Mock Practice Sample Questions for Sonography Canada SPI and or CORE Exam – Sample Level 1

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  1. Which of the following is an example of measuring amplitude?
    • a. Voltage
    • b. Power
    • c. Height
    • d. Work
  2. What term describes the power concentration per unit area?
    • a. Watts
    • b. Amplitude
    • c. Transducer
    • d. Intensity
  3. What kind of wave is sound classified as?
    • a. Non-Mechanical wave
    • b. Electromagnetic wave
    • c. Longitudinal wave
    • d. Transverse wave
  4. Which of the following is a characteristic of sound?
    • a. Sound is an electromagnetic wave
    • b. Sound travels in a zigzag pattern
    • c. Sound cannot travel through a vacuum
    • d. Sound carries light energy
  5. What happens during the compression phase of sound waves?
    • a. Particles are pushed together
    • b. Particles are stationary
    • c. Particles are at their lowest density
    • d. Particles are pulled apart
  1. Where do particles experience the least pressure in sound waves?
    • a. At the compression point
    • b. At their resting position
    • c. Particles in sound waves do not experience pressure
    • d. At the rarefaction point
  2. Which acoustic variable is measured in kilograms per cubic centimeter?
    • a. Pressure
    • b. Force
    • c. Density
    • d. Particle Motion
  3. What is the unit for measuring particle motion?
    • a. Pascals
    • b. Area
    • c. kg/cm³
    • d. cm, mm, ft, miles
  4. What is the term for two waves that are in-phase and combine?
    • a. Interference
    • b. Constructive Interference
    • c. Wave Interaction
    • d. Destructive Interference
  5. What occurs when two waves that are 360 degrees in phase interact?
    • a. Wave reinforcement
    • b. Complete cancellation
    • c. Increase in wave amplitude
    • d. Constructive Interference
  1. Which statement about harmonics is accurate?
    • a. Harmonics decrease with distance
    • b. Harmonics enhance sound quality
    • c. Harmonics are multiples of the fundamental frequency
    • d. Harmonics only occur in solids
  1. How is pulse duration best defined?
    • a. The length of space a pulse occupies
    • b. The number of pulses per second
    • c. The time between pulses
    • d. The time it takes for one pulse to occur
  2. Which statement about duty factor is correct?
    • a. The number of pulses per second
    • b. The time between pulses
    • c. Increases with decreasing pulse duration
    • d. The fraction of time pulsed ultrasound is on
  3. How is pulse-repetition frequency best defined?
    • a. The time between pulses
    • b. The duration of each pulse
    • c. The number of pulses per second
    • d. Increases with longer pulse duration
  4. How is pulse-repetition period best defined?
    • a. The time from the start of one pulse to the start of the next
    • b. The number of pulses per second
    • c. The duration of each pulse
    • d. Decreases as pulse duration increases
  1. Which statement about spatial pulse length is correct?
    • a. The length of space a pulse occupies
    • b. Decreases with increasing wavelength
    • c. Not related to wavelength
    • d. The time required for a pulse
  2. Which of the following increases intensity?
    • a. Increased beam power and decreased beam area
    • b. Increased beam area
    • c. Increased wavelength
    • d. Decreased beam power
  3. How is bandwidth best defined?
    • a. Decreases with shorter pulses
    • b. Unrelated to pulse duration
    • c. The frequency of a pulse
    • d. The range of frequencies in a pulse
  4. Which statement about attenuation is correct?
    • a. Not affected by frequency
    • b. Increases as frequency decreases
    • c. Increases as frequency increases
    • d. Only occurs in solids
  5. Which frequency has the shallowest penetration in soft tissue?
    • a. 2 MHz
    • b. 10 MHz
    • c. 15 MHz
    • d. 5 MHz
  1. Which statement about propagation speed in a medium is true?
    • a. Depends on the bulk modulus-density ratio
    • b. Depends only on stiffness
    • c. Independent of material properties
    • d. Depends only on density
  2. How is nonlinear propagation best described?
