Sonography Principles and Instrumentation (ARDMS SPI) 온라인 연습
최종 업데이트 시간: 2025년12월09일
당신은 온라인 연습 문제를 통해 ARDMS SPI 시험지식에 대해 자신이 어떻게 알고 있는지 파악한 후 시험 참가 신청 여부를 결정할 수 있다.
시험을 100% 합격하고 시험 준비 시간을 35% 절약하기를 바라며 SPI 덤프 (최신 실제 시험 문제)를 사용 선택하여 현재 최신 108개의 시험 문제와 답을 포함하십시오.
정답:
Explanation:
Doppler Scale Too High: This would prevent aliasing but could result in loss of low-velocity signals.
Doppler Scale Too Low: When the scale is set too low, velocities exceed the Nyquist limit, resulting in aliasing where the Doppler signal wraps around the baseline.
Doppler Gain Too High: High gain may result in noise and overamplified signals but does not directly cause aliasing.
Doppler Gain Too Low: Low gain results in weak signal detection but does not cause aliasing.
Reference: "Diagnostic Ultrasound: Principles and Instruments" by Frederick W. Kremkau ARDMS Sonography Principles and Instrumentation study materials


정답:
Explanation:
Increased Sweep Speed: This affects the display of the waveform over time but does not impact the appearance of the spectral Doppler signal in the way shown.
Decreased Pulse Repetition Frequency (PRF): Lowering the PRF can lead to aliasing, which is evident as the waveform wrapping around in the spectral display from image A to image B. This makes the velocity appear higher than it actually is.
Decreased Wall Filter: This adjustment primarily affects the elimination of low-frequency Doppler signals but does not typically cause the kind of changes seen in the images.
Increased Spectral Gain: Increasing the gain would result in a brighter spectral display but not the wrapping of the signal as seen.
Reference: "Understanding Ultrasound Physics" by Sidney K. Edelman
ARDMS Sonography Principles and Instrumentation study materials
정답:
Explanation:
Heat and Transient: Heat and transient are not classifications of cavitation.
Thermal and Mechanical: These terms refer to different bioeffects of ultrasound but are not types of cavitation.
Stable and Transient: These are the two types of cavitation observed in tissues during ultrasound. Stable cavitation involves the oscillation of gas bubbles without collapse, while transient cavitation involves the violent collapse of gas bubbles, which can generate high temperatures and shock waves.
Thermal and Stable: Thermal effects are a different concept related to tissue heating, not a type of cavitation.
Reference: "Diagnostic Ultrasound: Principles and Instruments" by Frederick W. Kremkau ARDMS Sonography Principles and Instrumentation study materials

