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Study guide

How to Study with Limited X-Ray Prep

What's on the ARRT Limited Scope exam, every section and topic the site covers (with question counts), and the step-by-step way to use the site so nothing is left out and every study hour moves your score.

Updated November 2026. Not affiliated with or endorsed by the ARRT.

Everything on the exam, covered

Limited X-Ray Prep is built on the ARRT Limited Scope of Practice in Radiography content specifications, the exam 29 states use for limited X-ray licenses. We cover all of it: the core and all five procedure modules, 50 quiz topics in the Quiz Center, 3,009 practice questions, 203 micro lessons and 3,662 flashcards. Your state picks which modules you take, and the site shows only those once you choose your state.

How the limited scope exam is built

The core is required for everyone: 100 scored questions plus 15 unscored pilot questions you can't tell apart, in 1 hr 55 min.

ARRT Limited Scope core: categories and scored questions
Core categoryScored
Patient Care18
SafetyRadiation Physics and Radiobiology 12 · Radiation Protection 2840
Image ProductionImage Acquisition and Evaluation 20 · Equipment Operation and Quality Assurance 2242

Then come the procedure modules. Each is timed on its own at about a minute per question, and your state decides which ones you take; the ARRT won't change them at your request.

ARRT Limited Scope procedure modules
ModuleScoredTime
Chest2025 min
Extremities2530 min
Skull/Sinuses2025 min
Spine2530 min
Podiatric2025 min

The ARRT reports your number correct on each section to the state, and the state sets the pass mark, usually 65% to 75%, and in most states every section has to pass on its own. A strong module can't carry a weak core. See your state's page for its modules and pass mark.

Every section and topic we cover

The numbers are taken from the question bank itself: questions per section, then each Quiz Center topic with its question count. Topics with a handful of questions are folded into a neighbour so every topic quiz has enough to draw from.

Limited X-Ray Prep content per section
SectionQuestionsTopicsLessons
Core1,80619132
Chest242511
Extremities7181241
Skull/Sinuses134410
Spine232512
Podiatric148510

Core (patient care, radiation safety, image production)100 scored · 1 hr 55 min · 1,806 questions · 132 lessons · 1,551 flashcards

Everyone takes the core: patient care, radiation physics and protection, and image production (exposure factors, digital imaging, equipment and quality control).

Patient care · 396 questions

  • Patient assistance & monitoring 110
  • Medical emergencies 60
  • Ethics, legal & patient ID 99
  • Infection control & hazardous materials 72
  • Communication & patient education 55

Radiation safety · 531 questions

  • Radiation physics 176
  • Radiobiology 122
  • Patient protection 133
  • Personnel protection 60
  • Dose monitoring & limits 40

Image production · 815 questions

  • Technical factors (kVp, mAs, SID) 152
  • Technique charts & AEC 113
  • Image evaluation & artifacts 155
  • Image processing & display 100
  • Digital detectors 58
  • Equipment 90
  • Quality control 70
  • Informatics (PACS, DICOM) 53
  • Radiographic math 24

Chest20 scored · 25 min · 242 questions · 11 lessons · 281 flashcards

PA and lateral chest, ribs and sternum, soft-tissue neck and airway, plus chest anatomy, image quality and the pathology you see on a chest film.

  • Ribs & sternum 21
  • Soft-tissue neck, airway & foreign bodies 21
  • Chest positioning 74
  • Chest pathology 69
  • Chest image quality 54

Extremities25 scored · 30 min · 718 questions · 41 lessons · 1,054 flashcards

Fingers to shoulder girdle and toes to hip: every routine projection, its anatomy, centering, evaluation criteria and common trauma.

  • Fingers, thumb & hand 76
  • Wrist 56
  • Forearm 24
  • Elbow 64
  • Humerus 21
  • Shoulder girdle (shoulder, clavicle, scapula, AC) 103
  • Hip & pelvis 84
  • Femur 24
  • Knee & patella 101
  • Lower leg 18
  • Ankle 45
  • Foot, toes & calcaneus 83

Skull/Sinuses20 scored · 25 min · 134 questions · 10 lessons · 245 flashcards

Skull and cranial positioning lines, facial bones, orbits, nasal bones, mandible and the paranasal sinuses.

  • Paranasal sinuses 18
  • Mandible & TMJ 24
  • Facial bones (zygoma, orbits, nasal) 30
  • Cranium & skull positioning 62

Spine25 scored · 30 min · 232 questions · 12 lessons · 327 flashcards

Cervical, thoracic and lumbar spine, sacrum, coccyx and SI joints, scoliosis series, and spine trauma and image quality.

  • Cervical spine 77
  • Thoracic spine 41
  • Lumbar spine 63
  • Sacrum, coccyx & SI joints 30
  • Scoliosis & full spine 13

Podiatric (foot and ankle)20 scored · 25 min · 148 questions · 10 lessons · 204 flashcards

Toes, sesamoids, foot, calcaneus, ankle and lower leg, as taken in podiatry offices (often weight-bearing).

  • Toes & sesamoids 20
  • Foot 43
  • Calcaneus 20
  • Ankle 46
  • Lower leg 18

That's every section of the limited scope exam and every topic inside it. Nothing on the outline is left out, and the core's 19 topics follow the ARRT's own patient care, safety and image production categories.

The method: complete coverage, biggest gains

Work through these steps in order. Steps 3 to 10 repeat until every section on your exam is ready.