    • a. Constant propagation speed
    • b. No matching description
    • c. Linear propagation
    • d. Speed depends on pressure, changing wave shape
  3. What term describes the weakening of sound as it travels?
    • a. Scattering
    • b. Reflection
    • c. Attenuation
    • d. Absorption
  4. Which statement about the relationship between density and propagation speed is correct?
    • a. Both decrease propagation speed
    • b. Increased bulk modulus increases speed; increased density decreases speed
    • c. Density has no effect on speed
    • d. Both increase propagation speed
  5. How is impedance measured?
    • a. Ohms
    • b. Newtons
    • c. Watts
    • d. Rayls
  1. Which factor does not contribute to ultrasound attenuation?
    • a. Diffraction
    • b. Reflection
    • c. Refraction
    • d. Absorption
  2. What is the average speed of sound in soft tissue?
    • a. 1.54 mm/μs
    • b. 0.77 mm/μs
    • c. 1.54 cm/μs
    • d. 1.54 m/s
  3. What determines the change in direction of an ultrasound beam between two media?
    • a. Scattering
    • b. Reflection
    • c. Refraction
    • d. Impedance
  4. What principle relates the incidence and transmission angles of an ultrasound beam?
    • a. Snell’s law
    • b. Impedance matching
    • c. The range equation
    • d. Critical angle law
  5. What type of transducer has miniature elements with two electrically conducting layers, one fixed and one flexible?
    • a. Convex arrays
    • b. CMUTs
    • c. Linear arrays
    • d. PZT elements
  1. What type of array has a straight line of rectangular elements operated by voltage pulses in succession?
    • a. Convex array
    • b. Vector array
    • c. Linear sequenced array
    • d. Phased array
  2. What determines the natural frequency of a transducer element?
    • a. Propagation speed of the element material
    • b. Thickness of the transducer element
    • c. Focal length
    • d. Aperture size
  3. What type of array scans the beam in sector format with short time delays?
    • a. Vector array
    • b. Convex array
    • c. Linear array
    • d. Phased array
  4. What term refers to the piezoelectric material that converts electricity to ultrasound in a transducer?
    • a. Coupling medium
    • b. Matching layer
    • c. Transducer element
    • d. Damping material
  5. What determines the width of a transducer’s image?
    • a. Focal length
    • b. Operating frequency
    • c. Length of the linear array
    • d. Aperture size
  1. Why is a matching layer placed on the transducer face?
    • a. To dampen the ultrasound pulse
    • b. To focus the ultrasound beam
    • c. To reduce reflection and improve sound transmission
    • d. To couple the transducer to the patient
  2. What reduces the number of cycles in each ultrasound pulse?
    • a. Damping material
    • b. Lens
    • c. Coupling medium
    • d. Matching layer
  3. What type of array produces a sector-type image with a curved line of elements?
    • a. Linear array
    • b. Vector array
    • c. Convex array
    • d. Phased array
  4. What provides electronic control of the ultrasound beam focus?
    • a. Matching layer
    • b. Phasing
    • c. Element curvature
    • d. Damping material
  5. What term describes the ability of an array to focus at a particular depth?
    • a. Spatial focusing
    • b. Static focusing
    • c. Multizone focusing
    • d. Dynamic focusing
  1. What term describes increasing the aperture during echo reception to maintain focal width?
    • a. Variable aperture
    • b. Dynamic aperture
    • c. Fixed aperture
    • d. Static aperture
  2. What is the minimum reflector separation along the sound travel direction to produce separate echoes?
    • a. Transverse resolution
    • b. Axial resolution
    • c. Lateral resolution
    • d. Elevational
  1. What is the formula for calculating axial resolution in millimeters?
    • a. Axial Resolution (mm) = Spatial Pulse Length (mm)
    • b. Axial Resolution (mm) = Spatial Pulse Length (mm) / 2
    • c. Axial Resolution (mm) = Spatial Pulse Length (mm) + 2
    • d. Axial Resolution (mm) = 2 x Spatial Pulse Length (mm)
  2. What is the term for the minimum reflector separation perpendicular to the beam direction that can produce two separate echoes?
