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100+ Free SC Generalist Exam Practice Questions

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Key Facts: SC Generalist Exam Exam

240 questions

Single-best-answer MCQs on the NCP 6.1 Generalist Sonographer Examination

Sonography Canada Generalist 6.1 Examination Blueprint

240 minutes

Total testing time, with a 10-minute break after question 140

Sonography Canada - Entry-to-Practice Exams

90 abdominal

Abdominal items, the largest block of the 240-question Generalist exam

Sonography Canada Generalist 6.1 Examination Blueprint

65 obstetrics

Obstetrics items on the Generalist exam, plus 35 gynecology questions

Sonography Canada Generalist 6.1 Examination Blueprint

Modified Angoff

Standard-setting method used to set the cut score; no penalty for wrong answers

Sonography Canada Candidate Guide

$600 CAD

Generalist 6.1 exam fee plus a non-refundable $150 application fee

Sonography Canada Certification Fees 2026-2027

CRGS

Credential earned by passing the written exam and the clinical CCSA

Sonography Canada - Credentials

100

Free original practice questions in this bank

OpenExamPrep

The Sonography Canada Generalist Sonographer Examination is the written exam for the Canadian Registered Generalist Sonographer (CRGS) credential. Under NCP 6.1 it has 240 single-best-answer multiple-choice questions in 240 minutes, with a 10-minute break after question 140 and many image- or video-based items. The 240 questions are split 90 Abdominal, 65 Obstetrics, 35 Gynecology, 35 Superficial Structures and 15 Peripheral Venous. There is no fixed pass percentage: a Modified Angoff cut score is set by experts and maintained by equating, and incorrect answers are not penalised. The 6.1 fee is $600 CAD plus a $150 application fee, rising to $1050 under NCP 7.0 in January 2027. This 100-question bank gives original registry-style practice modelled on the official blueprint distribution.

Sample SC Generalist Exam Practice Questions

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

1On a normal adult abdominal ultrasound, the liver parenchyma is most often described as which echogenicity relative to the renal cortex?
A.Hypoechoic to the renal cortex
B.Equal to or slightly hyperechoic to the renal cortex
C.Markedly hyperechoic with posterior shadowing
D.Anechoic
Explanation: In a healthy adult the liver is normally isoechoic to slightly hyperechoic compared with the adjacent right renal cortex. Comparing liver to kidney is the standard subjective check for hepatic steatosis, which makes the liver appear brighter than the cortex.
2Which vessel is used to divide the liver into right and left lobes using the Couinaud segmental system, running in the main lobar fissure?
A.Right hepatic vein
B.Middle hepatic vein
C.Portal vein
D.Inferior vena cava
Explanation: The middle hepatic vein lies in the main lobar fissure and separates the right and left hepatic lobes. The right and left hepatic veins further divide each lobe into anterior/posterior and medial/lateral segments respectively.
3A fasting adult has a common bile duct measured at the porta hepatis. Which upper-limit value is most commonly used as normal in a patient without prior cholecystectomy and under 60 years of age?
A.3 mm
B.6-7 mm
C.12 mm
D.15 mm
Explanation: The common bile duct is generally considered normal up to about 6-7 mm in younger adults, measured inner wall to inner wall. The duct normally enlarges slightly with age and after cholecystectomy.
4A gallbladder shows an echogenic, mobile, gravity-dependent focus that casts a clean posterior acoustic shadow. What is the most likely finding?
A.Gallbladder polyp
B.Cholelithiasis (gallstone)
C.Adenomyomatosis
D.Gallbladder carcinoma
Explanation: A mobile, shadowing, gravity-dependent echogenic focus is the classic appearance of a gallstone. Mobility and clean posterior shadowing distinguish a stone from a fixed soft-tissue lesion.
5A patient with right upper quadrant pain has a gallbladder wall thickness of 6 mm, pericholecystic fluid, a stone impacted in the neck, and a positive sonographic Murphy sign. These findings together most strongly suggest:
A.Chronic cholecystitis
B.Acute cholecystitis
C.Hepatized gallbladder from sludge
D.Porcelain gallbladder
Explanation: Acute cholecystitis is suggested by a thickened wall (greater than 3 mm), pericholecystic fluid, an impacted neck stone, and a positive sonographic Murphy sign (maximal tenderness over the gallbladder). The combination is far more specific than any single sign.
6Which sonographic sign describes dilated intrahepatic bile ducts running parallel to portal vein branches, indicating biliary obstruction?
A.Parallel-channel (double-barrel shotgun) sign
B.Wall-echo-shadow sign
C.Keyboard sign
D.Pseudokidney sign
Explanation: Dilated intrahepatic ducts adjacent to portal venous branches create two parallel tubular channels, the parallel-channel or double-barrel shotgun sign, indicating biliary obstruction. Colour Doppler confirms one channel lacks flow.
7On colour Doppler of the main portal vein in a healthy fasting adult, the normal flow direction and waveform are best described as:
A.Hepatofugal and highly pulsatile
B.Hepatopetal with gentle undulation (toward the liver)
C.Absent flow with thrombus
D.Reversed only during inspiration
Explanation: Normal portal vein flow is hepatopetal, meaning toward the liver, with a gently undulating, slightly phasic low-velocity waveform. Hepatofugal (away from liver) flow indicates portal hypertension.
8A solid liver lesion is hyperechoic, well-defined, and under 3 cm, and is an incidental finding in an otherwise healthy young woman. What is the most common benign solid liver lesion with this appearance?
A.Hepatocellular carcinoma
B.Cavernous hemangioma
C.Simple cyst
D.Metastasis
Explanation: A cavernous hemangioma is the most common benign solid hepatic lesion and classically appears as a small, well-defined, homogeneously hyperechoic mass. It is frequently incidental and asymptomatic.
9Which set of findings best describes the sonographic appearance of a cirrhotic liver?
A.Enlarged smooth liver with increased through-transmission
B.Nodular surface, coarse echotexture, often with ascites and splenomegaly
C.Uniformly anechoic parenchyma
D.Diffusely calcified parenchyma with shadowing
Explanation: Cirrhosis typically produces a nodular (bumpy) liver surface, coarsened heterogeneous echotexture, and signs of portal hypertension such as ascites, splenomegaly and recanalized paraumbilical veins. The liver is often small and shrunken in advanced disease.
10A normal adult spleen is measured along its longest axis. Which upper-limit length is most widely accepted as normal?
A.8 cm
B.12 cm
C.16 cm
D.20 cm
Explanation: The normal adult spleen is generally up to about 12 cm in its longest (cephalocaudal/bipolar) dimension. Lengths exceeding roughly 13 cm indicate splenomegaly.

