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Test Number : ARDMS
Test Name : American Registry for Diagnostic Medical Sonography
Vendor Name : Medical
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ARDMS test Format | ARDMS Course Contents | ARDMS Course Outline | ARDMS test Syllabus | ARDMS test Objectives


Anatomy, Perfusion, and Function (30%)
Assess physical characteristics of anatomic structures
Assess perfusion and function of anatomic
structures

Pathology, Vascular Abnormalities, Trauma, and Postoperative Anatomy (42%)
Assess anatomic structures for pathology
Assess anatomic structures for vascular
abnormalities
Assess anatomic structures for trauma-related
abnormalities
Assess aspects related to postoperative anatomy

Abdominal Physics Apply concepts of equipment/image optimization
Apply concepts of imaging artifacts 8%

Clinical Care, Practice, and Quality Assurance (20%)
Incorporate clinical data with performed study
Incorporate clinical standard/guidelines with
performed study
Obtain accurate measurements
Assist/support during procedures

Anatomy, Perfusion, and Function
Knowledge and/or skill related to anatomy, perfusion,
and function
1.A. Assess physical characteristics of anatomic structures (normal anatomy, anatomic variants, congenital anomalies)
1.A.1. Biliary system Knowledge of normal anatomy, anatomic regions, and anatomic variants
Knowledge of sonographic appearance of anatomic structures
Ability to recognize and utilize anatomic landmarks in obtaining and documenting diagnostic images
Ability to recognize and apply proper scan technique in obtaining and documenting diagnostic images
1.A.2. Breast
1.A.3. Chest
1.A.4. Liver
1.A.5. Neck (including: thyroid, parathyroid, salivary glands, lymph nodes)
1.A.6. Pancreas
1.A.7. Penis
1.A.8. Peritoneal cavity (including: stomach, bowel, appendix)
Ability to recognize, evaluate and document congenital anomalies
1.A.9. Prostate
1.A.10. Retroperitoneum (including: great vessels & branches)
1.A.11. Scrotum
1.A.12. Spleen
1.A.13. Superficial structures (for example:abdominal wall & subcutaneous tissue)
1.A.14. Urinary system
1.B. Assess perfusion and function of anatomic structures
1.B.1. Biliary system Knowledge of normal vascular anatomy and hemodynamics
Ability to recognize appearance of normal vascular flow patterns
Ability to recognize and utilize anatomic landmarks in evaluating and documenting perfusion and function
Ability to recognize and apply proper scan technique in evaluating and documenting perfusion and function
1.B.2. Chest
1.B.3. Liver
1.B.4. Neck (including: thyroid, parathyroid, salivary glands, lymph nodes)
1.B.5. Penis
1.B.6. Peritoneal cavity (including: stomach, bowel, appendix)
1.B.7. Prostate
1.B.8. Retroperitoneum (including: great vessels & branches)
1.B.9. Scrotum
1.B.10. Spleen
1.B.11. Superficial structures (for example: abdominal wall & subcutaneous tissue)
1.B.12. Urinary system 2. Pathology, Vascular Abnormalities, Trauma, and Postoperative Anatomy
Knowledge and/or skill related to pathology, vascular abnormalities, trauma, and postoperative anatomy
2.A. Assess anatomic structures for pathology
2.A.1. Abdominal wall for hernia (for example: ventral, inguinal, incisional)
Knowledge of etiology/pathophysiology of abnormal perfusion and function
Ability to recognize ultrasound findings related to abnormalities of anatomy, perfusion, and function in obtaining and documenting diagnostic images
Ability to recognize and apply proper scan technique in evaluating and documenting pathology
Ability to recognize foreign bodies, infection, fluid, masses, etc.
Knowledge of hernia types and their sonographic appearance
2.A.2. Adrenal glands for masses, hemorrhage, etc.
2.A.3. Biliary system for infection, masses, metastatic disease, obstructions, etc.
2.A.4. Breast for infection, abscess, masses, etc.
2.A.5. Chest for fluid, masses, etc.
2.A.6. Gastrointestinal system for masses, obstruction, pyloric stenosis, intussusception, etc.
2.A.7. Joints for abnormalities (for example: fluid)
2.A.8. Liver for hepatitis, fatty infiltration, cirrhosis, neoplasm, abscess, cyst, etc.
2.A.9. Neck (including: thyroid, parathyroid, salivary glands, lymph nodes) for diffuse parenchymal disease, inflammation, masses, etc.
2.A.10. Pancreas for infection, masses, obstruction, etc.