    • a. Transverse resolution
    • b. Axial resolution
    • c. Lateral resolution
    • d. Elevational resolution
  3. What is the formula for calculating lateral resolution in millimeters?
    • a. Lateral Resolution (mm) = Beam Width (mm)
    • b. Lateral Resolution (mm) = Beam Width (mm) + 2
    • c. Lateral Resolution (mm) = Beam Width (mm) / 2
    • d. Lateral Resolution (mm) = 2 x Beam Width (mm)
  1. What aspect of detail resolution brings structures into the image that should be outside?
    • a. Elevational resolution
    • b. Lateral resolution
    • c. Axial resolution
    • d. Transverse resolution
  2. What is the trade-off between resolution and penetration in sonographic imaging?
    • a. Changing amplitude
    • b. Changing attenuation
    • c. Changing frequency
    • d. Changing focal length
  3. What is the useful frequency range for most diagnostic applications?
    • a. 1 – 10 MHz
    • b. 2 – 20 MHz
    • c. 20 – 200 MHz
    • d. 5 – 50 MHz
  4. At higher frequencies, there is a reduction in penetration and an improvement in:
    • a. Temporal resolution
    • b. Contrast resolution
    • c. Spatial resolution
    • d. Detail resolution
  5. Where does the information for the image processor come from?
    • a. Transducer
    • b. Receiver
    • c. Scan converter
    • d. Display
  1. When the machine is still acquiring data, this is _?
    • a. Pre-processing
    • b. Post-processing
    • c. Real-time processing
    • d. Data storage
  2. When the machine saves its data, this is _?
    • a. Pre-processing
    • b. Post-processing
    • c. Real-time processing
    • d. Data storage
  3. When a tool is used on a live image, it is a _ function.
    • a. Pre-processing
    • b. Post-processing
    • c. Real-time processing
    • d. Data storage
  4. When a tool is used on a frozen image, it is a _ function.
    • a. Pre-processing
    • b. Post-processing
    • c. Real-time processing
    • d. Data storage
  5. What is another name for magnification?
    • a. Zoom
    • b. Enlargement
    • c. Expansion
    • d. Amplification
  1. What are the two types of magnification?
    • a. Write and Read
    • b. Pre and Post
    • c. Real-time and Stored
    • d. Linear and Non-linear
  2. What are the steps for write magnification?
    • a. Select region, acquire new data, display
    • b. Select region, display, acquire new data
    • c. Display, select region, acquire new data
    • d. Acquire new data, select region, display
  3. How many scan lines does the machine use to create an image during write magnification?
    • a. More than original
    • b. Less than original
    • c. Same as original
    • d. Variable
  4. What resolutions does write magnification improve?
    • a. Spatial and Temporal
    • b. Contrast and Spatial
    • c. Temporal and Contrast
    • d. Spatial and Detail
  5. Write magnification is a ____ processing function.
    • a. Pre
    • b. Post
    • c. Real-time
    • d. Data storage
  1. What happens to the pixels in read magnification?
    • a. They are interpolated
    • b. They are averaged
    • c. They are duplicated
    • d. They are discarded
  2. What are the steps to read magnification?
    • a. Select region, display
    • b. Display, select region
    • c. Acquire new data, select region, display
    • d. Select region, acquire new data, display
  3. Read zoom is a ____ processing function.
    • a. Pre
    • b. Post
    • c. Real-time
    • d. Data storage
  4. What is fill-in interpolation?
    • a. A method to fill in missing data
    • b. A method to enhance edges
    • c. A method to reduce noise
    • d. A method to increase contrast
  5. What is another name for fill-in interpolation?
    • a. Spatial compounding
    • b. Edge enhancement
    • c. Pixel averaging