About the SC Generalist Exam Exam

The Sonography Canada Generalist Sonographer Examination is the written knowledge component required for the Canadian Registered Generalist Sonographer (CRGS) credential. Under NCP 6.1 it consists of 240 single-best-answer multiple-choice questions answered in 240 minutes, drawn from five content areas: Abdominal (90 questions), Superficial Structures (35), Peripheral Venous (15), Obstetrics (65) and Gynecology (35). The exam is computer-based and proctored either online by ProctorU or in a secure test centre, and many questions present still ultrasound images or video clips. To earn the CRGS credential a candidate must pass both this written examination and the clinical Canadian Clinical Skills Assessment (CCSA). Under NCP 7.0, beginning January 2027, the standalone Core examination is retired and its content folded into a 210-question Generalist exam.

Assessment

240 single-best-answer multiple-choice questions: 90 Abdominal, 35 Superficial Structures, 15 Peripheral Venous, 65 Obstetrics and 35 Gynecology. Many items include still images or video clips.

Time Limit

240 minutes of testing time, with a scheduled 10-minute break after question 140. Candidates should expect to read and answer each item in about one minute.

Passing Score

No fixed percentage. The cut score is set by subject-matter experts using the Modified Angoff method and held constant across forms by equating, so more difficult forms carry a lower cut score. Wrong answers carry no penalty.

Exam Fee

Generalist (NCP 6.1): $600 CAD plus a non-refundable $150 application processing fee. From January 2027 (NCP 7.0) the Generalist exam fee is $1050 CAD plus the application fee. The clinical CCSA is a separate $2000 CAD assessment. (Sonography Canada (delivered through Meazure Learning / Yardstick Assessment Strategies with ProctorU remote proctoring))

SC Generalist Exam Exam Content Outline

37.5%

Abdominal

Official exam: 90 of 240 questions. Practice covers sonographic anatomy, normal and abnormal findings, measurements and pathology of the liver, gallbladder and biliary tree, pancreas, spleen, kidneys and urinary tract, abdominal aorta and IVC, portal and hepatic venous flow, and the GI tract and retroperitoneum.

27.1%

Obstetrics

Official exam: 65 of 240 questions. Practice covers first-trimester dating and viability (gestational sac, yolk sac, CRL), the standard biometry parameters (BPD, HC, AC, FL), the second- and third-trimester anatomy survey, amniotic fluid and placenta, and complications such as ectopic pregnancy, miscarriage, IUGR and abnormal umbilical and uterine Dopplers.

