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100+ Free RDMS-PS Practice Questions

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The internal jugular vein in a child is typically located:

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C
D
to track
2026 Statistics

Key Facts: RDMS-PS Exam

~170

Total Items

ARDMS

3 hrs

Exam Time

ARDMS

$275

Exam Fee

ARDMS

Replaced NE

Sunset Jan 2027

Neurosonology incorporated into PS

5 yrs

SPI + PS Window

Both required for full RDMS-PS

ARDMS Pediatric Sonography (RDMS-PS) replaces NE (Neurosonology, sunset Jan 2027) — NE content incorporated. 170 items, 3h, $275 fee. Pair with SPI within 5 years for full RDMS-PS. Master neonatal brain (Papile IVH grading, PVL, midline structures), pyloric stenosis criteria (≥3mm wall, ≥14mm length), intussusception target sign, appendicitis ≥6mm noncompressible, and Graf hip method (α/β angles).

Sample RDMS-PS Practice Questions

Try these sample questions to test your RDMS-PS exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which transducer frequency is most appropriate for transfontanelle neonatal brain imaging in a term newborn?
A.3.5 MHz curvilinear
B.5-10 MHz sector or vector
C.2 MHz phased array
D.12-18 MHz linear
Explanation: A small-footprint sector or vector transducer in the 5-10 MHz range fits the anterior fontanelle window and provides adequate penetration with good resolution for the neonatal brain.
2In a Papile grade I germinal matrix hemorrhage, where is the bleed located?
A.Subependymal/caudothalamic groove
B.Within lateral ventricles without dilation
C.Within ventricles with ventriculomegaly
D.Intraparenchymal extension
Explanation: Papile grade I IVH is confined to the subependymal germinal matrix at the caudothalamic groove and does not extend into the ventricle.
3A neonatal head ultrasound shows blood within the lateral ventricle with ventricular dilation. What is the Papile IVH grade?
A.Grade I
B.Grade II
C.Grade III
D.Grade IV
Explanation: Papile grade III is intraventricular hemorrhage with ventriculomegaly. Grade IV adds intraparenchymal involvement.
4Periventricular leukomalacia (PVL) initially appears on neonatal ultrasound as which finding?
A.Echogenic ventricular casts
B.Increased periventricular white matter echogenicity
C.Anechoic posterior fossa cyst
D.Absent corpus callosum
Explanation: PVL begins as flame-shaped increased echogenicity in periventricular white matter, then evolves into cystic cavities over 2-4 weeks.
5Which scanning planes are used for routine neonatal head ultrasound through the anterior fontanelle?
A.Axial and oblique only
B.Coronal and sagittal/parasagittal
C.Transverse subcostal and intercostal
D.Long-axis and short-axis only
Explanation: Standard transfontanelle technique uses six coronal sweeps anterior-to-posterior plus midline sagittal and bilateral parasagittal images.
6On a midline sagittal neonatal brain image, the cavum septum pellucidum is located:
A.Posterior to the cerebellum
B.Anterior to the third ventricle and below the corpus callosum
C.Within the fourth ventricle
D.Inferior to the foramen magnum
Explanation: The cavum septum pellucidum sits between the leaves of the septum pellucidum, anterior to the third ventricle and inferior to the corpus callosum.
7Dandy-Walker malformation is best demonstrated sonographically by:
A.Absent septum pellucidum with fused thalami
B.Cystic dilation of the fourth ventricle with cerebellar vermian agenesis
C.Low-lying cerebellar tonsils through the foramen magnum
D.Smooth cortex without sulci
Explanation: Dandy-Walker malformation features cystic dilation of the fourth ventricle, vermian agenesis or hypoplasia, and an enlarged posterior fossa.
8On a midline sagittal image, agenesis of the corpus callosum classically demonstrates:
A.Sun-ray or radial gyral pattern with high-riding third ventricle
B.Single midline ventricle with fused thalami
C.Massive cystic posterior fossa
D.Complete cortical smoothness
Explanation: Agenesis of the corpus callosum produces a radial sun-ray gyral pattern, parallel widely-separated lateral ventricles (colpocephaly), and a high-riding third ventricle.
9Holoprosencephaly with a single midline ventricle and fused thalami is the most severe form, called:
A.Lobar
B.Semilobar
C.Alobar
D.Septo-optic dysplasia
Explanation: Alobar holoprosencephaly is the most severe form, with a single monoventricle, fused thalami, and absent interhemispheric fissure.
10Which structure marks the caudothalamic groove on a parasagittal neonatal head image?
A.Junction of caudate nucleus head and thalamus
B.Foramen of Monro to aqueduct
C.Cerebellar vermis
D.Corpus callosum genu
Explanation: The caudothalamic groove is the junction between the caudate nucleus and thalamus on parasagittal view — the most common site of germinal matrix hemorrhage in preterm infants.

