ARDMS examinations feature questions called Advanced Item Types (AIT). AIT questions assess a candidate in formats that closely relate to actual practice and, therefore, better measure practical sonography skills. The AITs allow the examinee to move closer to a hands-on testing environment.
ARDMS Semi-Interactive Console (SIC) questions feature a semi-interactive ultrasound machine console.
SIC questions display a partially completed ultrasound image and a question that indicates a problem with the image. Examinees will use a mouse to select the control on the simulated console that will correct the problem.
The ARDMS SIC questions use a proprietary format and cannot be reproduced here.
Update: As of 2023, the ARDMS has removed current SIC items from the SPI examination while they redesign the format. Although these SIC questions may return in the future, the exam currently consists of approximately 110 multiple-choice questions.
Note: there may be some "hot-spot" questions in which you are asked to indicate a region on an image with the cursor. Here's a link to a video on how to answer those types of questions.