14.6%

Gynecology

Official exam: 35 of 240 questions. Practice covers transabdominal and endovaginal evaluation of the uterus, endometrium, ovaries and adnexa, the normal menstrual-cycle appearance, and pathology including fibroids, endometrial thickening and polyps, ovarian cysts and neoplasms, PID, ectopic disease and IUD localization.

14.6%

Superficial Structures

Official exam: 35 of 240 questions. Practice covers high-frequency imaging of the thyroid and parathyroid, breast, scrotum and testes, and other superficial masses, including recognition of common benign and malignant features such as TI-RADS thyroid patterns, testicular torsion and epididymo-orchitis.

6.3%

Peripheral Venous

Official exam: 15 of 240 questions. Practice covers lower-extremity venous duplex for deep vein thrombosis, including venous anatomy, compression, distal augmentation, spectral and colour Doppler technique, and differentiation of acute from chronic thrombus.

How to Pass the SC Generalist Exam Exam

What You Need to Know

  • Passing score: No fixed percentage. The cut score is set by subject-matter experts using the Modified Angoff method and held constant across forms by equating, so more difficult forms carry a lower cut score. Wrong answers carry no penalty.
  • Assessment: 240 single-best-answer multiple-choice questions: 90 Abdominal, 35 Superficial Structures, 15 Peripheral Venous, 65 Obstetrics and 35 Gynecology. Many items include still images or video clips.
  • Time limit: 240 minutes of testing time, with a scheduled 10-minute break after question 140. Candidates should expect to read and answer each item in about one minute.
  • Exam fee: Generalist (NCP 6.1): $600 CAD plus a non-refundable $150 application processing fee. From January 2027 (NCP 7.0) the Generalist exam fee is $1050 CAD plus the application fee. The clinical CCSA is a separate $2000 CAD assessment.

Keys to Passing

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

SC Generalist Exam Study Tips from Top Performers

1Study to the Generalist 6.1 blueprint distribution: roughly 38% of your effort on abdominal, 27% on obstetrics and the remainder split across gynecology, superficial structures and peripheral venous.
2Memorize the normal measurements and thresholds examiners love: common bile duct up to 6-7 mm, abdominal aorta under 3 cm, MSD/CRL viability cut-offs, and amniotic fluid index ranges.
3Practise distinguishing look-alike pathologies on the printed image stems, such as cholelithiasis versus a polyp, simple versus complex ovarian cysts, and acute versus chronic DVT.
4Drill the obstetric biometry parameters (CRL, BPD, HC, AC, FL) and what each is used for in dating versus growth assessment.
5For superficial structures, learn the classic colour-Doppler signs: absent flow in testicular torsion, increased flow in epididymo-orchitis, and suspicious thyroid nodule features.
6Pace yourself for one minute per question and use the flag-and-review tool, because the 240-minute limit gives no extra time for re-reading long stems.

Frequently Asked Questions

How many questions are on the Sonography Canada Generalist exam?

Under NCP 6.1 the Generalist Sonographer Examination has 240 single-best-answer multiple-choice questions answered in 240 minutes, with a 10-minute break after question 140. Under NCP 7.0, from January 2027, it becomes a 210-question, 210-minute exam.

How are the 240 questions distributed across content areas?

The Generalist 6.1 blueprint splits the 240 questions into 90 Abdominal, 65 Obstetrics, 35 Gynecology, 35 Superficial Structures and 15 Peripheral Venous questions.

What is the passing score?

There is no fixed percentage. Sonography Canada sets the cut score with a panel of experts using the Modified Angoff method and maintains it across forms by equating, so a harder form has a lower cut score. Incorrect answers are not penalised.

What does it cost to write the Generalist exam?

Under NCP 6.1 the Generalist exam fee is $600 CAD plus a non-refundable $150 application fee. From January 2027 under NCP 7.0 the fee rises to $1050 CAD plus the application fee. The clinical CCSA is billed separately at $2000 CAD.

Do I need anything besides this written exam to become a CRGS?

Yes. The Canadian Registered Generalist Sonographer credential requires both the written Generalist examination and the clinical Canadian Clinical Skills Assessment (CCSA). Both must be passed within the eligibility period.

Are these official Sonography Canada questions?

No. These are original OpenExamPrep practice questions modelled on the official blueprint content and distribution. Sonography Canada sells one official practice examination per content area separately.