Let’s be real, the SPI exam is one of the most intimidating parts of ultrasound school. It’s not just hard, it’s different from anything most of us are used to. I remember staring at the infamous green textbook thinking, “How am I supposed to memorize all this?” But somehow, I passed on my first try — and if you’re feeling nervous, I promise, you can too.
Here’s what worked for me, and what I’d absolutely do again.
1. I Made Friends with the ARDMS Content Outline
The SPI exam isn’t random. It’s built off the official ARDMS content outline, and once I realized that, everything got clearer. I printed it out and used it as a checklist while studying. If it was on the outline, I made sure I understood it.... and I didn’t waste time on topics that weren’t listed.
Pro Tip: Align your study tools with the outline. That’s how you study smart, not hard.
2. I Stopped Trying to “Understand Everything”
At first, I tried to deep dive into every formula, every physics term, and every scenario. But that only led to burnout. What helped was focusing on bite-sized concepts and building up gradually.
That’s actually what inspired me later to create these Physics Flashcards, because sometimes we just need a straight-to-the-point reminder of what matters.
3. I Used Visuals — A Lot
I’m a visual learner, and ultrasound physics is very visual. If I couldn’t see it, I couldn’t remember it. So I started doodling on whiteboards, sketching waveforms, labeling parts of sound beams, and using flashcards with color coding. Seeing the info laid out in a way that made sense helped it finally click.
If you’re like me, don’t underestimate how powerful visuals are! They’re not just pretty, they help your brain retain.
4. I Did a Little Every Day
Not hours. Just 30–45 minutes daily, focused on one topic. I’d go over flashcards, quiz myself, and then walk away. No all-nighters. No cramming. That consistency made me confident walking into the exam room.
5. I Practiced the Style of Questions
I found a few free quizzes online and did them to get used to the way ARDMS phrases their questions. It’s not just about knowing the answer, it’s about understanding what they’re asking. I also paid attention to common traps in questions, like wording tricks and formulas.
Final Thoughts
Passing the SPI isn’t about being perfect — it’s about being prepared. Break it down, take it slow, and use tools that work for you. Whether you’re a visual learner, a note-taker, or someone who needs structure, make your prep match your learning style.
And if you’re looking for tools built by someone who’s been there, I’ve created Physics Flashcards and designed specifically for this exam — because I remember how hard it was to find something that actually helped.
You’ve got this. 🤍
Written by Tekara - BSc, RDMS (AB) (OB/GYN), RVT (VT)
Founder of Tech Me Out