  1. Pick your state. The state picker sets your modules and your pass mark. Everything after that (quizzes, lessons, flashcards, tools, mock exams and readiness) shows only your sections. If your state lets you choose license categories, uncheck the ones you don't need.
  2. Start the 21-day study plan. The study plan is sequential: finish a day and the next one opens, whenever you're ready, so you can't skip ahead or fall off the calendar. It's weighted like your exam, shifts toward your weak sections as you go, and fits itself to your exam date (down to 7 days if your exam is close).
  3. Read the day's micro lessons first. Each micro lesson is a few minutes with a quick check at the end. Learn the concept, then practice it.
  4. Take the Day quiz. Every plan day has a short quiz on what you just read. Its first score is saved to the day and counts toward your readiness.
  5. Drill topics in the Quiz Center. The Quiz Center has a quiz for every topic above. Use it for any topic your plan day or coach flags, and to reach the topics you haven't touched yet.
  6. Use the Smart Quiz and clear your review pile. The Smart Quiz mixes your misses, weak topics and questions you haven't seen. Missed questions go to your review pile and come due a day later; clearing it is the fastest way to win points back.
  7. Lock facts in with flashcards. Short flashcard sessions keep formulas, dose limits and positioning criteria fresh between quizzes. Add the Question of the Day for a daily habit.
  8. Practice positioning hands-on for each module. Use the tools for every module on your exam: Chest (PA, lateral and rib views in the Positioning Simulator, the thorax and sternum in the 3D Anatomy Quiz); Extremities (every limb view in the Positioning Simulator, upper and lower limb bones in the 3D Anatomy Quiz); Skull/Sinuses (Caldwell, Towne, Waters and Rhese views in the Positioning Simulator, skull bones and the mandible in the 3D Anatomy Quiz); Spine (C, T and L-spine views in the Positioning Simulator, vertebrae in the 3D Anatomy Quiz); Podiatric (foot, ankle and lower-leg views in the Positioning Simulator, foot and ankle bones in the 3D Anatomy Quiz). The Master Positioning Guide covers every view on your license, the Anatomy Atlas and 3D Atlas let you click a body part on the skeleton and see its bones and each view beside a real film, and the Technique Simulator has you set kVp and mAs for your exams, which is the core's image production in practice.
  9. Take timed mock exams, scored per section. Mock exams mix your sections in the ARRT's proportions and score each section against your state's pass mark. Start with a 50-question quick mock and finish with full-length mocks; your plan puts a full-length mock near the end.
  10. Follow the coach and the coverage meter. The Smart Study Coach on your dashboard names your next three moves from your scores, and the coverage meter shows how many of your topics you've practiced and which are untouched. Your stats show your weakest and strongest topics.
  11. Repeat with Round 2. When the plan is done, start Round 2: a fresh plan weighted harder toward your weakest sections. Keep cycling lessons, topic quizzes, review and mocks until every section is ready.

How much to study each day

  • About 20 to 45 minutes a day covers one plan day. Do it every day: a steady habit beats a weekend cram, and your streak shows on your dashboard.
  • Add your exam date on the study plan. If the exam is sooner than the plan, you can condense the remaining days to fit.
  • Clear due reviews first, then the plan day, then a topic quiz on whatever the coach flags.
  • Mock exams: a quick mock about once a week, and two full-length timed mocks in the last two weeks.

Reading your readiness

Your dashboard scores each section on its own from your answers in the last 60 days, against your state's pass mark (70% for states that publish none).

  • Below the pass mark: the section would fail today. Put your next study time there.
  • Passing: at or above the pass mark, but not yet with a safety margin.
  • Ready: 75% or better with 40+ answers. We never call a section ready below 75%, whatever the state's pass mark, because test-day nerves cost a few points.

You're ready for the exam when every section is ready and your timed mock exams pass every section. Rings and bars on the dashboard show the pass mark as a white tick and the ready bar as a gold one.

Test-week tips

  • Keep the last two days light: your review pile, flashcards and one short quiz. Your plan's last day has exam-day tips.
  • Skim your weakest topics' micro lessons and formulas (15% rule, inverse square law, mAs and distance) rather than starting anything new.
  • Pace yourself at about a minute a question. Each module is timed on its own, so a slow core doesn't eat your module time, but a hard question can: flag it and move on.
  • Answer everything. Pilot questions look like scored ones, so treat every question as real.
  • For positioning questions, picture the patient, the part and the central ray before you read the choices.

Start with your state

Pick your state and Limited X-Ray Prep matches your practice questions, micro lessons and timed mock exams to its modules and pass mark. Free to start, no card needed.

Questions

Does Limited X-Ray Prep cover every section of the limited scope exam?

Yes. It covers the ARRT Limited Scope core (patient care, safety and image production) and all five procedure modules: chest, extremities, skull/sinuses, spine and podiatric. Every section has practice questions, topic quizzes, micro lessons and flashcards, and the mock exams draw from all of them in the ARRT's proportions.

Who decides which modules are on my exam?

Your state does, not you. The state tells the ARRT which modules you need, and only those are delivered. Pick your state when you sign up and Limited X-Ray Prep shows only your sections, scored against your state's pass mark.

How much should I study each day?

About 20 to 45 minutes a day follows the 21-day study plan: a micro lesson or two, the day's quiz or practice set, and some flashcards or hands-on positioning. Do the plan days in order and add the Question of the Day and your review pile.

How do I know I'm ready?

Each section is scored on its own against your state's pass mark (70% where a state publishes none). We only call you ready when every section is at 75% or better with 40+ answers from the last 60 days, and your timed mock exams pass every section.

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