Medical ARDMS : American Registry for Diagnostic Medical Sonography Exam
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Test Number : ARDMS
Test Name : American Registry for Diagnostic Medical Sonography
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Format | ARDMS Course Contents | ARDMS Course Outline | ARDMS test
Syllabus | ARDMS test
Anatomy, Perfusion, and Function (30%)
Assess physical characteristics of anatomic structures
Assess perfusion and function of anatomic
Pathology, Vascular Abnormalities, Trauma, and Postoperative Anatomy (42%)
Assess anatomic structures for pathology
Assess anatomic structures for vascular
Assess anatomic structures for trauma-related
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
Obtain accurate measurements
Assist/support during procedures
Anatomy, Perfusion, and Function
Knowledge and/or skill related to anatomy, perfusion,
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.5. Neck (including: thyroid, parathyroid, salivary glands, lymph nodes)
1.A.8. Peritoneal cavity (including: stomach, bowel, appendix)
Ability to recognize, evaluate and document congenital anomalies
1.A.10. Retroperitoneum (including: great vessels & branches)
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.4. Neck (including: thyroid, parathyroid, salivary glands, lymph nodes)
1.B.6. Peritoneal cavity (including: stomach, bowel, appendix)
1.B.8. Retroperitoneum (including: great vessels & branches)
1.B.11. Superficial structures (for example: abdominal wall & subcutaneous tissue)
1.B.12. Urinary system
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.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
Knowledge of potential effects of patient medications on an test
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
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 Latest Topics
up-to-date 5:forty four pm PDT, Wednesday, September sixteen, 2020
President Donald Trump speaks right through a news convention at the White condominium, Wednesday, Sept. sixteen, 2020, in Washington.
President Donald Trump speaks throughout a information convention at the White apartment, Wednesday, Sept. sixteen, 2020, in Washington.
photograph: Evan Vucci, AP
graphic 1 of eight
President Donald Trump speaks throughout a news convention on the White apartment, Wednesday, Sept. 16, 2020, in Washington.
President Donald Trump speaks all through a news convention at the White condo, Wednesday, Sept. sixteen, 2020, in Washington.
photograph: Evan Vucci, AP
The newest: Trump contradicts CDC director on vaccine, masks
1 / 8
back to Gallery
WASHINGTON (AP) — The latest on the 2020 presidential crusade (all times native):
President Donald Trump is contradicting the director of the centers for disorder handle and Prevention on the talents availability of a coronavirus vaccine to the normal public and on masks wearing.
Trump noted Wednesday that a vaccine might be obtainable as early as October and in mass distribution soon in a while — lots ahead of turned into projected in congressional testimony prior within the day by way of Dr. Robert Redfield.
Trump says Redfield “made a mistake” when he informed lawmakers that any vaccine attainable in November or December could be in “very confined give,” and reserved for first responders and americans most susceptible to COVID-19. Redfield estimated the shot wouldn’t be widely accessible except the spring or summer season of 2021.
After Trump’s feedback, CDC officers claimed Redfield notion he changed into answering a query about when vaccination of all american citizens will be completed.
Trump also disagreed with Redfield concerning the effectiveness of shielding masks, which Redfield had stated can be much more valuable in combating the coronavirus than a vaccine.
right here’S WHAT YOU should learn about WHAT’S going on within the PRESIDENTIAL RACE:
President Donald Trump on Wednesday brazenly contradicted his govt’s appropriate health certified
with the aid of predicting that a safe and useful vaccine in opposition t the coronavirus could be able as early as next month and in mass distribution soon after. He referred to as the director of the facilities for sickness handle and Prevention “perplexed” for projecting an extended time body. in the meantime, his Democratic challenger, Joe Biden, referred to in Delaware that he trusts what scientists say about a potential coronavirus vaccine but does not trust Trump.
— Trump disputes health officials, sees mass vaccinations soon
— Biden says he trusts vaccines and scientists, not Trump
— Politics creates economic illusion in Houdini’s hometown
— Takeaways: Trump’s city corridor offered preview of debates
right here’S WHAT ELSE IS happening:
Nevada’s Democratic governor has sent a letter to the White condominium and the coronavirus project force asking for an evidence on the president’s determination to dangle rallies within the state ultimate weekend right through a plague.
Gov. Steve Sisolak sent a letter Wednesday to vice president Mike Pence after Trump held two rallies in Nevada flouting the state’s coronavirus limits on gatherings. Sisolak is in quest of “some clarity and explanation” from the assignment force about why the president’s crusade “knowingly packed thousands of people into two venues to cling public gatherings which are categorized as ‘excessive possibility.’”
within the letter, launched by the governor’s office, Sisolak stated, “you could think about my confusion and utter disbelief over the contradictory and dismissive conduct demonstrated by using the president.” He says the president’s habits is an insult to Nevadans who have sacrificed life pursuits like commencement ceremonies, weddings and funerals in the identify of public health.
