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ARRT Vascular-Interventional Radiography (VI)
Exam QUESTIONS AND VERIFIED ANSWERS LATEST
UPDATE THIS YEAR
ARRT Vascular-Interventional Radiography (VI) Exam
POINT-FORM SUMMARIZED EXAM COVERAGE (ARRT VI)
A. Equipment and Instrumentation (24 questions) :
• Digital Imaging (6): Pixel, matrix, dynamic range, data acquisition, post-processing, DSA
subtraction, archiving, QC, 3D reconstruction
• Automatic Pressure Injectors (3): Parts, function, operation, rate/pressure settings
• Procedural Supplies (10): Catheters (diagnostic, guiding), guidewires (types, construction),
sheaths, needles, balloon catheters, cutting balloon, atherectomy devices, mechanical
thrombectomy devices, closure devices
• Implantable Devices (5): Caval filters (permanent, retrievable), central venous catheters (ports),
embolic materials (coils, particles, glue), stents (vascular, non-vascular), stent grafts
B. Patient Care (28 questions) :
• Patient Communication (2): Education, informed consent, pre-procedural time-out
• Patient Assessment & Monitoring (7): Vital signs, ECG (sinus rhythm, arrhythmias), pulse
oximetry, access assessment (pulses, anatomy), lab values (BUN, creatinine, eGFR, PT, PTT, INR,
ACT, Hgb, platelets, LFTs, potassium), maintaining accessory devices (O2, chest tubes, catheters,
drainage bags)
• Contrast Administration (3): Types (ionic, nonionic, low-osmolar, iso-osmolar, CO₂), indications,
contraindications, nephrotoxicity risk
• Medications (6): Analgesics (fentanyl), sedatives (diazepam, midazolam), anticoagulants,
thrombolytics, vasoconstrictors, vasodilators – indications, dosages, complications
• Asepsis & Sterile Technique (3): Sterile field setup/maintenance, surgical scrub, CDC Standard
Precautions, transmission-based precautions (contact, airborne, droplet)
• Emergency Care (5): Contrast reactions (allergic-type: minor/intermediate/severe; adverse:
hemodynamic, nephrotoxic, CNS), treatment (steroids, antihistamines, epinephrine), medical
emergencies (air embolism, anaphylaxis, bleeding, arrhythmias, CHF, hemothorax, hypertension,
hypotension, MI, pneumothorax, respiratory arrest, sepsis, thrombosis, TIA, vasovagal response)
• Cardiac Life Support (2): BLS, defibrillation
C. Vascular-Interventional Procedures – Focus Factors (all sections) :
• Anatomy and physiology
• Pathology and indications/contraindications
• Patient positioning and access method (Seldinger technique)
• Ultrasound guidance
• Intravascular pressure measurements
• Contrast administration
• Equipment and exposure technique
• Image enhancement and DSA
• Closure devices
• Complications
C1. Neurologic (16 questions) :
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• Angiography (9): Cerebral, carotid, spinal
• Interventional Procedures (7): Embolization, thrombolysis, thrombectomy, angioplasty, stent
placement, distal protection device, foreign body retrieval, vertebroplasty, kyphoplasty,
discography
C2. Thoracic (12 questions) :
• Angiography (7): Aortography, pulmonary, bronchial, superior vena cava
• Interventional Procedures (5): Embolization, thrombolysis/thrombectomy, angioplasty/stent,
biopsy, drainage, foreign body retrieval, thermal ablation, chest tube, thoracentesis, endograft
placement
C3. Abdominal (25 questions) :
• Arteriography (11): Abdominal aortography, pelvic, renal, adrenal, reproductive, celiac, SMA,
IMA
• Venography (6): Pelvic, IVC, renal, adrenal, gonadal, venous sampling, hepatic, portal (splenic,
SMV, IMV)
• Interventional Procedures (8): Caval filter placement/removal, endograft, paracentesis,
thrombolysis/thrombectomy, angioplasty/stent, foreign body retrieval, TIPS,
chemoembolization, radioembolization, embolization
C4. GU and GI Nonvascular (15 questions) :
• Genitourinary: Nephrostomy, ureteral stents, percutaneous stone extraction, renal artery
angioplasty/stent, drainage procedures
• Gastrointestinal: Percutaneous transhepatic cholangiography (PTC), biliary drainage/stenting,
cholecystostomy, gastrostomy/gastrojejunostomy, stone extraction, TIPS
C5. Peripheral (20 questions) :
• Arteriography: Upper extremity, lower extremity, runoff studies
• Venography: Upper/lower extremity, pelvic, IVC
• Interventional Procedures: PTA, stents, atherectomy, thrombectomy, thrombolysis (r-TPA,
urokinase), caval filters, embolization, central venous access/ports, stent grafts, foreign body
retrieval
C6. Dialysis Management (11 questions) :
• Diagnostic angiography of dialysis access (fistula/graft)
• Intervention: angioplasty, thrombectomy, stent placement, declotting procedures
C7. Venous Access (9 questions) :
• Central venous catheters (non-tunneled, tunneled, PICC)
• Subcutaneous ports
• Ultrasound-guided access techniques
• Complications: pneumothorax, hemothorax, arrhythmias, infection, thrombosis
1. The total number of scored questions on the ARRT Vascular-Interventional Radiography
examination is:
A) 200
B) 180
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C) 160
D) 140
Answer: C
Rationale: The VI exam includes 160 scored questions, plus 50 unscored pilot questions, for a total of
210 administered items.
