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Questions by Category

Rdms-Ob-Gyn-Second-Third-Trimester-Category82 questions
Rdms-Ob-Gyn-Protocols-Procedures-Category43 questions
Rdms-Ob-Gyn-Gynecology-Category29 questions
Rdms-Ob-Gyn-First-Trimester-Category28 questions
Rdms-Ob-Gyn-Physics-Instrumentation-Category18 questions
2026 Statistics

Key Facts: RDMS OB/GYN Exam

170

Exam Questions

ARDMS

555

Passing Score (scaled)

ARDMS (300-700 scale)

3 hrs

Exam Duration

ARDMS

$275

Specialty Exam Fee

ARDMS

37%

2nd/3rd Trimester OB

Largest domain

10 years

Certification Validity

CME required

The RDMS OB/GYN exam has 170 questions in 3 hours with a passing scaled score of 555 (~70%). Five domains: Second/Third Trimester OB (37%), Protocols & Procedures (24%), Gynecology (19%), First Trimester OB (12%), and Physics & Instrumentation (8%). Requires SPI exam + eligible pathway. $275 specialty exam fee. 10-year certification with CME.

About the RDMS OB/GYN Exam

The RDMS OB/GYN exam validates expertise in obstetric and gynecologic sonography including first trimester evaluation, second/third trimester fetal assessment, gynecologic pelvic anatomy, scanning protocols, and ultrasound physics. It is the most popular ARDMS specialty exam.

Questions

170 scored questions

Time Limit

3 hours

Passing Score

Scaled score 555 (~70%)

Exam Fee

$275 (ARDMS (American Registry for Diagnostic Medical Sonography) / Pearson VUE)

RDMS OB/GYN Exam Content Outline

37%

Second/Third Trimester Obstetrics

Fetal biometry, fetal anatomy, fetal anomalies, multiple gestations, placenta, amniotic fluid, biophysical profile

19%

Gynecology - Pelvic Anatomy

Normal pelvic anatomy, uterine pathology, ovarian pathology, adnexal masses, postmenopausal findings

24%

Protocols and Procedures

Scanning techniques, patient care, measurement standards, documentation, first trimester screening, safety

12%

First Trimester Obstetrics

Early pregnancy, embryology, CRL measurement, NT screening, viability assessment, ectopic pregnancy

8%

Physics and Instrumentation

Doppler principles, hemodynamics, image optimization, artifacts, transducer physics, bioeffects

How to Pass the RDMS OB/GYN Exam

What You Need to Know

  • Passing score: Scaled score 555 (~70%)
  • Exam length: 170 questions
  • Time limit: 3 hours
  • Exam fee: $275

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

RDMS OB/GYN Study Tips from Top Performers

1Focus on Second/Third Trimester OB (37%) — master fetal biometry (BPD, HC, AC, FL), anatomy survey, and anomaly recognition
2Study Protocols & Procedures (24%) — measurement standards, patient care, documentation, and safety considerations
3Know gynecologic pathology: fibroids, adenomyosis, ovarian cysts, PCOS, endometrial pathology, and adnexal masses
4Master first trimester concepts: CRL measurement, NT screening criteria, viability assessment, and ectopic pregnancy recognition
5Understand Doppler principles: umbilical artery, uterine artery, and MCA waveforms and their clinical significance
6Review ALARA principles and bioeffects — thermal and mechanical indices for safe ultrasound practice

Frequently Asked Questions

What is the RDMS OB/GYN exam?

RDMS OB/GYN is an ARDMS specialty exam that validates expertise in obstetric and gynecologic sonography. It covers fetal assessment, pelvic anatomy evaluation, scanning protocols, and ultrasound physics. It is the most popular RDMS specialty.

How many questions are on the RDMS OB/GYN exam?

The exam has 170 questions in 3 hours. The passing score is a scaled score of 555 (approximately 70%) on a 300-700 scale. Administered at Pearson VUE test centers.

What are the prerequisites for the RDMS OB/GYN exam?

You must pass the SPI (Sonography Principles & Instrumentation) exam first, then complete an eligible pathway: graduate of a CAAHEP/ABHES accredited sonography program or clinical experience route. Submit application and $275 fee to ARDMS.

What is the hardest part of the RDMS OB/GYN exam?

Second/Third Trimester Obstetrics (37%) is both the largest and most challenging domain. It requires mastery of fetal biometry (BPD, HC, AC, FL), fetal anomaly recognition, placental abnormalities, and amniotic fluid assessment.

How should I prepare for the RDMS OB/GYN exam?

Plan for 150-250 hours of study over 8-12 weeks. Focus on Second/Third Trimester OB (37%) and Protocols & Procedures (24%) — together 61% of the exam. Master fetal biometry measurements, anomaly detection, and scanning technique standards.