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ARDMS SPI-TC Exam Overview:
| Certification Vendor: | ARDMS (American Registry for Diagnostic Medical Sonography) |
|---|---|
| Exam Name: | Sonography Principles and Instrumentation (SPI) Examination |
| Exam Number: | SPI |
| Passing Score: | 555 on a scaled score of 300–700 |
| Related Certifications: | Registered Diagnostic Cardiac Sonographer (RDCS) Registered Musculoskeletal Sonographer (RMSKS) Registered Diagnostic Medical Sonographer (RDMS) Registered Vascular Technologist (RVT) |
| Available Languages: | English |
| Exam Format: | Multiple-choice questions, Five-minute survey, Computer-based examination |
| Exam Price: | $275 USD |
| Exam Duration: | 120 minutes |
| Real Exam Qty: | Approximately 110 |
| Certificate Validity Period: | The SPI examination itself does not have a separate certification validity period. It must be passed within five years of the corresponding specialty examination to qualify for an ARDMS credential. Once passed, it generally does not need to be retaken while the candidate maintains active status under ARDMS requirements. |
| Exam Way: | Computer-based examination administered through authorized Pearson VUE test centers. The exam is available year-round, subject to scheduling and location availability. The examination includes approximately 110 multiple-choice questions over 120 minutes, followed by a five-minute survey. |
| Pre Condition: | Candidates must meet an applicable ARDMS prerequisite pathway. Eligibility for the SPI examination may be established through qualifying general or ultrasound physics coursework or other approved ARDMS prerequisite pathways. Candidates should verify the current requirements in the official ARDMS prerequisite documentation. |
| Official Syllabus URL: | https://www.inteleos.org/exam/sonography-principles-and-instrumentation/ |
ARDMS SPI-TC Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Perform Ultrasound Examinations | 23% | - Patient Care and Examination Preparation
|
| Apply Doppler Concepts | 34% | - Doppler Physics and Hemodynamics
|
| Provide Clinical Safety and Quality Assurance | 10% | - Clinical Safety
|
| Optimize Sonographic Images | 26% | - Image Optimization and Artifacts
|
| Manage Ultrasound Transducers | 7% | - Transducer Selection and Operation
|
SPI-TC Exam FAQ — Stay Current, Start Fast, Simulate Real
Three versions of the same study materials: a printable, expert-prepared PDF with free demo download and instant access; a Desktop Test Engine for Windows with customizable simulation and timed modes that works offline; and an Online Test Engine for any browser on Windows, Mac, Android, and iOS with test history and performance review. All 0 practice questions are identical across versions. Every purchase includes 365 days of free updates, a 50% renewal discount afterward, and unlimited computer installations.
The ARDMS Sonography Principles and Instrumentation exam contains Approximately 110 to complete within 120 minutes. Timed simulation in the Prep4SureReview Desktop Test Engine teaches that rhythm before exam day does.
The official ARDMS Sonography Principles and Instrumentation outline defines 5 domains. The leading three are Optimize Sonographic Images (26%), Manage Ultrasound Transducers (7%), and Provide Clinical Safety and Quality Assurance (10%). The full list is in the topics section above, and Prep4SureReview's 0 practice questions cover each one.
Candidates must meet an applicable ARDMS prerequisite pathway. Eligibility for the SPI examination may be established through qualifying general or ultrasound physics coursework or other approved ARDMS prerequisite pathways. Candidates should verify the current requirements in the official ARDMS prerequisite documentation. Since requirements change over time, confirm the latest on the official ARDMS exam page before scheduling.
The ARDMS Sonography Principles and Instrumentation exam requires 555 on a scaled score of 300–700 to pass, and registration costs $275 USD. A failed attempt means paying the same fee again — a readiness check with the Prep4SureReview engines before booking is the cheaper option.
The SPI-TC exam is a ARDMS certification exam validating the ARDMS Sonography Principles and Instrumentation syllabus shown above. It belongs to these credential paths: Registered Diagnostic Medical Sonographer (RDMS), Registered Diagnostic Cardiac Sonographer (RDCS), Registered Vascular Technologist (RVT), Registered Musculoskeletal Sonographer (RMSKS). Candidates in 2026 start with Prep4SureReview's 0 practice questions, available as a printable PDF, a Windows Desktop Test Engine, and an Online Test Engine — three versions of the same materials.
ARDMS recommends these training resources for the ARDMS Sonography Principles and Instrumentation exam:
Follow the training with steady self-testing — the 0 practice questions from Prep4SureReview help you apply theory and fill any gaps the training leaves.
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Computer-based examination administered through authorized Pearson VUE test centers. The exam is available year-round, subject to scheduling and location availability. The examination includes approximately 110 multiple-choice questions over 120 minutes, followed by a five-minute survey. Register for the ARDMS Sonography Principles and Instrumentation exam through these official channels:
After booking, Prep4SureReview delivers your practice questions within 1 minute — preparation starts the same day.