2. What is the time limit for completing the ARRT VI examination?
A) 2 hours
B) 3 hours
C) 3.5 hours
D) 4.5 hours
Answer: C
Rationale: Candidates receive 3.5 hours to complete the VI exam, with total appointment time
approximately 4 hours including tutorial and survey.
3. A candidate completes the VI exam and sees a preliminary score on screen. What should they
expect next?
A) The preliminary score indicates they passed or failed
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B) The preliminary score is their final score; they will not receive further communication
C) The preliminary score is not the final result; official scores are mailed within 30 days
D) They must request their official score within 48 hours
Answer: C
Rationale: ARRT provides a preliminary score at exam completion, but it does not indicate pass/fail.
Official score reports are mailed within 30 days.
4. The minimum passing scaled score for the ARRT VI examination is:
A) 70
B) 75
C) 80
D) 85
Answer: B
Rationale: ARRT uses a scaled scoring system (not raw scores), and candidates must achieve a scaled
score of 75 or higher to pass.
5. Which content category comprises the largest number of questions on the VI exam?
A) Equipment and Instrumentation
ARRT Vascular-Interventional Radiography (VI)
Exam QUESTIONS AND VERIFIED ANSWERS LATEST
UPDATE THIS YEAR
ARRT Vascular-Interventional Radiography (VI) Exam
POINT-FORM SUMMARIZED EXAM COVERAGE (ARRT VI)
A. Equipment and Instrumentation (24 questions) :
• Digital Imaging (6): Pixel, matrix, dynamic range, data acquisition, post-processing, DSA
subtraction, archiving, QC, 3D reconstruction
• Automatic Pressure Injectors (3): Parts, function, operation, rate/pressure settings
• Procedural Supplies (10): Catheters (diagnostic, guiding), guidewires (types, construction),
sheaths, needles, balloon catheters, cutting balloon, atherectomy devices, mechanical
thrombectomy devices, closure devices
• Implantable Devices (5): Caval filters (permanent, retrievable), central venous catheters (ports),
embolic materials (coils, particles, glue), stents (vascular, non-vascular), stent grafts
B. Patient Care (28 questions) :
• Patient Communication (2): Education, informed consent, pre-procedural time-out
• Patient Assessment & Monitoring (7): Vital signs, ECG (sinus rhythm, arrhythmias), pulse
oximetry, access assessment (pulses, anatomy), lab values (BUN, creatinine, eGFR, PT, PTT, INR,
ACT, Hgb, platelets, LFTs, potassium), maintaining accessory devices (O2, chest tubes, catheters,
drainage bags)
• Contrast Administration (3): Types (ionic, nonionic, low-osmolar, iso-osmolar, CO₂), indications,
contraindications, nephrotoxicity risk
• Medications (6): Analgesics (fentanyl), sedatives (diazepam, midazolam), anticoagulants,
thrombolytics, vasoconstrictors, vasodilators – indications, dosages, complications
• Asepsis & Sterile Technique (3): Sterile field setup/maintenance, surgical scrub, CDC Standard
Precautions, transmission-based precautions (contact, airborne, droplet)
• Emergency Care (5): Contrast reactions (allergic-type: minor/intermediate/severe; adverse:
hemodynamic, nephrotoxic, CNS), treatment (steroids, antihistamines, epinephrine), medical
emergencies (air embolism, anaphylaxis, bleeding, arrhythmias, CHF, hemothorax, hypertension,
hypotension, MI, pneumothorax, respiratory arrest, sepsis, thrombosis, TIA, vasovagal response)
• Cardiac Life Support (2): BLS, defibrillation
C. Vascular-Interventional Procedures – Focus Factors (all sections) :
• Anatomy and physiology
• Pathology and indications/contraindications
• Patient positioning and access method (Seldinger technique)
• Ultrasound guidance
• Intravascular pressure measurements
• Contrast administration