2.A.11. Penis for abnormalities
2.A.12. Peritoneal cavity (including: stomach, bowel, appendix) for fluid
2.A.13. Popliteal fossa for abnormalities (for example: masses, fluid)
2.A.14. Prostate for parenchymal disease or masses (for example: benign prostatic hypertrophy)
2.A.15. Retroperitoneum (including: great vessels & branches) for fibrosis, lymphadenopathy, etc.
2.A.16. Scrotum for fluid, hernia, masses, infection, parenchymal disease, etc.
2.A.17. Spleen for splenomegaly, parenchymal changes, masses, etc.
2.A.18. Superficial structures (for example: abdominal wall, subcutaneous tissue)
for foreign bodies, infection, fluid, masses, etc.
2.A.19. Urinary system for masses, obstruction, parenchymal disease, infection, etc.
2.B. Assess anatomic structures for vascular abnormalities
2.B.1. Liver for Budd-Chiari syndrome, arteriovenous fistula, portal vein thrombosis, collateralization, etc.
Knowledge of anatomic and vascular changes associated with vascular abnormities
Knowledge of sonographic findings associated with vascular abnormalities
Ability to recognize and apply proper scan technique in evaluating and documenting vascular abnormalities
2.B.2. Retroperitoneum (including: great vessels and branches) for aneurysm, dissection, thrombus, etc.
2.B.3. Scrotum for torsion, varicocele, etc.
2.B.4. Spleen for infarction, hemangiomas, etc.
2.B.5. Urinary system for renal artery stenosis, arteriovenous fistulas, etc.
2.C. Assess anatomic structures for trauma-related abnormalities
2.C.1. Hepatic system Knowledge of sonographic appearance as a result of trauma
Ability to rapidly prioritize and evaluate sonographic findings due to trauma
Ability to perform focused assessment for free fluid following a traumatic event
Ability to recognize and apply proper scan technique in evaluating and documenting trauma
2.C.2. Penis
2.C.3. Scrotum
2.C.4. Spleen
2.C.5. Superficial structures (for example: abdominal wall, subcutaneous tissue)
2.C.6. Urinary system
2.C.7. Focused assessment for free fluid related to traumatic events
2.D. Assess aspects related to postoperative anatomy
2.D.1. Anatomy of transplanted organs Knowledge of hemodynamics of transplanted organs
Knowledge of common causes of transplant failure
Ability to recognize signs of rejection
Ability to adjust scan technique based on patient condition and surgical history
Ability to distinguish characteristics of common anastomosis sites
Ability to recognize fluid collections
Ability to interpret and integrate surgical history with sonographic findings
Knowledge of surgical procedures used in organ transplant
Knowledge of surgical zones of the neck
Ability to evaluate and document findings within surgical zones of the neck
Knowledge of patterns and sonographic appearance of disease recurrence
Ability to evaluate transjugular intrahepatic
portosystemic shunts (TIPS)
Ability to recognize and apply proper scan technique in evaluating and documenting postsurgical findings
2.D.2. Perfusion and function of transplanted organs
2.D.3. Complications related to organ transplants
2.D.4. Abnormalities in postsurgical anatomy
2.D.5. Abnormalities in postsurgical breast
2.D.6. Abnormalities (for example: recurrent disease, lymphadenopathy) in postsurgical neck
2.D.7. Implanted medical devices (for example: transjugular intrahepatic portosystemic shunt [TIPS])
3. Abdominal Physics Knowledge and/or skill related abdominal physics
3.A. Apply concepts of equipment/image optimization
3.A.1. Use appropriate transducer (for example: curvilinear, linear, phased array)
Ability to select the appropriate transducer and machine presets based on body habitus
Ability to use acoustic windows creatively to optimize visualization
Ability to adjust machine settings to maximize penetration while minimizing resolution loss
Knowledge of appropriate application of Doppler techniques
Ability to manipulate color, power, and pulsed wave settings to accurately display and measure blood flow
3.A.2. Use two-dimensional, real-time, grayscale imaging (for example: B-mode, compound, harmonic)
3.A.3. Use Doppler (for example: color, power, pulsed wave)
3.B. Apply concepts of imaging artifacts
3.B.1. Assess artifacts of gray-scale imaging (for example: shadowing, resonance, comet tail)
