EMT Intermediate/85 TestThe EMT-Intermediate/85 certification is now known as the Advanced Emergency Medical Technician (AEMT) certification when the new certification levels became formal in 2014.  Both a national NREMT cognitive exam as well as a psychomoter exam must be passed by applicants. Potential EMT candidates applying for an AEMT certification must meet certain requirements. Candidates must be 18 years or older.  AEMT candidates must also have an EMT certification at the national or state level.  Candidates must also have completed a state-approved AEMT course.  The state  course must meet or exceed the US Department of Transportation National Standard Curriculum for AEMT.  This  state course must have been successfully completed within the previous two years.  Additionally, AEMT candidates must hold a current CPR credential and have successfully demonstrated competence in required skills.

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NREMT AEMT Exam Application Process

Take the following steps to apply for your AEMT examination:

  • Create an account/login at the NREMT.org website.
  • Complete a National Registry online application.  Please note that the application contains a Licensing Action and Felony statement.  The NREMT will deny your application if you have been previously convicted of a felony.  Denials, however, can be appealed.
  • Submit the application fee of $100.  The application fee is non refundable and can't be transferred. Every time you take the cognitive examination, you will be assessed this $100 fee.
  • Authorization To Test (ATT) will be given to you after successfully completing your online application.  The ATT will give you details on scheduling instructions, required identification, and test center locations.


Candidates for the AEMT certification must pass the NREMT cognitive test.  The test is given via a computer and is a Computer Adaptive Test (i.e., which adapts the test based on the student’s aptitude).  The number of questions on the  exam will range from 85 to 135 based on the EMT student’s aptitude.  You will be given a maximum of 2 hours and 15 minutes to complete the AEMT exam.

AEMT Psychomotor Test

Four separate skills are assessed in the psychomotor section of the NREMT test process.  The skills are presented as scenarios to better simulate out-of-hospital situations that arise for EMT professionals.  Development of the skills and the curriculum is based on the EMT-Basic and EMT-Intermediate/85 National Standards and Training Curriculum.

The AEMT exam will cover all portions of the curriculum, including: EMS Operations, Cardiology, Trauma, Medical, Obstetrics, Pediatrics and Airway and Breathing.  The AEMT test is heavily focused on fundamentals and operations.

AEMT Test Outline

The AEMT test outline is shown below.

Topic  Exam Percentage Adult/Pediatric Mix
 Airway, Respiration & Ventilation 18-22% 85% Adult/15% Pediatric
Cardiology & Resuscitation 21-25% 85% Adult/15% Pediatric 
Trauma  14-18% 85% Adult/15% Pediatric 
Medical; Obstetrics & Gynecology 26-30% 85% Adult/15% Pediatric 
EMS Operations 11-15% n/a 

Certified AEMT Responsibilities

EMTs bear the sole responsibility for maintaining their certification.  This includes the duty to notify the NREMT within thirty (30) days with respect to  any of the following:

  • A conviction of a felony
  • A change in address
  • Any state disciplinary action resulting in revocation, expiration, or suspension of a state license.

 EMTs have different duties and responsibilities based on their training and certification.  An EMT's salary is often different based on their experience, training, and location. Typically, most EMTs are certified to one of four levels that are administered by NREMT, the National Registry of Emergency Medical Technicians.  The four NREMT certifications are: Emergency Medical Responder, EMT, AEMT and Paramedic. An effective way to pass your NREMT certification exam is to use free EMT practice tests.

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