    • d. Data interpolation
  1. Fill-in interpolation is a ____ processing function.
    • a. Pre
    • b. Post
    • c. Real-time
    • d. Data storage
  2. What is B-color?
    • a. Color mapping of grayscale images
    • b. Color Doppler imaging
    • c. B-mode imaging with color
    • d. 3D color imaging
  3. Why would B-color be helpful?
    • a. Enhances contrast resolution
    • b. Increases spatial resolution
    • c. Reduces noise
    • d. Improves temporal resolution
  4. What resolution does B-color improve?
    • a. Contrast
    • b. Spatial
    • c. Temporal
    • d. Detail
  5. What is panoramic imaging?
    • a. Imaging over a wide area
    • b. Imaging with high resolution
    • c. Imaging with color
    • d. Imaging with 3D effect
  1. What is spatial compounding?
    • a. Combining images from different angles
    • b. Enhancing image edges
    • c. Reducing image noise
    • d. Increasing image contrast
  2. Spatial compounding is a ____ processing function.
    • a. Pre
    • b. Post
    • c. Real-time
    • d. Data storage
  3. What resolutions does spatial compounding improve?
    • a. Spatial and Contrast
    • b. Temporal and Spatial
    • c. Contrast and Temporal
    • d. Spatial and Detail
  4. What resolutions does spatial compounding reduce?
    • a. Temporal
    • b. Spatial
    • c. Contrast
    • d. Detail
  5. What is temporal compounding?
    • a. Averaging frames over time
    • b. Combining images from different angles
    • c. Enhancing image edges
    • d. Reducing image noise
  1. What other names does temporal compounding go by?
    • a. Frame averaging
    • b. Spatial averaging
    • c. Temporal smoothing
    • d. Time compounding
  2. What resolutions does temporal compounding improve?
    • a. Temporal and Spatial
    • b. Spatial and Contrast
    • c. Temporal and Contrast
    • d. Spatial and Detail
  3. What resolutions does temporal compounding reduce?
    • a. Temporal
    • b. Spatial
    • c. Contrast
    • d. Detail
  4. What is frequency compounding?
    • a. Combining images at different frequencies
    • b. Averaging frames over time
    • c. Enhancing image edges
    • d. Reducing image noise
  5. What other names does frequency compounding go by?
    • a. Frequency averaging
    • b. Spatial averaging
    • c. Temporal averaging
    • d. Frequency smoothing
  1. What resolutions does frequency compounding improve?
    • a. Spatial and Contrast
    • b. Temporal and Spatial
    • c. Contrast and Temporal
    • d. Spatial and Detail
  2. Does frequency compounding affect temporal resolution?
    • a. No
    • b. Yes, it improves it
    • c. Yes, it reduces it
    • d. Yes, it has a variable effect
  3. What is frequency tuning?
    • a. Adjusting the frequency for optimal imaging
    • b. Combining images at different frequencies
    • c. Averaging frames over time
    • d. Enhancing image edges
  4. Where does frequency tuning take place?
    • a. In the transducer
    • b. In the receiver
    • c. In the scan converter
    • d. In the display
  5. What is coded excitation?
    • a. A technique to improve image quality
    • b. A method to enhance edges
    • c. A way to reduce noise
    • d. A technique to increase contrast
  1. Where does coded excitation occur?
    • a. In the transducer
    • b. In the receiver
    • c. In the scan converter
    • d. In the display
  1. What are the five benefits of coded excitation?
    • a. Improved penetration, better resolution, reduced noise, enhanced contrast, increased sensitivity
    • b. Enhanced edges, reduced artifacts, increased speed, better color, improved depth
    • c. Reduced noise, better color, increased speed, enhanced edges, improved depth
    • d. Increased sensitivity, better color, reduced artifacts, enhanced contrast, improved depth
