The Certified Radiology Administrator (CRA) credential, awarded by the AHRA (Association for Medical Imaging Management), is the gold-standard certification for imaging department managers and directors. This free printable PDF gives you a focused set of practice questions drawn from all four exam domains — so you can study on your terms, whether you're on a break between shifts or preparing at home.
The CRA exam consists of 220 multiple-choice questions administered over 4 hours, covering Operations Management, Human Resources Management, Financial Management, and Quality and Safety Management. Eligibility requires at least 5 years of medical imaging management experience (or a qualifying combination of education and experience). This PDF is designed to reflect the difficulty level and topic distribution of the real exam.
The CRA exam is broad by design — imaging administrators must command both clinical operations and business management. Here is what each domain covers and what the PDF practice questions target.
This domain covers departmental workflow design, patient throughput optimization, scheduling strategies for high-volume imaging, and productivity metrics. You must understand the basics of each imaging modality — X-ray, CT, MRI, nuclear medicine, ultrasound, and PET — at the administrative level: equipment life cycles, downtime planning, and vendor management. Questions also address patient experience standards and referral patterns.
HR questions focus on staffing models, FTE calculations, and productivity benchmarking. Expect scenarios involving performance management, progressive discipline steps, and conflict resolution. Joint Commission staffing requirements and medical imaging professional licensure and registry requirements (ARRT, ARDMS, NMTCB) are tested. Topics include onboarding, competency validation, and succession planning for imaging leadership roles.
Financial questions test your ability to build and manage operating and capital budgets, calculate cost-per-exam, and analyze revenue cycle performance in imaging. CPT coding basics for radiology and RVU-based productivity measurement are included. Charge capture errors, denial management, and supply chain management — including contrast agents and imaging consumables — are also fair game.
This domain spans radiation safety (ALARA principles, dose tracking, occupational exposure monitoring), MQSA compliance for mammography programs, and ACR accreditation standards. Infection control protocols in imaging environments — contrast reactions, sterile field management — are included. Joint Commission and CMS survey readiness, quality improvement tools (PDSA/PDCA cycles, run charts, fishbone diagrams), and patient safety event reporting round out this domain.
Supplement the PDF with our interactive CRA practice test for timed, exam-style question sets with instant feedback. The online format lets you identify weak domains quickly and focus your remaining study time where it counts most. Many candidates use the PDF for concept review and the online tests to simulate real exam pressure — a proven combination for first-attempt success on the AHRA CRA exam.