(RVT) Registered Vascular Technologist Practice Test

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RVT Practice Test PDF โ€“ Study Offline for the ARDMS Exam

The Registered Vascular Technologist (RVT) credential, awarded by the ARDMS, certifies your ability to perform and interpret vascular diagnostic studies. This free PDF compiles practice questions across every major domain so you can print and study anywhere.

The exam tests your knowledge of vascular physics, cerebrovascular imaging, peripheral arterial and venous disease, and abdominal vascular studies. Use this printable resource alongside your regular preparation to reinforce key concepts and practice exam-style reasoning.

Free Registered Vascular Technologist Study Tools

Interactive Registered Vascular Technologist resources on PracticeTestGeeks, free to start:

  • The SPI exam covers approximately 110 questions over two hours. (Inteleos)
  • The Vascular Technology (VT) exam covers approximately 170 questions over three hours. (Inteleos)
  • The SPI exam is two hours long. (Inteleos)
  • The Vascular Technology (VT) exam is three hours long. (Inteleos)
  • The RVT-track exams (SPI and VT) are scored on a 300 to 700 point scale, and 555 or better passes. (Inteleos)
  • The ARDMS SPI exam fee is $275 USD, which includes a $100 non-refundable processing fee. (Inteleos)
  • The ARDMS Vascular Technology (VT) exam fee is $300 USD, which includes a $100 non-refundable processing fee. (Inteleos)
  • After a failed VT or SPI attempt, candidates can reapply after three days but must wait 60 days before retaking the exam. (Inteleos)
  • RVT Active Status is kept by paying the annual renewal fee and completing renewal steps; failure results in revocation. (Inteleos)

Facts verified Oct 25, 2026 against Inteleos. Dates that have passed are removed automatically.

RVT Exam at a Glance

ItemDetailOfficial source
Number of questions (SPI)About 110 questionsInteleos
Number of questions (VT)About 170 questionsInteleos
Time limit (SPI)2 hoursInteleos
Time limit (VT)3 hoursInteleos
Passing score555 on a 300โ€“700 scaleInteleos
Exam fee (SPI)$275 USD (includes $100 non-refundable processing fee)Inteleos
Exam fee (VT)$300 USD (includes $100 non-refundable processing fee)Inteleos
Retake policyReapply after 3 days; retest after 60 daysInteleos
ValidityActive status renewed annuallyInteleos
DeliveryTest center, administered with PearsonInteleos
EligibilityPass SPI and VT within 5 years of each otherInteleos
Score releaseScore report at test center; portal within 1 weekInteleos
Registration opensApplications year-round; schedule within 90 daysInteleos
Testing windowYear-round (on-demand)Inteleos

Facts verified Oct 25, 2026 against Inteleos. Dates that have passed are removed automatically.

What to Expect on the ARDMS RVT Examination

The ARDMS RVT exam consists of 170 questions (150 scored) completed in 3 hours. Questions span vascular physics and instrumentation, extracranial cerebrovascular, intracranial cerebrovascular, peripheral arterial, peripheral venous, and abdominal vascular domains.

Expect scenario-based questions requiring you to identify pathology from waveform descriptions, calculate indices, and select appropriate imaging protocols. Understanding normal vs. abnormal spectral Doppler findings is essential across every domain. The exam rewards systematic thinking: know your velocity criteria, your diagnostic thresholds (e.g., ABI < 0.9 for PAD), and your protocol sequences for DVT and reflux evaluation.

Vascular physics questions test Doppler equation components, aliasing, angle of insonation effects, and transducer selection. Cerebrovascular questions frequently address carotid stenosis grading criteria and TCD mean flow velocity interpretation. Peripheral arterial questions emphasize segmental pressures and waveform morphology changes with disease progression.

Start Practice Test
Master the Doppler equation and understand how angle of insonation affects velocity measurement
Memorize ARDMS velocity criteria for carotid stenosis grading (PSV, EDV, ICA/CCA ratios)
Practice interpreting normal vs. abnormal spectral waveforms for arterial and venous studies
Know ABI calculation, interpretation thresholds, and limitations (calcified vessels)
Review DVT duplex protocol: compressibility, color flow, augmentation, spontaneity criteria
Understand venous reflux testing: patient positioning, cuff deflation technique, reflux duration cutoffs
Study renal artery duplex: RAR, PSV criteria, indirect waveform changes in accessory vessels
Learn mesenteric and hepatic duplex findings in normal states and disease (portal hypertension, Budd-Chiari)
Review aneurysm detection: size thresholds for AAA, popliteal, and femoral aneurysms
Complete at least 3 full-length timed practice tests before your exam date

How to Use This RVT PDF Effectively

Print this PDF and work through each question without looking at answers first. After each section, review incorrect responses and trace them back to the underlying concept โ€” whether a velocity threshold, a protocol step, or a Doppler physics principle. Vascular sonography is highly protocol-driven, so understanding why a sequence is performed matters as much as knowing the steps.

