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ARDMS SPI Exam Syllabus Topics:
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2026 SPI Valid Exam Review | Accurate Sonography Principles and Instrumentation 100% Free Latest Test Bootcamp
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ARDMS Sonography Principles and Instrumentation Sample Questions (Q23-Q28):
NEW QUESTION # 23
Increasing which setting could enhance the visibility of acoustic shadowing posterior to a calcified object?
- A. Dynamic range
- B. Gain
- C. Output power
- D. Frequency
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Higher frequencies are more attenuated than lower frequencies. When scanning calcified structures, increasing the frequency enhances attenuation, which makes posterior shadowing more pronounced and visible.
According to sonography instrumentation reference:
"Increasing frequency increases attenuation, thereby enhancing acoustic shadowing posterior to highly attenuating structures such as calcifications or bone." Therefore, the correct answer is D: Frequency.
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NEW QUESTION # 24
Which artifact is seen as a result of an increase in echo amplitude in the tissue located distal to an anechoic structure?
- A. Enhancement
- B. Mirror image
- C. Comet tail
- D. Reverberation
Answer: A
NEW QUESTION # 25
What is assessed with power Doppler?
- A. Viscosity
- B. Presence of flow
- C. Velocity of flow
- D. Laminar flow
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Power Doppler detects the strength (amplitude) of returning Doppler signals, which reflects the presence of flow regardless of direction or velocity. It is more sensitive to low-velocity flow and is less angle-dependent than conventional color Doppler.
Principles and Instrumentation state:
"Power Doppler displays the amplitude of Doppler shifts, representing the presence of flow. It does not display direction or velocity."
* Laminar flow (A) and velocity (C) are not specifically measured by power Doppler.
* Viscosity (D) cannot be assessed by Doppler ultrasound.
Therefore, the correct answer is B: Presence of flow.
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NEW QUESTION # 26
Which type of resolution is improved by transmit focus?
- A. Temporal
- B. Elevational
- C. Axial
- D. Lateral
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Transmit focus narrows the ultrasound beam width at specific depths, improving lateral resolution - the ability to distinguish two objects side-by-side.
According to Principles and Instrumentation:
"Lateral resolution depends on beam width and is improved by focusing, which narrows the beam in the lateral dimension." Axial resolution depends on pulse length.
Elevational resolution depends on slice thickness.
Temporal resolution relates to frame rate.
Therefore, the correct answer is C: Lateral.
NEW QUESTION # 27
Which characteristic of ultrasound transmission is directly proportional to an increase in frequency?
- A. Pulse duration
- B. Penetration
- C. Wavelength
- D. Attenuation
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
As frequency increases, attenuation (energy loss due to absorption, scattering, and reflection) also increases. This limits penetration but improves resolution for superficial structures.
According to sonography instrumentation reference:
"Attenuation increases directly with frequency, limiting penetration but enhancing resolution in superficial imaging." Therefore, the correct answer is C: Attenuation.
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NEW QUESTION # 28
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