  2. What is edge enhancement?
    • a. A technique to improve image edges
    • b. A method to reduce noise
    • c. A way to increase contrast
    • d. A technique to improve penetration
  3. What resolutions does edge enhancement improve?
    • a. Spatial and Contrast
    • b. Temporal and Spatial
    • c. Contrast and Temporal
    • d. Spatial and Detail
  4. What is elastography?
    • a. Imaging technique to assess tissue stiffness
    • b. Method to enhance image edges
    • c. Technique to reduce noise
    • d. Way to increase contrast
  1. What does elastography test for?
    • a. Tissue stiffness
    • b. Blood flow
    • c. Bone density
    • d. Muscle strength
  2. What are the two types of elastography and how do they work?
    • a. Strain and Shear Wave; Strain measures deformation, Shear Wave measures speed of shear waves
    • b. Compression and Tension; Compression measures pressure, Tension measures stretch
    • c. Static and Dynamic; Static measures still images, Dynamic measures moving images
    • d. Linear and Non-linear; Linear measures straight lines, Non-linear measures curves
  3. What is cardiac strain imaging?
    • a. Technique to measure heart wall motion
    • b. Method to enhance image edges
    • c. Technique to reduce noise
    • d. Way to increase contrast
  4. What value shows how effectively the heart walls contract?
    • a. Strain rate
    • b. Blood pressure
    • c. Heart rate
    • d. Ejection fraction
  5. What are the two methods for performing cardiac strain imaging?
    • a. Speckle tracking and Tissue Doppler
    • b. Color Doppler and Power Doppler
    • c. B-mode and M-mode
    • d. 2D and 3D imaging
  1. 3D rendering is a ____ processing function.
    • a. Pre
    • b. Post
    • c. Real-time
    • d. Data storage
  2. What is 3D rendering?
    • a. Creating a three-dimensional image from data
    • b. Enhancing image edges
    • c. Reducing noise
    • d. Increasing contrast
  3. What are some external sources of artifacts?
    • a. Electrical interference, patient movement, equipment malfunction
    • b. Poor image quality, low resolution, high contrast
    • c. High frequency, low penetration, poor depth
    • d. Low sensitivity, high noise, poor color
  4. Harmonic imaging is often asked about in exams. What is it?
    • a. Imaging technique using multiples of the fundamental frequency
    • b. Method to enhance image edges
    • c. Technique to reduce noise
    • d. Way to increase contrast
  5. How do you calculate attenuation?
    • a. Attenuation (dB) = Attenuation coefficient (dB/cm) x Path length (cm)
    • b. Attenuation (dB) = Frequency (MHz) x Path length (cm)
    • c. Attenuation (dB) = Power (W) x Path length (cm)
    • d. Attenuation (dB) = Intensity (W/cm²) x Path length (cm)
  1. What is the relationship between PRP and PRF?
    • a. PRP = 1 / PRF
    • b. PRP = PRF x 2
    • c. PRP = PRF / 2
    • d. PRP = PRF + 1
  2. What is the formula for Doppler shift?
    • a. Doppler shift (Hz) = 2 x Velocity (m/s) x Transmit frequency (Hz) / Speed of sound (m/s)
    • b. Doppler shift (Hz) = Velocity (m/s) x Transmit frequency (Hz) / Speed of sound (m/s)
    • c. Doppler shift (Hz) = 2 x Transmit frequency (Hz) / Speed of sound (m/s)
    • d. Doppler shift (Hz) = Velocity (m/s) x Speed of sound (m/s) / Transmit frequency (Hz)