• Equipment and exposure technique
• Image enhancement and DSA
• Closure devices
• Complications
C1. Neurologic (16 questions) :
, Page 2 of 138
• Angiography (9): Cerebral, carotid, spinal
• Interventional Procedures (7): Embolization, thrombolysis, thrombectomy, angioplasty, stent
placement, distal protection device, foreign body retrieval, vertebroplasty, kyphoplasty,
discography
C2. Thoracic (12 questions) :
• Angiography (7): Aortography, pulmonary, bronchial, superior vena cava
• Interventional Procedures (5): Embolization, thrombolysis/thrombectomy, angioplasty/stent,
biopsy, drainage, foreign body retrieval, thermal ablation, chest tube, thoracentesis, endograft
placement
C3. Abdominal (25 questions) :
• Arteriography (11): Abdominal aortography, pelvic, renal, adrenal, reproductive, celiac, SMA,
IMA
• Venography (6): Pelvic, IVC, renal, adrenal, gonadal, venous sampling, hepatic, portal (splenic,
SMV, IMV)
• Interventional Procedures (8): Caval filter placement/removal, endograft, paracentesis,
thrombolysis/thrombectomy, angioplasty/stent, foreign body retrieval, TIPS,
chemoembolization, radioembolization, embolization
C4. GU and GI Nonvascular (15 questions) :
• Genitourinary: Nephrostomy, ureteral stents, percutaneous stone extraction, renal artery
angioplasty/stent, drainage procedures
• Gastrointestinal: Percutaneous transhepatic cholangiography (PTC), biliary drainage/stenting,
cholecystostomy, gastrostomy/gastrojejunostomy, stone extraction, TIPS
C5. Peripheral (20 questions) :
• Arteriography: Upper extremity, lower extremity, runoff studies
• Venography: Upper/lower extremity, pelvic, IVC
• Interventional Procedures: PTA, stents, atherectomy, thrombectomy, thrombolysis (r-TPA,
urokinase), caval filters, embolization, central venous access/ports, stent grafts, foreign body
retrieval
C6. Dialysis Management (11 questions) :
• Diagnostic angiography of dialysis access (fistula/graft)
• Intervention: angioplasty, thrombectomy, stent placement, declotting procedures
C7. Venous Access (9 questions) :
• Central venous catheters (non-tunneled, tunneled, PICC)
• Subcutaneous ports
• Ultrasound-guided access techniques
• Complications: pneumothorax, hemothorax, arrhythmias, infection, thrombosis
1. The total number of scored questions on the ARRT Vascular-Interventional Radiography
examination is:
A) 200
B) 180
, Page 3 of 138
C) 160
D) 140
Answer: C
Rationale: The VI exam includes 160 scored questions, plus 50 unscored pilot questions, for a total of
210 administered items.
2. What is the time limit for completing the ARRT VI examination?
A) 2 hours
B) 3 hours
C) 3.5 hours
D) 4.5 hours
Answer: C
Rationale: Candidates receive 3.5 hours to complete the VI exam, with total appointment time
approximately 4 hours including tutorial and survey.
3. A candidate completes the VI exam and sees a preliminary score on screen. What should they
expect next?
A) The preliminary score indicates they passed or failed
, Page 4 of 138
B) The preliminary score is their final score; they will not receive further communication
C) The preliminary score is not the final result; official scores are mailed within 30 days
D) They must request their official score within 48 hours
Answer: C
Rationale: ARRT provides a preliminary score at exam completion, but it does not indicate pass/fail.
Official score reports are mailed within 30 days.
4. The minimum passing scaled score for the ARRT VI examination is:
A) 70
B) 75
C) 80
D) 85
Answer: B
Rationale: ARRT uses a scaled scoring system (not raw scores), and candidates must achieve a scaled
score of 75 or higher to pass.
5. Which content category comprises the largest number of questions on the VI exam?
A) Equipment and Instrumentation
