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Key Facts: RDA Exam

210

Total Items

AMT RDA Content Outline

2.5 hrs

Exam Time

AMT Candidate Handbook

$150

Exam Fee

AMT Get Certified

CPR

Required

AMT eligibility (hands-on CPR)

AMT RDA is AMT's national dental assistant certification (separate from state-issued RDA licenses). 210 items in 2.5 hours at a school site or Pearson VUE center, scaled passing score of 70, $150 fee covering application, exam, and first annual fee. Eligibility requires one of five routes plus current hands-on CPR. Focus on tooth numbering, infection control, chairside procedures, and radiographic technique and safety.

Sample RDA Practice Questions

Try these sample questions to review concepts for the RDA exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 122+ question experience with AI tutoring.

1In the Universal Numbering System, which tooth is designated as #1?
A.Maxillary right third molar
B.Maxillary left third molar
C.Mandibular right third molar
D.Mandibular left third molar
Explanation: The Universal Numbering System begins with #1 at the maxillary right third molar and proceeds clockwise (from the operator's view) across the maxillary arch to #16 at the maxillary left third molar, then continues at #17 (mandibular left third molar) to #32 (mandibular right third molar).
2How many teeth are in the complete permanent dentition?
A.20
B.28
C.32
D.24
Explanation: The complete permanent dentition contains 32 teeth: 8 incisors, 4 canines, 8 premolars, and 12 molars (including 4 third molars/wisdom teeth).
3Which dental tissue is the hardest substance in the human body?
A.Dentin
B.Enamel
C.Cementum
D.Pulp
Explanation: Enamel is the hardest substance in the human body. It is acellular (contains no living cells), composed of approximately 96% inorganic hydroxyapatite, and cannot regenerate once damaged.
4In the FDI two-digit notation system, which tooth is designated as 11?
A.Maxillary right central incisor
B.Maxillary left central incisor
C.Mandibular right central incisor
D.Mandibular left lateral incisor
Explanation: In FDI notation, the first digit represents the quadrant (1=upper right, 2=upper left, 3=lower left, 4=lower right) and the second digit represents the tooth position from midline. Tooth 11 is the maxillary right central incisor.
5How many teeth are in the complete primary dentition?
A.32
B.24
C.20
D.16
Explanation: The complete primary (deciduous) dentition consists of 20 teeth: 8 incisors, 4 canines, and 8 molars. There are no premolars in the primary dentition. Primary teeth are lettered A through T in the Universal system.
6At what age do the first permanent molars typically erupt?
A.3 years
B.6 years
C.12 years
D.18 years
Explanation: First permanent molars erupt at approximately age 6 and are commonly called 'six-year molars.' They erupt distal to the primary second molars without replacing any primary tooth.
7Which tooth surface faces the tongue on mandibular teeth?
A.Buccal
B.Facial
C.Lingual
D.Mesial
Explanation: The lingual surface faces the tongue on both maxillary and mandibular teeth. On maxillary teeth, the tongue-facing surface is sometimes called palatal because it faces the palate.
8Which local anesthetic is the most commonly used amide anesthetic in dentistry?
A.Procaine
B.Lidocaine
C.Benzocaine
D.Tetracaine
Explanation: Lidocaine is the most commonly used local anesthetic in dentistry. It is an amide-type anesthetic with rapid onset and a moderate duration of action, frequently combined with epinephrine 1:100,000 as a vasoconstrictor.
9What is the purpose of epinephrine added to local anesthetic at 1:100,000 concentration?
A.Increase pain perception
B.Vasoconstriction to prolong anesthesia and reduce bleeding
C.Vasodilation to speed onset
D.Antibacterial action
Explanation: Epinephrine acts as a vasoconstrictor, narrowing blood vessels at the injection site. This prolongs the duration of anesthesia, reduces systemic absorption of the anesthetic, and decreases bleeding in the surgical field.
10What is the standard temperature and time for steam autoclave sterilization?
A.100°C for 5 minutes
B.121°C (250°F) for 15-30 minutes
C.60°C for 60 minutes
D.200°C for 2 minutes
Explanation: A standard gravity-displacement steam autoclave operates at 121°C (250°F) and 15 psi for 15-30 minutes. This pressure-temperature combination kills all microorganisms including bacterial spores.

