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200+ Free ARRT Sonography Practice Questions

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Questions by Category

Arrt-Sonography-Procedures120 questions
Arrt-Sonography-Image-Production66 questions
Arrt-Sonography-Patient-Care14 questions
2026 Statistics

Key Facts: ARRT Sonography Exam

390

Total Questions

ARRT primary handbook (360 scored + 30 pilot)

330 min

Appointment Time

ARRT primary handbook (2026)

75

Passing Scaled Score

Effective Aug 1, 2026 (ARRT policy update)

$225

Exam Fee

ARRT fee schedule (2026)

51.0%

First-Attempt Pass Rate

ARRT 2024 exam statistics report

216 scored

Procedures Domain

ARRT Sonography content specifications

ARRT lists Sonography at 390 items (360 scored + 30 pilot) in a 330-minute appointment. Passing score changes from 70 to 75 effective August 1, 2026. Scored blueprint: Patient Care (26), Image Production (118), Procedures (216). 2024 first-attempt pass rate was 51.0%.

About the ARRT Sonography Exam

ARRT Sonography is a primary credential for diagnostic medical sonography. The exam emphasizes patient care, physics-driven image production, and procedure execution across abdomen, obstetrics, gynecology, and superficial structures.

Questions

360 scored questions

Time Limit

5 hours 30 minutes (330-minute appointment)

Passing Score

Scaled score 75 (effective August 1, 2026)

Exam Fee

$225 (ARRT)

ARRT Sonography Exam Content Outline

26 scored (7.2%)

Patient Care

Ethics, legal practice, communication, exam preparation, and patient-safety workflows in sonography settings

118 scored (32.8%)

Image Production

Ultrasound physics, optimization controls, Doppler principles, artifact recognition, and image-quality decision-making

216 scored (60.0%)

Procedures

Abdomen/small parts, first-trimester OB, second/third-trimester OB, gynecology, and superficial-structure protocol execution

How to Pass the ARRT Sonography Exam

What You Need to Know

  • Passing score: Scaled score 75 (effective August 1, 2026)
  • Exam length: 360 questions
  • Time limit: 5 hours 30 minutes (330-minute appointment)
  • Exam fee: $225

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

ARRT Sonography Study Tips from Top Performers

1Prioritize procedures and image-production content because together they account for over 92% of scored questions
2Build a physics-to-knobology routine: tie every artifact or Doppler finding to the control adjustment that fixes it
3Drill OB by gestational stage with structured anomaly and dating checklists
4Use protocol-first abdomen practice: indication, transducer choice, patient prep, and measurement sequence
5Run long timed mixed sets to simulate a 330-minute appointment and manage fatigue-related errors

Frequently Asked Questions

How many questions are on the ARRT Sonography exam?

ARRT's primary handbook lists Sonography at 390 total questions: 360 scored items and 30 pilot (unscored) items.

How long is the ARRT Sonography exam appointment?

ARRT lists a 330-minute (5.5-hour) appointment window for Sonography candidates.

What score do I need to pass ARRT Sonography in 2026?

ARRT announced that the passing scaled score for Sonography is 75 for exams administered on or after August 1, 2026 (previously 70).

What are the ARRT Sonography domain weights?

The scored blueprint is Patient Care (26), Image Production (118), and Procedures (216). Procedures is the largest section by a wide margin.

What is the ARRT Sonography pass-rate benchmark?

ARRT's 2024 exam statistics report lists a 51.0% first-attempt pass rate for Sonography candidates, so consistent domain-weighted practice is critical.

How much is the ARRT Sonography exam fee?

ARRT's primary-pathway fee schedule lists the Sonography application fee at $225. Confirm current pricing in your ARRT account before applying.

ARRT Sonography Resources