ICD-10, CPT, HCPCS)
  • HIPAA compliance and privacy
  • Scheduling and office management
  • Medical records and documentation
  • Medical law, ethics, and regulatory compliance

Domain 3: Clinical Procedural Tasks (18.6% -- approximately 39 questions)

  • Asepsis, infection control, and sterilization
  • OSHA safety standards and bloodborne pathogens
  • Surgical instruments and minor surgery assisting
  • Laboratory procedures and CLIA regulations
  • Quality control and specimen processing

Domain 4: Clinical Patient Interaction (33.8% -- approximately 71 questions)

  • Vital signs measurement and interpretation
  • Patient education and communication
  • Pharmacology and medication administration
  • Electrocardiography (ECG/EKG)
  • Specimen collection (venipuncture, capillary, urinalysis)
  • First aid, CPR, and emergency procedures
  • Nutrition and dietary guidance

RMA vs. CMA: Key Differences

FeatureRMA (AMT)CMA (AAMA)
Exam BodyAmerican Medical Technologists (AMT)American Association of Medical Assistants (AAMA)
Total Questions210200 (180 scored + 20 pretest)
Time Limit2 hours (120 minutes)2 hours 40 minutes (160 minutes)
Passing ScoreScaled 70 / 100Scaled 430 / 750 (~64%)
Exam Fee$150$250 (member) / $300 (non-member)
Eligibility5 routes (education, competency, experience, military, instructor)CAAHEP/ABHES graduate only
RecertificationEvery 3 years, 30 CCP pointsEvery 5 years, 60 CEUs
TestingPearson VUE + onlinePrometric only
Content Domains4 domains3 domains
Online TestingYes (OnVUE)No
Pass Rate~70%~65-70%

The RMA is often preferred by candidates who did not attend a CAAHEP/ABHES-accredited program, as AMT offers multiple eligibility pathways including work experience and military training. Both credentials are widely recognized by employers nationwide.

RMA Exam Content Domain Weights
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Test Your KnowledgeFill in the Blank

The RMA exam allows ___ minutes to complete 210 questions.

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Test Your KnowledgeMulti-Select

Which of the following are content domains on the RMA exam? (Select all that apply)

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Anatomy & Physiology
Pharmacology Calculations
Administrative Medical Assisting
Clinical Procedural Tasks
Clinical Patient Interaction
Medical Ethics & Jurisprudence
Test Your KnowledgeMatching

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Total questions
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Passing score
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Largest domain