The American Registry for Diagnostic Medical Sonography (ARDMS) administers the Sonography Principles and Instrumentation (SPI) examination. The SPI exam tests a candidate’s knowledge, skills, and abilities in physical principles and instrumentation essential for sonography students and professionals.
Eligibility
To apply for the SPI exam, you must have completed a physics class or a physics review course.
To prove eligibility, you will need to submit a copy of your transcript that identifies a graded general, medical, or sonographic college, post-secondary, or higher-education physics class with a grade of C or above. In place of a school transcript, you can present a Continuing Medical Education (CME) certificate indicating successful completion of a general, medical, or sonographic physics seminar or review course with a minimum award of 12 ARDMS-accepted CME credits.
ARDMS SPI Exam Outline
The Sonography Principles and Instrumentation exam contains 110 multiple-choice questions, and you will be given a time limit of 2 hours.
The exam is split into five domains, each of which assesses your knowledge, skills, and abilities.

1. Perform Ultrasound Examinations (23%)
SKILLS/ABILITIES
- Reviewing medical/surgical history
- Correcting imaging artifacts
KNOWLEDGE
- Contrast agents
- Ergonomics
- Established imaging protocols
- General patient care standards
- Interaction of sound and matter
- Tissue density, penetration, and depth
- The metric system of measurement
- Ultrasound limitations
- Confidentiality and privacy guidelines
2. Manage Ultrasound Transducers (7%)
SKILLS/ABILITIES
- Using different transducers
KNOWLEDGE
- The components of a transducer
- Frequency relationship in the selection of appropriate transducer
3. Optimize Sonographic Images (26%)
SKILLS/ABILITIES
- Optimizing an image beyond the scan preset
KNOWLEDGE
- Frequency, PRF, PRP, and pulse duration
- Pre- and post-processing techniques
- The principles of 2D imaging
- Sector widths
- The concepts of scan lines, line density, frames, and frame rate
4. Apply Doppler Concepts (34%)
SKILLS/ABILITIES
- optimizing an image in 2D color and Doppler
- Interpreting Doppler colors
- Identifying imaging artifacts
KNOWLEDGE
- Doppler angle
- Doppler effect
- Doppler shift
- Hemodynamic principles
- Low flow areas
5. Provide Clinical Safety and Quality Assurance (10%)
KNOWLEDGE
- CDC Guidelines
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Registration
To apply for the SPI exam, visit the Contact us page. We reply to you within 24hrs to submit your application.





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