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This book is about the ultrasound physics and instrumentation and all the topics related to it. It contains a wide range of multiple-choice questions (MCQs) that appear in the license exams with MCQs related to ultrasound images. It also contains a portion related to elastography. The purpose of writing this book to give an easy way for quick preparation of the exams. All students who wants to prepare for their registry exams of American Registry for Diagnostic Medical Sonography (ARDMS), Registered Vascular Technologist (RVT), Registered Musculoskeletal Sonographer (RMSK), American Registered Diagnostic Cardiac Sonographer (ARDCS), Canadian Registered Generalist Sonographer (CRGS), students related to the field of radiology, physicians, technicians can also take benefit from the book. Students can get benefit from it as it is very informative. They can prepare for their exams by reading this book thoroughly. This book can help the readers to solve that questions easily which usually appear in the license exams. It also contains answers of all questions at the end. Indeed, it is a very informative book.