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Davies Ultrasound Physics Review – 2025/2026 | 500+ Practice Q&A | Doppler, Artifacts, Resolution, Bioeffects

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This document is a comprehensive review guide for the Davies Ultrasound Physics 2025/2026 edition, featuring over 500 multiple-choice questions and answers designed to prepare students for the ARDMS SPI (Sonography Principles and Instrumentation) exam. With high-yield explanations and exam-aligned content, this resource is ideal for ultrasound students, sonographers, and radiologic science professionals in training. Topics are organized to reflect the major content areas of the SPI exam and include: – Fundamental physics of ultrasound: frequency, wavelength, period, intensity, and propagation speed – Sound wave interactions: reflection, refraction, attenuation, scattering, and absorption – Transducer types and physics: piezoelectric effect, linear vs. phased arrays, resolution types – Doppler principles: continuous and pulsed Doppler, spectral broadening, aliasing, angle correction – Image artifacts: reverberation, mirror image, shadowing, enhancement, and speckle – Temporal, axial, and lateral resolution, spatial compounding, beam former, and dynamic range – Bioeffects and safety: mechanical and thermal indices, ALARA principle, and intensity limits – Quality assurance: phantom testing, sensitivity, specificity, and system evaluation – System controls: gain, depth, TGC, dynamic focusing, harmonics, and frame rate optimization This guide is especially beneficial for: – Diagnostic medical sonography students preparing for the ARDMS SPI certification exam – Radiologic technology and ultrasound program enrollees in accredited U.S. institutions – Clinicians and technologists pursuing CME or registry renewal – Educators and exam prep tutors looking for question banks aligned with registry standards Widely used in U.S. ultrasound schools, hospitals, and training programs, this document provides a complete foundation for mastering ultrasound physics through active recall and test simulation. Keywords: ultrasound physics, ARDMS SPI exam, sonography review, Doppler effect, ultrasound artifacts, resolution types, bioeffects, mechanical index, thermal index, axial resolution, transducer physics, wave propagation, sound interaction, TGC, frame rate, image quality, piezoelectric crystal, ALARA, ultrasound safety, Davies Q&A, medical sonography exam

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Uploaded on
November 5, 2025
Number of pages
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Written in
2025/2026
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Questions & answers

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Davies Ultrasound Physics Review
2025/2026 Exam Questions with 100%
Correct Answers | Latest Update



1. What action would be most in keeping w the ALARA principle while

performing a diagnostic ultrasound exam? - 🧠 ANSWER ✔✔Complete the

diagnostic scan in a timely fashion at the lowest output power that achieves

a quality image




Advocating use of the ALARA principle (as low as reasonably achievable)

prudently minimizes the risk of bio effects (even tho epidemiological studies

have revealed no known risk associated with the use of diagnostic

ultrasound).

2. During performance of an obstetric ultrasound exam, you adjust the

system parameters to improve the image. Which of the following

,parameters would increase acoustic exposure? - 🧠 ANSWER ✔✔Increase

transmit power.




The transmit power is the only control listed that will affect the exposure of

the patient to acoustic power. Gain, TGC, and frame averaging

(persistence) do not affect sound transmission and therefore do not affect

exposure. Increasing frequency will not increase exposure.

3. To minimize the risk of biologic effects of ultrasound to the fetus, which

imaging mode tradeoff would be most applicable? - 🧠 ANSWER ✔✔Use M-

mode instead of pulsed-wave Doppler to measure the fetal heart rate.




Pulsed wave Doppler increases the time average intensity compared to M-

mode.

4. What potential bioeffect occurs through absorption of sound energy by

tissue? - 🧠 ANSWER ✔✔Heating




Sound attenuation in tissue is primarily due to absorption (conversion of

ultrasound to heat).

,5. When practicing universal precautions, you should do all the following

EXCEPT: - 🧠 ANSWER ✔✔Wash gloves between exams for reuse from

one patient to another. (It is recommended that gloves be worn during

every ultrasound examination. They should be discarded after use).




-wear gloves when there is a potential for contract with patient body fluid

-change gloves when moving from one patient to another

-Wash hands immediately after gloves are removed

- Wear face masks or eye protection whenever there is a possibility of

blood splashing in your face


6. A nosocomial infection is defined as one that: - 🧠 ANSWER ✔✔Is

hospital-acquired

7. Thermally induced biologic effects should be preventable by avoiding a

local tissue temperature increase exceeding: - 🧠 ANSWER ✔✔1°C


8. Which intensity descriptor has the lowest numeric value for the

characterization of a pulsed-wave ultrasonic field? - 🧠 ANSWER ✔✔SATA




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, SATA, a term that is infrequently used, means spatial average, time

average. Note: I(SPTA) is the spatial peak, time average intensity; I(SPTP)

is the spatial peak, temporal peak.

9* Increased tissue heating could occur when you: - 🧠 ANSWER

✔✔Increase transmit power


A study designed to determine if there is an association between an

adverse effect in a population and exposure to a particular agent is an: - 🧠

ANSWER ✔✔Epidemiological study


Which of the following actions is NOT compliant w HIPPA? - 🧠 ANSWER

✔✔Reviewing your neighbors medical studies on your hospital PACS

system so you can give her your opinion of her condition




The Health Insurance Portability and Accountability Act (HIPPA) includes

rules to protect the privacy of the individuals health information. This

answer would violate HIPPA

What does the mechanical index indicate on an ultrasound system? - 🧠

ANSWER ✔✔The likelihood of cavitation during an ultrasound exam

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