Ability to recognize artifacts and correlate them with anatomy and pathology
Ability to manipulate machine settings to enhance or
3.B.2. Assess artifacts of Doppler imaging minimize artifacts (for example: twinkle, spectral broadening)
4. Clinical Care, Practice, and Quality Assurance
Knowledge and/or skill related to clinical care, practice, and quality assurance
4.A. Incorporate clinical data with performed study
4.A.1. Assess indications for examination requested
Knowledge of appropriate indications and contraindications for a specific test and/or procedure
Knowledge of potential effects of patient medications on an test or procedure
Knowledge of lab values relevant to specific examinations
Ability to obtain and evaluate patient history relevant to the exam
Ability to assimilate patients signs and symptoms and modify the exam/or describe the findings
Ability to modify the test based on information from other modalities
Ability to localize pathology for sonographic correlation
Ability to modify the test based on real-time findings
Knowledge of modalities associated with the test being performed
Ability to utilize resources, such as physicians, literature, or peers
4.A.2. Assess relevant clinical lab values for examination being performed
4.A.3. Assess relevant family history and patient signs/symptoms for examination being performed
4.A.4. Correlate ultrasound findings with previous imaging results
4.A.5. Evaluate images from other imaging modalities (for example: computed tomography, magnetic resonance imaging, nuclear medicine, x-ray)
4.B. Incorporate clinical standard/guidelines with performed study
4.B.1. Communicate effectively with the patient, physician, and others, including communication of findings that require immediate action
Ability to communicate with patient in a professional and appropriate manner to effectively explain procedures, deal with inappropriate behavior, and engage patient cooperation
Ability to communicate using appropriate medical terminology
Ability to modify test preparation, patient position, and/or image acquisition based on patient condition and/or sonographic findings
Ability to recognize findings and/or situations that require immediate action and respond effectively
Knowledge of appropriate patient preparation for an test and knowledge of factors that may affect patient preparation (for example: patient history, patient condition, sequencing requirements of multiple modality exams)
4.B.2. Inform patient or referring practitioner of examination preparations (for example: fasting for biliary imaging)
4.B.3. Maintain and protect patient confidentiality/privacy
4.B.4. Modify the examination based on patient condition and/or sonographic findings
4.B.5. Use multiple patient positions and scan planes to evaluate anatomic structures
Knowledge of sonographer scope of practice and regulations regarding patient information and interactions
4.C. Obtain accurate measurements
4.C.1. Obtain measurements of anatomic structures
Knowledge of normal measurement ranges
Knowledge of proper techniques for measuring anatomic structures
Knowledge of hemodynamics
Knowledge of normal and abnormal Doppler waveforms
Ability to analyze Doppler measurements
Ability to distinguish artifacts from real blood flow
Ability to apply knowledge of measurement techniques (for example: Doppler and gray-scale)
4.C.2. Obtain measurements of Doppler waveforms
4.D. Assist/support during procedures
4.D.1. Obtain consent form and patient lab results prior to the procedure
Knowledge of sonographer's role in obtaining consent
Ability to verify and document patient consent
Ability to verify correct patient, side (laterality), and site
Knowledge of contraindications for specific procedures
Knowledge of proper safety precautions in interventional procedures
Knowledge of equipment and materials used for a specific procedure
Knowledge of interventional procedures and sonographer's role
Knowledge of protocols during surgical procedures, related to the sonographer's role
Ability to adapt protocol due to different circumstances
Ability to optimally display the needle path and tip
Ability to recognize implanted medical devices
Knowledge of potential post-procedural complications
4.D.2. Provide ultrasound guidance for procedures
4.D.3. Evaluate for post-procedural changes/complications