정답:
Explanation:
Increased Transmit Frequency: This would generally improve the resolution of the image but does not directly correlate to the changes seen in the provided image link.
Increased Scale: Adjusting the scale changes the velocity range displayed but does not directly affect the speckle or noise reduction.
Decreased Color Gain: Reducing the color gain can decrease the amount of color noise, making the blood flow regions more defined, which aligns with the change observed from image A to image B.
Decreased Acoustic Power: This reduces the overall intensity of the ultrasound beam, affecting penetration depth and overall brightness but is less likely to result in the specific improvements seen.
Reference: "Understanding Ultrasound Physics" by Sidney K. Edelman
ARDMS Sonography Principles and Instrumentation study materials
정답:
Explanation:
Acoustic Shadowing: This artifact occurs when a structure absorbs or reflects most of the ultrasound waves, causing a shadow behind the structure. It does not cause improper positioning of a reflector on the display.
Speckle: This is a form of noise in ultrasound imaging that appears as granular texture. It can affect image quality but does not lead to improper positioning of reflectors.
Enhancement: This artifact occurs when the area behind a weakly attenuating structure appears brighter. It affects the brightness of the image but does not affect the position of reflectors.
Range Ambiguity: This occurs when an echo is received after the next pulse has been sent out, causing the reflector to be placed at an incorrect depth on the display. This is because the system assumes the echo came from the most recent pulse.
Reference: "Ultrasound Physics and Instrumentation" by Frank Miele
ARDMS Sonography Principles and Instrumentation study materials
정답:
Explanation:
Range ambiguity artifact occurs when echoes from one pulse are received after the next pulse has been emitted, leading to the incorrect placement of echoes at shallower depths than their true location. This artifact typically happens when the PRF is set too high, causing the ultrasound system to interpret delayed echoes as coming from the current pulse rather than the previous one. This results in reflectors appearing closer to the transducer than they actually are.
Reference: ARDMS Sonography Principles & Instrumentation Guidelines
Kremkau FW. Sonography Principles and Instruments. 9th ed. Philadelphia, PA: Elsevier; 2016.
정답:
Explanation:
Refraction is the change in direction of a sound wave as it crosses a boundary between two different tissues at an oblique angle, where there is a difference in propagation speeds between the tissues. This bending of the sound wave path occurs due to the change in speed, causing the wave to change direction according to Snell's law. Refraction can result in artifacts such as edge shadowing and displacement of structures in an ultrasound image.
Reference: ARDMS Sonography Principles & Instrumentation Guidelines
Hedrick WR, Hykes DL, Starchman DE. Ultrasound Physics and Instrumentation. 4th ed. Philadelphia, PA: Elsevier Saunders; 2005.
정답:
Explanation:
Frame rate in color flow Doppler is influenced by several factors, including the imaging depth. Decreasing the depth reduces the time it takes for sound waves to travel to the imaging area and back to the transducer. This allows for more frames to be captured per second, thereby increasing the frame rate. Higher frame rates improve temporal resolution, making it easier to visualize moving structures.
Reference: ARDMS Sonography Principles & Instrumentation Guidelines Hagen-Ansert SL. Textbook of Diagnostic Ultrasonography. 8th ed. St. Louis, MO: Mosby; 2017.
정답:
Explanation:
Aliasing in color Doppler occurs when the velocity of blood flow exceeds the Nyquist limit, which is half the PRF. To reduce aliasing, the PRF must be increased. This raises the Nyquist limit, allowing higher velocities to be measured without wrapping around the baseline. Increasing PRF reduces the occurrence of aliasing artifacts by expanding the range of detectable velocities before aliasing occurs.
Reference: ARDMS Sonography Principles & Instrumentation Guidelines
Kremkau FW. Sonography Principles and Instruments. 9th ed. Philadelphia, PA: Elsevier; 2016.
정답:
Explanation:
The quality factor (Q-factor) is a dimensionless parameter that describes the efficiency of the transducer in terms of bandwidth and operating frequency. It is defined as the ratio of the operating frequency to the bandwidth. A higher Q-factor indicates a narrower bandwidth relative to the operating frequency, resulting in more precise frequency characteristics but potentially reduced axial resolution. Conversely, a lower Q-factor indicates a broader bandwidth, which improves axial resolution but may result in less precise frequency characteristics.
Reference: ARDMS Sonography Principles & Instrumentation Guidelines
Kremkau FW. Sonography Principles and Instruments. 9th ed. Philadelphia, PA: Elsevier; 2016.
정답:
Explanation:
The duty factor is the fraction of time that the ultrasound system is actively transmitting a signal. Continuous wave (CW) Doppler has the highest duty factor because it continuously transmits and receives ultrasound waves. Unlike pulsed wave Doppler, which alternates between sending and receiving signals, CW Doppler does not have a listening period, resulting in a duty factor of nearly 100%. Therefore, CW Doppler has the highest duty factor among the modes listed.
Reference: ARDMS Sonography Principles & Instrumentation Guidelines
Hedrick WR, Hykes DL, Starchman DE. Ultrasound Physics and Instrumentation. 4th ed. Philadelphia, PA: Elsevier Saunders; 2005.

정답:
Explanation:
Noise in the Doppler waveform can often be attributed to excessive gain settings. Decreasing the Doppler gain reduces the amplification of both the signal and the noise, thus providing a clearer and more accurate Doppler waveform. Excessive gain can cause speckling and clutter, which obscure the true Doppler signals. By reducing the gain, the noise level is minimized, resulting in a cleaner Doppler signal representation.
Reference: ARDMS Sonography Principles & Instrumentation Guidelines Hagen-Ansert SL. Textbook of Diagnostic Ultrasonography. 8th ed. St. Louis, MO: Mosby; 2017.
정답:
Explanation:
The placement of an echo on an ultrasound image is dependent on the assumption that the speed of sound in soft tissue is 1540 m/s. If the speed of sound in the medium is less than this assumed speed, the ultrasound system will interpret the returning echo as taking longer to return than it actually does. This causes the system to place the echo deeper in the image than its actual position. Therefore, the echo will be displayed "too deep" in the image.
Reference: ARDMS Sonography Principles & Instrumentation Guidelines
Kremkau FW. Sonography Principles and Instruments. 9th ed. Philadelphia, PA: Elsevier; 2016.
정답:
Explanation:
Write magnification, or pre-processing zoom, involves rescanning the region of interest (ROI) with more scan lines, thus acquiring new data for that specific area. This process increases the spatial resolution of the image in the magnified area because it gathers more detailed data by adjusting the scan parameters, resulting in improved image quality. This is different from read magnification (post-processing zoom), which simply enlarges the existing image data without increasing resolution.
Reference: ARDMS Sonography Principles & Instrumentation Guidelines
Hedrick WR, Hykes DL, Starchman DE. Ultrasound Physics and Instrumentation. 4th ed. Philadelphia, PA: Elsevier Saunders; 2005.

정답:
Explanation:
The color Doppler image shows an artifact where high-velocity blood flow exceeds the Nyquist limit, resulting in color wrap-around or aliasing. This artifact is visualized as a mosaic pattern of colors that abruptly change, indicating that the velocity exceeds the color Doppler scale's maximum. Aliasing occurs when the sampling rate (pulse repetition frequency) is insufficient to accurately capture the high velocities, causing the display to cycle back to lower velocities.
Reference: ARDMS Sonography Principles & Instrumentation Guidelines
Hagen-Ansert SL. Textbook of Diagnostic Ultrasonography. 8th ed. St. Louis, MO: Mosby; 2017.