About the RDA Exam

AMT national dental assistant credential, distinct from state-licensed RDA titles such as California's. The 210-item exam covers office assisting skills (9.5%), dental sciences (33.3%), clinical procedures (32.4%), and dental imaging (24.8%), per AMT's 2026 content outline.

Exam sponsor: AMT. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

210 questions

Time Limit

2.5 hours

Passing Score

Scaled score of 70 (0-100 scale)

Exam / Certification Fees

$150

Exam sponsor website

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

33.3%

Dental Sciences

Tooth numbering (Universal #1-32, FDI), dentition, histology, embryology, pharmacology, infection control, microbiology

32.4%

Clinical Procedures

4-handed assisting, instruments, cavity classes, restorative, endo, perio, prostho, ortho, oral surgery, vital signs

24.8%

Dental Imaging

BWX/PA/Pano/CBCT, ALARA, lead apron, paralleling vs bisecting, technique errors, PSP/digital

9.5%

Office Assisting

Scheduling, recordkeeping, insurance, reception, HIPAA, communication, billing

Preparing for the RDA Exam

What You Need to Know

  • Passing score: Scaled score of 70 (0-100 scale)
  • Exam length: 210 questions
  • Time limit: 2.5 hours
  • Exam / certification fees: $150 Official sources

Using Our Practice Resources

  • Work through all 122 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

RDA: Suggested Study Strategy

1Master Universal tooth numbering (#1 max R 3rd molar to #16 max L, #17 mand L to #32 mand R; primary teeth A-T)
2Memorize 32 permanent teeth: 8 incisors + 4 canines + 8 premolars + 12 molars (incl. wisdom); 20 primary teeth with no premolars
3Drill radiograph technique errors: cone cut (PID not centered), elongation (too little vertical angle), foreshortening (too much), overlap (horizontal angle)
4Apply ALARA: selection criteria, fast receptors, rectangular collimation, beam aligners, 6 ft at 90-135 degrees; know that the ADA dropped routine lead aprons and thyroid collars in 2024
5Know dental emergencies: syncope (supine, legs up), anaphylaxis (epinephrine 0.3 mg IM), hypoglycemia (15-20 g oral sugar if conscious), suspected MI (911, chew aspirin, nitroglycerin if SBP 90 or higher, oxygen if SpO2 below 90%)

Frequently Asked Questions

What is the Universal tooth numbering system?

Universal Numbering System (most common in US): #1 = maxillary RIGHT 3rd molar; numbers continue across upper arch to #16 = maxillary LEFT 3rd molar; #17 = mandibular LEFT 3rd molar; continues across lower arch to #32 = mandibular RIGHT 3rd molar. Primary teeth use letters A-T (A = max R 2nd primary molar; T = mand R 2nd primary molar). FDI uses two-digit format: quadrant + tooth (e.g., #11 = max R central incisor).

How do you correct cone-cut radiograph errors?

Cone cut (PID/aiming ring not aligned with receptor) appears as a clear/unexposed area on the film. Correction: re-aim PID so the central beam is fully aligned with the receptor (use a beam alignment device — XCP, RINN). Other common errors: elongation (insufficient vertical angulation — image stretched), foreshortening (excessive vertical angulation — image compressed), overlap (incorrect horizontal angulation — proximal contacts overlap).

What ALARA precautions apply to dental radiography?

ALARA = As Low As Reasonably Achievable. Use selection criteria so radiographs are taken only when clinically justified; use the fastest receptor (digital sensors or F-speed film); use rectangular collimation, which cuts patient exposure by roughly 60-70% versus a round beam; use a long PID and beam-alignment holders to prevent retakes; never hold the receptor or tubehead; stand at least 6 feet away at 90-135 degrees to the beam or behind a barrier. Since February 2024 the ADA no longer recommends lead aprons or thyroid collars for dental imaging, but follow your state's rules if they still require shielding, and never use a thyroid collar for a panoramic image.

How should I study for AMT RDA?

Plan 60-100 hours over 8-12 weeks. AMT RDA weighting heavily favors Dental Sciences (33.3%) and Clinical Procedures (32.4%). Master Universal tooth numbering, the 32-tooth permanent dentition, common cavity classes (I-VI by Black), instrument identification (mirror/explorer/probe/scaler/curette), 4-handed transfer, and radiograph technique errors. Maintain current BLS CPR — required for application.