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ARDMS SPI SPI

SPI

Exam Code: SPI

Exam Name: Sonography Principles and Instrumentation

Updated: Oct 19, 2026

Q&A Number: 208 Q&As

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ARDMS SPI Exam Syllabus Topics:

TopicDetails
Topic 1
  • Optimize Sonographic Images: This section of the exam measures skills of Diagnostic Medical Sonographers and assesses their ability to enhance image quality using advanced optimization techniques. It includes understanding axial, lateral, elevational, and temporal resolution, as well as manipulating gain, depth, magnification, and dynamic range. Examinees are expected to apply harmonic imaging, spatial compounding, and gray-scale techniques to produce clear, accurate diagnostic images.
Topic 2
  • Perform Ultrasound Examinations: This section of the exam measures skills of Sonographers and covers how to conduct ultrasound procedures while ensuring patient safety and diagnostic accuracy. It includes understanding of imaging protocols, ergonomics, patient care, and the interaction between sound and tissue. Candidates are expected to demonstrate abilities to manage patient encounters, apply 3D
  • 4D and contrast imaging concepts, identify and correct artifacts, and follow confidentiality and privacy standards throughout the scanning process.
Topic 3
  • Manage Ultrasound Transducers: This section of the exam measures skills of Ultrasound Technicians and focuses on the management and proper use of different types of transducers. It evaluates knowledge of transducer components, frequency selection, and application of various 2D, 3D, 4D, and nonimaging transducer concepts. Candidates must show they can choose the appropriate transducer for specific examinations and make necessary frequency adjustments to ensure image quality.
Topic 4
  • Provide Clinical Safety and Quality Assurance: This section of the exam measures skills of Clinical Ultrasound Supervisors and focuses on maintaining safety and quality standards in ultrasound practice. It includes infection control protocols, transducer and machine integrity checks, and quality assurance testing using tissue-mimicking phantoms. The section also requires familiarity with statistical parameters like sensitivity and specificity to evaluate diagnostic performance and ensure consistent, reliable imaging outcomes.
Topic 5
  • Apply Doppler Concepts: This section of the exam measures skills of Vascular Sonographers and evaluates understanding and application of Doppler ultrasound principles. It includes knowledge of Doppler angle, flow dynamics, and color and spectral Doppler imaging. The section also covers eliminating aliasing, interpreting waveforms, applying continuous and pulsed wave Doppler, and optimizing Doppler gain and scale to accurately measure blood flow and velocity within vessels.

Reference: https://www.ardms.org/get-certified/spi/

ARDMS Sonography Principles and Instrumentation Sample Questions:

Question #1
What is required when interrogating higher blood velocities at angles closer to zero degrees?

A. Decreased Doppler scale settings
B. Increased Doppler wall filter settings
C. Increased Doppler scale settings
D. Decreased Doppler wall filter settings


Question #2
During a color Doppler scan, which angle to flow would most likely result in no color being visualized?

A. 3 degrees
B. 175 degrees
C. 88 degrees
D. 45 degrees


Question #3
Which adjustment follows the ALARA (As Low As Reasonably Achievable) principle of patient safety?

A. Increase sector width
B. Increase number of focal zones
C. Decrease depth
D. Decrease output power


Question #4
Which factor affects lateral resolution in ultrasound?

A. Depth of penetration
B. Beam width
C. Wavelength
D. Propagation speed


Question #5
What is an advantage of power Doppler over color Doppler?

A. Less angle dependent
B. Diminished flash artifact
C. Accurate velocity information
D. Increased frame rate


Solutions:

Question #1
Correct Answer: C
Question #2
Correct Answer: C
Question #3
Correct Answer: D
Question #4
Correct Answer: B
Question #5
Correct Answer: A

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