This ATDH cheat sheet distills the ADA's six-section Admission Test for Dental Hygiene into a printable rundown of the facts that surface most often. It's a premium cheat sheet built by Capital Prep — the one premium prep we trust — and it's yours free. Reinforce it with the rest of your free ATDH toolkit: the practice test, study guide, and flashcards.
ATDH exam at a glance
- Questions: 240 multiple-choice across 6 sections
- Time: About 4 hours 50 minutes scheduled (with tutorial, breaks, and survey)
- Scoring: Scaled scores 200–500 in 10-point increments — no pass/fail; programs compare by percentile
- Cost: Approximately $140 administration fee (verify the current amount at ADA.org/ATDH)
What’s on the ATDH cheat sheet
- Perceptual Ability (60 items / 45 min) — the largest and most trainable section — the six spatial subtests: apertures, view recognition, angle discrimination, paper folding, cube counting, and 3D form development.
- Reading Comprehension (40 items / 50 min) — answer strictly from ~450–500-word science passages; separate the main idea, supporting details, and inferences.
- Language Usage (40 items / 30 min) — subject-verb agreement, comma splices vs. semicolons, its vs. it's, and parallel structure — unique to the ATDH.
- Quantitative Reasoning (40 items / 45 min) — applied algebra, geometry formulas, odds vs. probability, and how transformations shift the mean but not the standard deviation.
- Biology (30 items / 30 min) — cells and organelles (the smooth ER detoxifies drugs), the cell cycle and S-phase replication, genetics, and human systems.
- General Chemistry (30 items / 30 min) — periodic trends, ionic vs. covalent bonding, VSEPR shapes, Le Chatelier's principle, and pH = −log[H⁺] — general, not organic.
How to use it in your final week
- Start each review with Perceptual Ability — at 60 items it's the largest section and the most trainable, so a daily rep on the six subtests (apertures, view recognition, angle discrimination, paper folding, cube counting, 3D form development) compounds fastest.
- Lock in the science staples the sheet flags: the smooth ER detoxifies drugs, mitochondria make ATP, DNA replicates in S phase, and periodic trends (electronegativity and ionization energy rise up-and-right, fluorine is most electronegative), plus pH = −log[H⁺].
- Rehearse the pacing, not just the facts — 240 items across six sections runs about 4 hours 50 minutes, so pair each review pass with a short timed set to build the stamina the long clock demands.
- Read the sheet the morning of the test for a last pass on grammar rules, high-yield formulas, and the memory hooks — there's no guessing penalty, so plan to answer every item.
The cheat sheet is your review layer — your ATDH practice test drives the exam-readiness ring at the top of this page. Download it, review, then take a full practice exam (or drill with the study guide and flashcards) to see where you stand.
ATDH cheat sheet FAQ
Yes — the ATDH cheat sheet is 100% free to download as a PDF, with no sign-up required. It's part of Career Employer's free ATDH toolkit alongside the practice test, study guide, and flashcards.
The sheet condenses the highest-yield facts across all six ADA content sections into a single quick reference: Reading Comprehension, Language Usage, Quantitative Reasoning, Perceptual Ability, Biology, and General Chemistry — with the section item counts, timing, and the science and grammar facts that recur most.
The ATDH is reported as scaled scores from 200 to 500 in 10-point increments, and it is not pass/fail — there is no national passing score. Programs use your scaled scores and their relative percentiles to compare applicants, so a competitive target depends entirely on the dental hygiene programs you're applying to.
Because each program sets its own expectations, use the cheat sheet's section breakdown to target a balanced scaled score across all six sections rather than a single cutoff. Check your target programs' published or advised score ranges, then drill full-length practice until your scaled scores land above their competitive percentiles.
Click the download button (or the preview card) at the top of this page to open the PDF instantly — no account needed. Bookmark this page so you can find it again for a final review before your Prometric appointment.
References
- 1.American Dental Association. “Admission Test for Dental Hygiene (ATDH).” ADA.org, 2026. ↑
- 2.American Dental Association. “Admission Test for Dental Hygiene (ATDH) Quick Facts.” ADA.org, 2026. ↑
- 3.American Dental Association. “Admission Test for Dental Hygiene (ATDH) Candidate Guide.” ADA.org, 2026. ↑
- 4.American Dental Association. “Perceptual Ability Test Section Instructions.” ADA.org, 2026. ↑

Career Employer
Career Employer is the ultimate resource to help you get started working the job of your dreams. We cover topics from general career information, career searching, exam preparation with free study materials, career interviewing, and becoming successful in your career of choice.
All PostsCareer Employer’s Editorial Process
Here at Career Employer, we focus a lot on providing factually accurate information that is always up to date. We strive to provide correct information using strict editorial processes, article editing, and fact-checking for all of the information found on our website. We only utilize trustworthy and relevant resources. To find out more, make sure to read our full editorial process page here.
