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Updated and Reliable ARDMS SPI Exam Questions for Guaranteed Success
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ARDMS SPI Exam Syllabus Topics:| Topic | Details | | Topic 1 | - 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.
| | 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 | - 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.
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ARDMS Sonography Principles and Instrumentation Sample Questions (Q54-Q59):NEW QUESTION # 54
Which color Doppler setting adjustment would likely demonstrate color flow in the normal vein seen in this image?

- A. Decreasing persistence
- B. Increasing persistence
- C. Decreasing scale
- D. Increasing scale
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Veins generally exhibit low-velocity flow. The color scale (or velocity range) must be low enough to detect these slow flows. Decreasing the scale lowers the Nyquist limit, allowing the machine to display lower velocities that may otherwise be undetectable.
Principles and Instrumentation state:
"Reducing the scale increases sensitivity to low-velocity flows such as venous flow, while high scales may suppress these signals." Therefore, the correct answer is A: Decreasing scale.
NEW QUESTION # 55
Which adjustment was made to change image A to produce image B?
A close-up of an ultrasound Description automatically generated

- A. Increased dynamic range
- B. Decreased overall gain
- C. Decreased dynamic range
- D. Increased overall gain
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In Image B, compared to Image A, you can observe a higher contrast image with darker darks and brighter brights, indicating that dynamic range has been reduced. Decreasing dynamic range results in less grey scale, creating a more black-and-white appearance and emphasizing contrast differences.
According to sonography instrumentation reference:
"Reducing dynamic range increases image contrast by narrowing the range of displayed echo intensities, making the image appear more black and white." Therefore, the correct answer is D: Decreased dynamic range.
-
NEW QUESTION # 56
What method can be used to resolve aliasing artifact?
- A. Using continuous wave Doppler ultrasound
- B. Using a higher frequency transducer
- C. Adjusting the output power
- D. Decreasing the pulse repetition frequency
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Continuous wave (CW) Doppler can measure very high velocities without aliasing because it does not have a Nyquist limit like pulsed-wave Doppler.
Principles and Instrumentation state:
"Aliasing is eliminated in continuous wave Doppler since it does not rely on sampling and has no upper velocity limit."
* Output power (A) affects signal strength, not aliasing.
* Higher frequency (B) increases aliasing susceptibility.
* Decreasing PRF (C) actually worsens aliasing.
Therefore, the correct answer is D: Using continuous wave Doppler ultrasound.
-
NEW QUESTION # 57
What is the relationship between overall gain and image brightness?
- A. The higher the overall gain, the brighter the image
- B. The higher the overall gain, the darker the image
- C. The lower the overall gain, the brighter the image
- D. There is no relationship between overall gain and image brightness
Answer: A
Explanation:
Overall gain in ultrasound refers to the amplification of all the received echo signals. Increasing the overall gain amplifies the signals, making the entire image brighter. Conversely, decreasing the overall gain reduces the signal amplification, resulting in a darker image. Overall gain adjustment affects the entire image uniformly, unlike time gain compensation (TGC), which adjusts the gain at different depths independently.
Reference:
ARDMS Sonography Principles and Instrumentation (SPI) Exam Study Guide
"Diagnostic Ultrasound: Principles and Instruments" by Frederick W. Kremkau
NEW QUESTION # 58
Which technique averages image frames over time to reduce noise?
- A. Persistence
- B. Demodulation
- C. Time gain compensation
- D. Compression
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Persistence is a post-processing technique that averages multiple consecutive image frames to reduce random noise and improve image smoothness. This is especially useful for reducing speckle and enhancing the clarity of stationary or slow-moving structures.
According to official sonography Principles and Instrumentation documentation:
" ersistence uses frame averaging, combining data from several sequential frames to reduce noise, enhance image quality, and stabilize the appearance of stationary structures." Demodulation (A) is part of signal processing that extracts the Doppler frequency shift.
Compression (C) alters the dynamic range of the image but does not reduce noise through frame averaging.
Time gain compensation (D) adjusts amplification at various depths to equalize brightness but does not perform frame averaging.
Therefore, the correct answer is B: Persistence.
NEW QUESTION # 59
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