  3. What is the Bernoulli effect in ultrasound?
    • a. Pressure drop in a stenotic area
    • b. Increase in wave amplitude
    • c. Reduction in noise
    • d. Enhancement of image edges
  4. How do you fix spectral Doppler aliasing?
    • a. Shift the baseline
    • b. Increase the frequency
    • c. Decrease the gain
    • d. Enhance the edges
  5. What is the effect of increasing sample volume length in spectral Doppler?
    • a. Spectral broadening
    • b. Increased noise
    • c. Reduced resolution
    • d. Enhanced contrast

Answers

  1. c. Height
  2. d. Intensity
  3. c. Longitudinal wave
  4. c. Sound cannot travel through a vacuum
  5. a. Particles are pushed together
  6. d. At the rarefaction point
  7. c. Density
  8. d. cm, mm, ft, miles
  9. b. Constructive Interference
  10. d. Constructive Interference
  11. c. Harmonics are multiples of the fundamental frequency
  12. d. The time it takes for one pulse to occur
  13. d. The fraction of time pulsed ultrasound is on
  14. c. The number of pulses per second
  15. a. The time from the start of one pulse to the start of the next
  16. a. The length of space a pulse occupies
  17. a. Increased beam power and decreased beam area
  18. d. The range of frequencies in a pulse
  19. c. Increases as frequency increases
  20. c. 15 MHz
  21. a. Depends on the bulk modulus-density ratio
  22. d. Speed depends on pressure, changing wave shape
  23. c. Attenuation
  24. b. Increased bulk modulus increases speed; increased density decreases speed
  25. d. Rayls
  26. a. Diffraction
  27. a. 1.54 mm/μs
  28. c. Refraction
  29. a. Snell’s law
  30. b. CMUTs
  31. c. Linear sequenced array
  32. b. Thickness of the transducer element
  33. d. Phased array
  34. c. Transducer element
  35. d. Aperture size
  36. c. To reduce reflection and improve sound transmission
  37. a. Damping material
  38. c. Convex array
  39. b. Phasing
  40. d. Dynamic focusing
  41. b. Dynamic aperture
  42. b. Axial resolution
  43. b. Axial Resolution (mm) = Spatial Pulse Length (mm) / 2
  44. c. Lateral resolution
  45. a. Lateral Resolution (mm) = Beam Width (mm)
  46. a. Elevational resolution
  47. c. Changing frequency
  48. b. 2 – 20 MHz
  49. c. Spatial resolution
  50. c. Scan converter
  51. a. Pre-processing
  52. d. Data storage
  53. a. Pre-processing
  54. b. Post-processing
  55. a. Zoom
  56. a. Write and Read
  57. a. Select region, acquire new data, display
  58. a. More than original
  59. a. Spatial and Temporal
  60. a. Pre
  61. a. They are interpolated
  62. a. Select region, display
  63. b. Post
  64. a. A method to fill in missing data
  65. d. Data interpolation
  66. b. Post
  67. a. Color mapping of grayscale images
  68. a. Enhances contrast resolution
  69. a. Contrast
  70. a. Imaging over a wide area
  71. a. Combining images from different angles
  72. c. Real-time
  73. a. Spatial and Contrast
  74. a. Temporal
  75. a. Averaging frames over time
  76. a. Frame averaging
  77. c. Temporal and Contrast
  78. a. Temporal
  79. a. Combining images at different frequencies
  80. d. Frequency smoothing
  81. a. Spatial and Contrast
  82. a. No
  83. a. Adjusting the frequency for optimal imaging
  84. b. In the receiver
  85. a. A technique to improve image quality
  86. b. In the receiver
  87. a. Improved penetration, better resolution, reduced noise, enhanced contrast, increased sensitivity
  88. a. A technique to improve image edges
  89. d. Spatial and Detail
  90. a. Imaging technique to assess tissue stiffness
  91. a. Tissue stiffness
  92. a. Strain and Shear Wave; Strain measures deformation, Shear Wave measures speed of shear waves
  93. a. Technique to measure heart wall motion
  94. a. Strain rate
  95. a. Speckle tracking and Tissue Doppler
  96. b. Post
  97. a. Creating a three-dimensional image from data
  98. a. Electrical interference, patient movement, equipment malfunction
  99. a. Imaging technique using multiples of the fundamental frequency
  100. a. Attenuation (dB) = Attenuation coefficient (dB/cm) x Path length (cm)
  101. a. PRP = 1 / PRF
  102. a. Doppler shift (Hz) = 2 x Velocity (m/s) x Transmit frequency (Hz) / Speed of sound (m/s)
  103. a. Pressure drop in a stenotic area
  104. a. Shift the baseline
  105. a. Spectral broadening