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ARDMS SPI Exam
Healthcare & Nursing

Sonography Principles and Instrumentation (SPI) Examination — ARDMS

The ARDMS Sonography Principles and Instrumentation (SPI) exam is the ultrasound physics exam that sonographers pair with a specialty exam on the way to an ARDMS credential. It covers transducers, image optimization, Doppler concepts, examination technique and safety. The real exam has about 110 multiple-choice questions in two hours. SummitCert's portal gives you explained practice questions, flashcards, a timed 110-question mock exam and progress tracking by domain.

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Also available in the ARDMS Sonography Set (SPI + AB + OB/GYN) — save 15%

The SPI exam plus two specialty exams

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350+ exam-style practice questions quiz pool

Your full practice pool — 350 questions total, written to mirror the real exam blueprint, with full answer explanations for every question.

5 exam domains covered

Including Perform Ultrasound Examinations, Manage Ultrasound Transducers, Optimize Sonographic Images, and more.

Full mock exam — 110 questions, 120-min timed

A complete, realistic exam-day simulation with the same question count and time limit as the real thing.

1000+ flashcards

Covering every key term, concept, and framework you're expected to know.

180+ curated video lessons

Hand-picked walkthroughs and explainers organized by topic.

43+ diagrams & visual references

Visual breakdowns of the frameworks and models the exam tests you on.

28+ key formulas & quick-reference sheet

The exact formulas and calculations you need, ready to review before test day.

117+ term glossary

A searchable glossary so unfamiliar terminology never slows you down.

Progress tracking & study planner

See your accuracy by domain, spot weak areas early, and follow a built-in study schedule.

Sage — your personalized AI study companion

Tailored to this exam: it knows your progress and weak areas, remembers your earlier chats, and picks up where you left off on your other devices.

Works on phone, tablet & desktop

Study anywhere — your progress syncs on the device you are using and picks up where you left off.

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Topics you'll drill

5 core topics pulled straight from the real question bank.

  • Perform Ultrasound Examinations
  • Manage Ultrasound Transducers
  • Optimize Sonographic Images
  • Apply Doppler Concepts
  • Provide Clinical Safety & Quality Assurance

ARDMS SPI Exam exam requirements & cost

Straight from the certifying body — separate from what we charge for the study portal.

Eligibility
Set by ARDMS: the SPI exam has its own prerequisites, listed on the ARDMS prerequisites page, and you apply through your Inteleos account
Real exam cost
$275 exam fee (Inteleos SPI exam page)
Format
About 110 multiple-choice questions · two hours plus a short survey · scaled score 300 to 700, 555 passes

The Inteleos SPI page lists approximately 110 multiple-choice questions in two hours, plus a five-minute survey, and the portal mock uses the same 110 questions and 120 minutes. Results are reported on a scaled score from 300 to 700, and a score of 555 or better passes; the result is not percentage-based and is not curved. The SPI Content Outline version 24.1 lists five domains with these shares of the exam: Perform Ultrasound Examinations 23 percent, Manage Ultrasound Transducers 7, Optimize Sonographic Images 26, Apply Doppler Concepts 34 and Provide Clinical Safety and Quality Assurance 10. ARDMS sets the passing score at 555 on a 300 to 700 scale. It is not a percentage of questions correct and it is not curved, so the portal mock shows a percent score only as a rough self-check. The Inteleos SPI exam page lists an exam fee of $275 USD; confirm the current amount and the fee schedule on the ARDMS or Inteleos site before you apply. The content outline spreads questions across 5 areas; the largest are Apply Doppler Concepts (34.0%); Optimize Sonographic Images (26.0%); Perform Ultrasound Examinations (23.0%). The full list of areas and weights is on the portal exam page. Set by ARDMS: the SPI exam has its own prerequisites, listed on the ARDMS prerequisites page, and you apply through your Inteleos account.

ARDMS SPI Exam exam blueprint

Real domain weighting from the certifying body's own published exam syllabus.

  • Perform Ultrasound Examinations23%
  • Manage Ultrasound Transducers7%
  • Optimize Sonographic Images26%
  • Apply Doppler Concepts34%
  • Provide Clinical Safety and Quality Assurance10%
Last verified: October 2026·Exam blueprint: Verified on October 30, 2026 against the Inteleos SPI exam page (fee, about 110 questions, two hours, 555 on a 300 to 700 scale, reapplication and retake waiting periods, five-year pairing with a specialty exam) and the ARDMS SPI Content Outline version 24.1 (five domains with shares). Prerequisite details are not quoted here; confirm them with ARDMS.·Primary source: Inteleos: Sonography Principles and Instrumentation (SPI) exam ↗
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Real pass rate, retake policy, scoring, and a study timeline for ARDMS SPI Exam — free, no purchase required.

Common questions

The Inteleos SPI page lists approximately 110 multiple-choice questions in two hours, plus a five-minute survey, and the portal mock uses the same 110 questions and 120 minutes. Results are reported on a scaled score from 300 to 700, and a score of 555 or better passes; the result is not percentage-based and is not curved. The SPI Content Outline version 24.1 lists five domains with these shares of the exam: Perform Ultrasound Examinations 23 percent, Manage Ultrasound Transducers 7, Optimize Sonographic Images 26, Apply Doppler Concepts 34 and Provide Clinical Safety and Quality Assurance 10. Format: about 110 multiple-choice questions in two hours; the portal mock has 110 questions in 120 minutes, the same size and pace.

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