Sonography (S) Practice Test

178 questions available

Build your confidence for Sonography (S). Practice the concepts, understand the answers, and strengthen your knowledge one question at a time.

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Certification exam
165 Exam questions
3 hours 15 minutes Time Limit
Your practice
178 Practice questions
2 hours 58 minutes Practice Time
Try 5 free questions
No account needed. A free account includes 20 questions for this exam.
The bar to clear 75 Published passing score for this certification.
Explore exam topics Official objectives from ARRT
ARRT178 practice questions
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Exam overview and details

The Sonography S exam is a focused assessment designed to evaluate a practitioner's comprehensive knowledge and applied understanding of specialized sonographic principles and procedures. This 18-question examination tests competency across a defined spectrum of clinical and technical domains essential for advanced practice. It is intended for credentialed sonographers seeking to validate their expertise, professionals pursuing specialized career advancement, and those requiring a benchmark of proficiency for specific clinical roles or institutional credentials. Successfully passing Sonography S demonstrates a candidate's ability to integrate theoretical knowledge with practical judgment, confirming readiness for complex diagnostic responsibilities and specialized patient care scenarios. Candidates will gain a formal recognition of their specialized skills, which can enhance professional credibility, meet compliance or employment requirements, and solidify their standing as a subject-matter expert within the field.

Sample Questions

Choose an answer and explore the explanation to see how practice works.

Procedures - Second/Third Trimester and High Risk Obstetrics

A monochorionic diamniotic twin pregnancy at 22 weeks shows one twin stuck with oligohydramnios and a small bladder, while the co-twin has polyhydramnios and a distended bladder. What complication is most likely?

Procedures - Second/Third Trimester and High Risk Obstetrics

A first detailed second-trimester scan shows absence of the cranial vault above the orbits with exposed disorganized neural tissue. The fetal spine is otherwise difficult to assess because of position. What anomaly is most likely?

Abdomen

A diffusely echogenic liver has a geographic hypoechoic region near the gallbladder fossa. The region has angular margins, no mass effect, and normal vessels crossing through it. What is the most likely explanation?

Image Production - Evaluation and Selection of Representative Images

A scrotal ultrasound for sudden unilateral pain stores gray-scale images of both testes but no Doppler comparison. The symptomatic testis is slightly enlarged and heterogeneous. What additional representative documentation is most important?

Procedures - Second/Third Trimester and High Risk Obstetrics

A 32-week fetus has normal BPD, HC, and FL, but AC was measured too small on a compressed oblique image. The calculated EFW falls below the 10th percentile. What is the most likely consequence?

Career Opportunities & Salary

Median salary: $80,110– Radiologic Technologists and Technicians

Source: BLS Occupational Employment and Wage Statistics, May 2025 -- Radiologic Technologists and Technicians (SOC 29-2034), US national. Occupation median, not a certification salary. (2025)

Radiologic Technologists and Technicians

Exam insights and study advice

In clinical practice, the distinction between basic competency and advanced expertise directly impacts diagnostic accuracy, patient safety, and clinical outcomes. This exam matters because it validates the deeper, nuanced understanding required to navigate atypical findings, optimize imaging protocols for difficult cases, and contribute effectively to multidisciplinary teams. It translates abstract knowledge into the practical, decision-making confidence needed when standard protocols are insufficient, thereby elevating the quality of care and the sonographer's role as a pivotal diagnostic partner.

These are the backgrounds the certifying body suggests. Check the vendor's own page for anything it formally requires.

What this exam covers

01Abdomen

02Obstetrics and Gynecology

03Patient Care

04Safety

05Sonographic Principles and Instrumentation

06Superficial Structures and Other Sonography

Exam Details S | $200 USD | 3 hours 15 minutes

Exam Code S
Vendor ARRT
Exam Cost $200 USD
Passing Score 75
Time Limit 3 hours 15 minutes
Exam questions 165
Question TypesMultiple Choice (single best answer)
Retake Policy Maximum 3 attempts to pass an ARRT exam. After 3 failures, candidate must petition the ARRT board for additional attempts. Full exam fee required for each attempt.
Exam Format Linear fixed-form computer-based test (CBT)
Available In
English

Frequently Asked Questions

Is clinical experience required before taking this exam?

How should I balance studying physics versus pathology?

Are image-based questions included?

What is the best strategy for tackling scenario-based questions?

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