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Medical Medical certification

medical Board Defends gadget of Certifying medical doctors in third Circuit battle | ARDMS test Questions and Question Bank

scientific personnel speak as they take care of Covid-19 sufferers at DHR fitness in McAllen, Texas, on July 29. (AP photo/Eric homosexual, File)

PHILADELPHIA (CN) — The American Board of internal medicine entreated the Third Circuit on Thursday to snuff out claims that its certification procedure for physicians is a predatory funds seize.

Roughly a hundred,000 medical doctors lobbed the allegation in a 2018 class action, blasting the maintenance-of-certification, or MOC, method under which they no longer only must buy an initial certification but also pay annual charges.

The MOC software requires licensed medical doctors to take an test every two to 10 years to be certain their abilities is up to date. The charge in 2019 for the MOC become $a hundred and sixty, plus an additional assessment price; for 2020 the charge went up $5.

Failure to enroll within the MOC consequences within the doctors being listed as “not licensed” on the board’s website. though no state requires medical doctors to be licensed by using the board, several within the classification claim they misplaced their jobs after they did not subscribe to MOC and hence had their certification revoked.

for instance, lead plaintiff Gerard Kenney lost out on a job present that he claims would have doubled his salary when he opted to now not renew his certification via MOC.

Kenney and different physicians are attractive after a federal decide dominated in want of the board ultimate yr, concluding that the docs had been not forced to purchase the MOC application, as they say, however instead quite simply had to renew their certification or enable it to lapse. 

further the court found that the board has each correct to certify who it deems healthy and set the necessities to uphold that certification. It referred to medical doctors could all the time pursue the option of the usage of the MOC software provided by way of the national Board of Physicians and Surgeons. 

before a three-judge panel in Philadelphia this morning, the board’s lawyer Leslie John entreated the court docket to verify, stressing that docs don't seem to be entitled to lifestyles-long certification and that the MOC is important to reside existing in the scientific container. 

The Ballard Spahr legal professional additionally argued that the doctors know what they’re moving into when in search of the preliminary certification. 

“There isn't any forcing as a result of they have got capabilities up entrance at the time of purchase of what the reputation of a certification entails,” talked about John.

U.S. Circuit judge Michael Chagares appeared doubtful, youngsters, about no matter if docs have any means out of buying the MOC. 

“Yeah it’s true, you don’t need the board certification,” pointed out Chagares, a George W. Bush appointee. “but is it in reality feasible to not have it in reality?”

John persisted to press the factor that nobody is being compelled into anything else, and that the board is entitled to dictate the certification manner.

lawyer for the physicians Philip Curley vehemently denied that his consumers have been no longer pressured to buy the MOC, emphasizing the economic hurt they faced after losing their certification.

Curley, of Robison Curley law company, said that his valued clientele are the motive at the back of the success of the MOC program, which is projected to rake in $5.7 billion between 2015 and 2024.

“MOC is only a hit since it’s obligatory to buy,” stated Curley.

A look at conducted by using MDLinx in 2018 that surveyed over 500 physicians found that best four% found the MOC program to increase their potential to follow.

Attorneys for each parties didn't immediately respond to a request for comment. Their briefs have been filed on can also 4, in the case of Curley, and on July 6, within the case of John.

U.S. Circuit Judges Joseph Greenaway Jr, a Clinton appointee, and Richard Nygaard, a Reagan appointee, rounded out Thursday’s panel.


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