Sisolak wrote: “i'm beyond frustrated on the lack of clear, concise and consistent messaging from the President on a way to behave right through this public health disaster.”
Joe Biden says that while he trusts what scientists say about a potential coronavirus vaccine, he doesn’t trust President Donald Trump.
Biden spoke to newshounds at an experience Wednesday in Wilmington, Delaware, after being briefed by public health certified
about a potential vaccine. He outlined what he referred to as Trump’s “incompetence and dishonesty” surrounding the distribution of non-public shielding machine and coronavirus testing. Biden says, “we can’t afford to repeat these fiascos when it comes to a vaccine.”
He went on to assert: “I trust vaccines, I have confidence scientists, however I don’t have confidence Donald Trump, and at this second, the American individuals can’t, both.”
The Trump crusade has accused Biden and his working mate, Kamala Harris, of sowing doubt about a possible vaccine with the aid of expressing issues that politics count number taint the approval process.
asked no matter if his feedback might undermine public have faith in scientists, Biden observed the vaccine approval procedure may still be “absolutely clear” and it will be evaluated by using a “board of scientists” that could supply the general public an unbiased opinion.
The spouses of Joe Biden and Kamala Harris are in New Hampshire speakme concerning the importance of the inexpensive Care Act.
Jill Biden and Doug Emhoff arrived on the Bedford home of a supporter on Wednesday afternoon, speakme backyard a gray barn. The viewers consisted handiest of the householders, other audio system, just a few reporters and campaign body of workers.
They were introduced by using Dr. Susan Lynch, a retired physician and former first lady of latest Hampshire. Her husband, former Gov. John Lynch, was governor when the economical Care Act became enacted below President Barack Obama.
Emhoff, referring to President Donald Trump’s town hall Tuesday evening, noted the president had no reason for how he’d deliver
protection to coverage for people with preexisting situations.
He says: “The fact is he has no plan and he certainly not will.”
Jill Biden advised the story of her sister’s cancer medication, announcing the economical Care Act saved her life.
A trendy Republican donor who helps President Donald Trump says some in Trump’s orbit are involved he’s “overconfident” on the upcoming debates against Democrat Joe Biden.
Dan Eberhart says Trump came off as a “little coarse” when confronted by way of undecided voters at Tuesday’s town corridor in Philadelphia.
Face-to-face with ordinary voters for the first time in months, Trump was defensive but resisted agitation as he become pressed on his administration’s response to the COVID-19 pandemic and why he doesn’t greater aggressively promote using masks to in the reduction of the spread of the ailment.
Eberhart says, “Frankly, I anticipated President Trump to be greater organized to cajole undecided voters over to his aspect of the fence on the town hall.” He adds: “President Trump appeared unaware that he essential to downshift his rhetoric to whatever thing extra moderate being as how his audience turned into undecided voters and never attendees of 1 of his rallies.”
Biden referred to Tuesday that he’s begun making ready for presidential debates that begin later this month via researching Trump’s previous feedback.
President Donald Trump's crusade is accusing Joe Biden and Kamala Harris of in quest of to undermine public self belief in a coronavirus vaccine.
On a demand reporters Wednesday hosted by the campaign, Trump surrogate and Ohio Rep. Brad Wenstrup referred to that after it involves the economic system and the coronavirus, Biden has “proven he desires to root against American prosperity for his personal political benefit.” Wenstrup says the Democratic presidential ticket is “playing politics with individuals’s lives.”
Biden has noted he would take a vaccine “tomorrow” if it were accessible, but he would are looking to “see what the scientists mentioned” first. Harris says she wouldn’t believe Trump on the defense of any advantage vaccine and involved that health consultants and scientists can be “muzzled” by means of the president as a result of his urgency to get a vaccine accredited via his mentioned purpose of Election Day.
Trump observed Tuesday nighttime that a vaccine can be equipped inside four weeks, a greater optimistic timeline than that laid out through other public fitness experts and executive officials. He also counseled, with out proof, that the coronavirus pandemic “would go away without the vaccine.”
Joe Biden is receiving a digital briefing from a former U.S. surgeon ordinary and a set of fitness certified
on how most useful to slow the spread of the coronavirus.
Biden’s campaign created a virtual studio that linked the previous vice president by means of video with former Surgeon well-known Vivek Murthy and six different experts at a theater in downtown Wilmington, Delaware, on Wednesday. Biden will provide a speech on the subject later within the day.
David Kessler, board chair and director for the center for Science in the Public pastime, wired for Biden the significance of requirements increasing “generic overlaying” but also accelerated testing and make contact with tracing. He counseled doing so may keep heaps of lives and eventually be extra effective between now and early next year as vaccines are being developed.
Others on the briefing counseled a country wide requirement to wear masks, given the country’s “porous borders” and guidelines that adjust from state to state. They additionally mentioned that once some areas have moved to reopen shuttered bars and eating places, virus outbreaks have frequently adopted — suggesting that officials should inspire individuals to continue to be backyard all through tremendously mid-fall weather and permit for returns to such establishments later.