Pass the SPI — or get every dollar back. Guaranteed.

The full Fast Track Study System — every practice question, every flashcard deck, full-length mock exams, narrated audio, Miles the AI tutor, and the entire study guide, every chapter readable and highlightable. The cheat sheet — the highest-yield facts as a PDF — is in the study portal on every pass, with instant access to download it. Every pass opens all of it; Standard carries the Money-Back Guarantee and SurePass the SurePass Guarantee.

Standard and SurePass carry it. Score 80%+ on one full-length mock, sit the real exam, and if you don't pass we refund what you paid. On SurePass, clear two mocks with your readiness meter at "Getting close" or above and we also pay your full $275 retake fee. A refund also comes with free access to keep preparing — 90 more days on Standard, another year on SurePass. Starter carries no refund — don't pass, upload your score report, and we add 30 more days of access, free. Every free period is counted from the earliest date your exam allows a retake. You file the claim in your study portal with your official score report.

Four scored full-length sittings, each a brand-new 110-question paper built to the five published domains and timed to the real two hours. Practice questions and timed practice are unlimited and never use one. Form length is the sharper number here than the raw count: 110 questions in two hours is exactly what ARDMS administers, and the nearest competitor's practice exams run 120.

SurePass, for almost everyone: today it costs the same as Standard, it runs a full year, and it is the only pass that pays your retake fee if you don't pass (and adds another year free). Standard is a month of access with the Money-Back Guarantee — a refund plus 90 more days if you don't pass. Starter is one week of access with no refund — don't pass and you get 30 more days free.

$275, paid to ARDMS, and a retake is the full $275 again — the fee schedule has no retake line for any ARDMS exam, and the retake guidelines say to "submit another online application and payment". There is also a 60-day wait before you can sit again. That is why SurePass covers your full $275 retake fee if you qualify and don't pass.

Approximately 110 multiple-choice questions in two hours. Five domains, and Doppler is the largest at 34%, then image optimization at 26%, performing examinations at 23%, clinical safety and quality assurance at 10%, and managing transducers at 7%.

ARDMS reports a scaled score between 300 and 700, and 555 passes. Scaled scoring means the number is not a percentage of questions correct, so nobody can honestly convert it into one — including us. The 80% our mocks score against is our own bar, stated as ours.

ARDMS publishes this itself, per exam, per year. In 2025, 68% of SPI candidates passed — so nearly one in three did not. The number that matters more if you have already sat it: of candidates who went back and retook the SPI that year, 53% failed again. That is the whole reason the retake-fee cover exists.

ARDMS sells one, in two versions it calls equivalent in difficulty, at $50 each: 30 questions in 30 minutes, one session, on the real test-centre interface. Its report tells you how many you got right and not which ones. ARDMS's own instruction is to "use the results as an indicator of your knowledge — not as a predictor of your actual exam score". It is worth $50 for interface familiarity, and it is not the 110-item rehearsal it says itself it is not.

Eligibility runs through one of ARDMS's prerequisite paths, which depend on your education and clinical experience, and the SPI is normally taken alongside a specialty exam. Check ARDMS's current prerequisites on inteleos.org before you apply.

Your account stays; the paid features stop. Your notes, highlights and flashcard history are all still there if you come back, and SurePass runs a full year — and adds another year free if you don't pass.

Every item is written to the published content outline, weighted domain by domain, with four options and a rationale on each. Every key was recomputed from its own stem before the explanation was read. On this bank we also publish what the audit found: a blind reader who knew no sonography scored 25.2% against a 25.0% chance floor, which is as close to no leak as the measurement can show.

Yes. Change the date and the Game Plan rebuilds around the new one — it works backwards from your date, so a move forward compresses it and a move back spreads it out. Nothing is lost.

Yes to both. Add it to your home screen and it behaves like an app. Your due flashcards and a set of practice questions download automatically, so you can revise with no signal. The whole study guide downloads too, narrated audio included; scored mocks and the tutor still need a connection.

Yes, separately from the pass guarantee: 24 hours on Starter, 48 hours on Standard, or 72 hours on SurePass, measured from your purchase (or from your upgrade, if you upgraded) — no questions asked, as long as you haven't sat your exam yet. EEA and UK buyers also keep their 14-day statutory right. The SurePass Guarantee is the other promise — that one is about your exam result, not about changing your mind.

Because we honor them. Every guarantee is a real financial commitment we may genuinely pay out, so a limited number opens for this exam each day. The allocation resets at midnight in your own time zone, and the counter shows how many of today's are still open.