About the RDMS-PS Exam

ARDMS specialty credential for pediatric sonographers. PS launched 2015 (announced 2014) and replaces NE (Neurosonology), which sunsets January 2027. NE content was incorporated into PS. Must be paired with SPI prerequisite within a 5-year window for full RDMS-PS credential. Validates expertise in neonatal brain and spine (transfontanelle imaging, IVH grading Papile, PVL, congenital malformations), pediatric abdomen (pyloric stenosis, intussusception, appendicitis, biliary atresia), hip dysplasia (Graf method), pediatric vascular Doppler, pediatric soft tissue, and pediatric-specific patient communication.

Questions

170 scored questions

Time Limit

3 hours

Passing Score

Scaled

Exam Fee

$275 (ARDMS)

RDMS-PS Exam Content Outline

10%

Patient Care, Safety, Communication (Pediatric)

Pediatric-friendly approach, parent-present scanning, immobilization, sucrose comfort

25%

Neonatal Brain & Spine (Neurosonology)

Transfontanelle (anterior fontanelle) coronal/sagittal/parasagittal; IVH grading Papile I-IV; PVL; congenital malformations; tethered cord

25%

Pediatric Abdomen

Pyloric stenosis (target sign), intussusception (donut/pseudokidney), appendicitis (≥6 mm), biliary atresia (triangular cord), Wilms vs neuroblastoma

10%

Hip Dysplasia (DDH Graf Method) & MSK

Graf α/β angles, hip type I-IV, septic vs toxic synovitis

10%

Pediatric Vascular

Portal/HA in liver transplant, renal Doppler

10%

Other Pediatric (Thyroid, Soft Tissue, Scrotal, Echocardiography Basics)

Thyroglossal cyst, scrotal/testicular torsion, basic pediatric echo

10%

QA, Reporting, Patient/Family Communication

ALARA TI/MI in pediatric, critical-finding communication

How to Pass the RDMS-PS Exam

What You Need to Know

  • Passing score: Scaled
  • Exam length: 170 questions
  • Time limit: 3 hours
  • Exam fee: $275

Keys to Passing

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

RDMS-PS Study Tips from Top Performers

1Master Papile IVH grading I-IV; caudothalamic groove is most common germinal matrix hemorrhage site
2Memorize pyloric stenosis criteria: muscle wall ≥3-4 mm + pylorus length ≥14-17 mm; non-relaxing channel
3Know intussusception signs: target/donut (transverse), pseudokidney (longitudinal); ≥3 cm bowel-wall-to-bowel-wall distance
4Apply Graf hip method: α >60° normal Type I; α 50-59° immature Type IIa; α <43° subluxed/dislocated Type III/IV
5Understand pediatric ALARA: TIB for fetal/infant brain through fontanelle; MI relevance for cavitation; minimize exam time

Frequently Asked Questions

Did Pediatric Sonography (PS) replace Neurosonology (NE)?

YES — PS officially replaces NE. PS launched in 2015 (announced 2014), and NE content was incorporated into PS. ARDMS NE registrants were maintained through Dec 31, 2025; the NE specialty sunsets in January 2027. NE registrants who want to continue testing typically transition to PS (with $150 discount). Note: PS is NOT 'new' in 2026 — it's been offered for over a decade.

What IVH grading should I know?

Papile classification of intraventricular hemorrhage in neonates: Grade I = subependymal/germinal matrix hemorrhage only; Grade II = IVH without ventricular dilation; Grade III = IVH with ventricular dilation; Grade IV = parenchymal hemorrhage (intraparenchymal extension). Imaged via anterior fontanelle transcranial ultrasound on coronal and sagittal/parasagittal planes. Caudothalamic groove is the most common site for germinal matrix hemorrhage.

What is the Graf method for DDH?

Graf method assesses hip development at 4-12 weeks via lateral coronal flexion view through the bony hip. Two angles: α angle (bony roof — primary) and β angle (cartilaginous roof). Type I = α >60° (mature normal); Type IIa = α 50-59° (immature in <3-month-old, often resolves); Type IIc/D = α 43-49° (dysplastic, requires Pavlik harness); Type III/IV = α <43° (subluxed/dislocated, urgent orthopedics). Routine DDH screening for breech, family history, frank DDH on exam.

How should I study for ARDMS Pediatric Sonography?

Plan 60-100 hours over 8-12 weeks. Focus on Neonatal Brain/Spine (25%) and Pediatric Abdomen (25%) — together half the exam. Master Papile IVH grading, PVL recognition, pyloric stenosis criteria (wall ≥3mm + length ≥14-17mm), intussusception target sign, appendicitis ≥6mm noncompressible, and Graf hip α/β angles.