SPI Perform Ultrasound Examinations Practice Questions
Domain 1 of 5 in the SPI content outline · 23% of the exam, about 25 of 110 questions
110 questions across all five domains in 2 hours, with a score for Ultrasound Exams so you know where you stand.
Free Ultrasound Exams drillA sonographer cannot see a deep structure clearly with a 7 MHz transducer. Which change improves penetration?
Perform Ultrasound Examinations on the SPI exam
Perform Ultrasound Examinations is 23% of the SPI exam, about 25 of 110 questions. It covers how sound behaves in tissue and what that means at the bedside: wave parameters, attenuation and reflection, how artifacts form and how to scan around them, bioeffects and the output indices, contrast agents, 3D/4D and panoramic imaging, and the patient encounter itself.
- Share of the exam
- 23% in the official content outline, about 25 of 110 questions
- Our drill
- 10 questions from 85 Ultrasound Exams questions, untimed, an explanation after every answer; one free attempt, unlimited with a pass

What Perform Ultrasound Examinations questions test
- Sound and tissue: frequency, period, wavelength and propagation speed, amplitude, power and intensity, decibels, attenuation (0.5 dB/cm per MHz), half-value layer, impedance, reflection and transmission coefficients, refraction and Snell’s law, specular and Rayleigh scattering
- The range equation: 13 µs per centimeter of depth, and why the system assumes 1,540 m/s
- Gray-scale artifacts: reverberation, comet tail, ring-down, shadowing and enhancement, edge shadowing, mirror image, refraction, speed error and side lobes, and how to change the scan to correct them
- Bioeffects: thermal and mechanical mechanisms, TI (TIS, TIB, TIC) and MI, cavitation, intensities such as SPTA, and ALARA
- Techniques and patient care: contrast agents, 3D/4D and multiplanar views, extended field of view, beam steering, two patient identifiers, order verification, privacy, preliminary findings and ergonomics
Sit the full exam under the real clock
110 questions across all five domains in 2 hours, with a score for Ultrasound Exams so you know where you stand.
Free Ultrasound Exams drillHow to study it
- Learn the equations by their relationships first (what doubles when something halves), then practice the arithmetic until it is fast.
- For every artifact, learn three things: what causes it, what it looks like and how to change the scan to correct or use it.
- Remember the ALARA order: raise receiver gain before output power when the image is too dark.
- Take the Ultrasound Exams drill and the artifacts drill until you score 80% or better.
Common questions
How many questions on the SPI cover performing ultrasound examinations?
The outline weights Perform Ultrasound Examinations at 23%, about 25 of the exam’s roughly 110 questions.
Are patient care questions on the SPI?
Yes. The outline lists patient care, ergonomics, the initial patient encounter (verifying identity, history and the order), communication, privacy and documenting preliminary findings in this domain.
110 questions across all five domains in 2 hours, with a score for Ultrasound Exams so you know where you stand.
Free Ultrasound Exams drillThe other SPI domains
Sources
- Inteleos: Sonography Principles and Instrumentation (SPI) exam page (format, scoring, fee, retakes, pass rates)
- Inteleos: SPI Content Outline, version 24.1
- Inteleos: exam fee schedule
- Inteleos: passing standard
- Inteleos: re-applicant resources (60-day wait)
- Inteleos: schedule an exam (Pearson, 90-day window)
- Inteleos: SPI and specialty exam prerequisites
- Inteleos: practice tests
Original practice questions for exam preparation, written to the ARDMS SPI Content Outline (version 24.1). They are not questions from the SPI exam or from Inteleos. Independent practice, not affiliated with or endorsed by ARDMS, APCA, Inteleos or Pearson.