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The ARDMS SPI (Sonography Principles and Instrumentation) exam is a core requirement for anyone pursuing credentials in diagnostic medical sonography. It tests knowledge of ultrasound physics and instrumentation and is mandatory for ARDMS credentials like RDMS, RDCS, or RVT.
As of 2025, the SPI exam fee is $225 USD, payable to ARDMS at the time of application. Fees are non-refundable once the exam is scheduled.
The SPI exam contains approximately 110 multiple-choice questions, designed to assess foundational understanding of sonographic principles, physics, and instrumentation.
Candidates are given 2 hours (120 minutes) to complete the SPI exam, which includes a brief tutorial and post-exam survey.
Yes, the SPI exam is considered moderately difficult due to its technical content. You need a scaled score of 555 or higher (on a scale of 300–700) to pass.
The SPI exam focuses on:
Yes. The SPI is a prerequisite exam for earning ARDMS credentials. You must pass it along with a specialty exam (like Abdomen, OB/GYN, etc.) to become fully certified.
If you pass the SPI but fail your specialty exam, your SPI score remains valid for 5 years. You can retake the specialty exam during that window without redoing the SPI.
You must bring two valid forms of ID, one being a government-issued photo ID (like a passport or driver’s license). No calculators or personal items are allowed in the test room.
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