For the physics domain, sketch waveforms by hand as you study โ€” this reinforces the relationship between flow states, vessel resistance, and spectral display. For cerebrovascular questions, create a quick-reference card for carotid stenosis criteria. For venous studies, rehearse the full DVT protocol mentally so you can answer protocol-order questions quickly under exam pressure.

Pros

  • Validates your knowledge and skills objectively
  • Increases job market competitiveness
  • Provides structured learning goals
  • Networking opportunities with other certified professionals

Cons

  • Study materials can be expensive
  • Exam anxiety can affect performance
  • Requires dedicated preparation time
  • Retake fees apply if you don't pass

Pros and Cons at a Glance

ProsCons
Validates your knowledge and skills objectivelyStudy materials can be expensive
Increases job market competitivenessExam anxiety can affect performance
Provides structured learning goalsRequires dedicated preparation time
Networking opportunities with other certified professionalsRetake fees apply if you don't pass

Sample Registered Vascular Technologist Practice Questions

Try these questions from our free Registered Vascular Technologist practice tests. The correct answer and an explanation follow each question.

  1. When measuring the maximum diameter of an abdominal aortic aneurysm (AAA) via duplex ultrasound for surveillance, which of the following is the standard, most reproducible technique?

    • A. Anterior-posterior diameter measured from inner wall to inner wall in a sagittal plane.
    • B. Anterior-posterior diameter measured from outer wall to outer wall in a transverse plane.
    • C. Lumen diameter only, excluding any mural thrombus, in a transverse plane.
    • D. Transverse diameter measured from outer wall to outer wall in a sagittal plane.

    Answer: B. Anterior-posterior diameter measured from outer wall to outer wall in a transverse plane.

    The standard protocol for measuring an abdominal aortic aneurysm is to obtain the maximum anterior-posterior (AP) diameter from the outer wall to the outer wall. This measurement should be taken in a transverse plane, ensuring the calipers are perpendicular to the long axis of the aorta. This technique is the most accurate and reproducible for serial surveillance and clinical decision-making.

  2. What does the resistivity index (RI) formula [(PSV - EDV) / PSV] primarily reflect?

    • A. Cardiac output
    • B. Downstream vascular resistance
    • C. Blood viscosity
    • D. Vessel wall compliance

    Answer: B. Downstream vascular resistance

    The resistivity index quantifies the pulsatility of flow and correlates with peripheral vascular resistance distal to the sample site.

  3. Which duplex finding best distinguishes a pseudoaneurysm from a perigraft hematoma at a femoral access site?

    • A. To-and-fro flow pattern ('yin-yang' sign) on color Doppler
    • B. Absence of internal color flow
    • C. Hyperechoic collection adjacent to the artery
    • D. Calcification at the margin of the collection

    Answer: A. To-and-fro flow pattern ('yin-yang' sign) on color Doppler

    A pseudoaneurysm communicates with the artery via a neck, producing the characteristic bidirectional to-and-fro ('yin-yang') color Doppler pattern inside the sac.

  4. Which organization is the primary credentialing body responsible for the RVT examination and credential maintenance?

    • A. Society for Vascular Ultrasound (SVU)
    • B. American Registry for Diagnostic Medical Sonography (ARDMS)
    • C. American College of Radiology (ACR)
    • D. Intersocietal Accreditation Commission (IAC)

    Answer: B. American Registry for Diagnostic Medical Sonography (ARDMS)

    ARDMS administers the RVT examination and oversees credential maintenance requirements.

Take the full Registered Vascular Technologist practice test

Is this RVT practice test PDF free to download?

Yes. The PDF is completely free. Click the download button above to save or print the full question set at no cost.

How many questions are on the actual ARDMS RVT exam?

The ARDMS RVT exam contains 170 questions, of which 150 are scored. You have 3 hours to complete the exam. Twenty questions are unscored pilot items distributed throughout the test.

What prerequisites are required to sit for the RVT exam?

ARDMS requires either 12 months of full-time clinical vascular sonography experience or completion of a formal vascular sonography training program, plus a passing score on the Sonography Principles and Instrumentation (SPI) exam before sitting for the RVT specialty exam.

Which domains carry the most weight on the RVT exam?

Peripheral venous and peripheral arterial domains together account for approximately 50% of the exam. Extracranial cerebrovascular is the next largest section. Vascular physics and abdominal vascular round out the remaining content. Weight the bulk of your study time toward venous and arterial protocols.

How long is the RVT?

The SPI exam is two hours long. (Verified Oct 25, 2026 against Inteleos.)

What is the passing score for the RVT?

The RVT-track exams (SPI and VT) are scored on a 300 to 700 point scale, and 555 or better passes. (Verified Oct 25, 2026 against Inteleos.)

How much does the RVT cost?

The ARDMS SPI exam fee is $275 USD, which includes a $100 non-refundable processing fee. (Verified Oct 25, 2026 against Inteleos.)
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