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Medical ARDMS : American Registry for Diagnostic Medical Sonography - 2021 Exam

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Exam Number : ARDMS
Exam Name : American Registry for Diagnostic Medical Sonography - 2021
Vendor Name : Medical
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ARDMS exam Format | ARDMS Course Contents | ARDMS Course Outline | ARDMS exam Syllabus | ARDMS exam 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 exam and/or procedure
Knowledge of potential effects of patient medications on an exam 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 exam based on information from other modalities
Ability to localize pathology for sonographic correlation
Ability to modify the exam based on real-time findings
Knowledge of modalities associated with the exam 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 exam 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 exam 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 actual 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 - Practice Questions

5 questions to ask your doctor that may help provide yourself with protection and your household | ARDMS Question Bank and exam dumps

in this excerpt from Dr. Robert Pearl’s new e-book, “Uncaring,” the previous CEO of the nation’s greatest medical community (The Permanente clinical neighborhood), says patients should ask medical doctors some problematic questions. And within the subsequent Avenue article, “How the subculture of medicine Kills doctors and patients,” he spoke with our Managing Editor Richard Eisenberg about what’s wrong with america’s health care system and the way to repair it. All proceeds from the ebook go to doctors without borderlines.

As U.S. fitness care completes its transformation towards a greater effective and valuable future within the years forward, americans will deserve to protect themselves and their households from those points of health care provider tradition that lead to poorer effects and better expenses.

however sufferers themselves cannot seriously change this culture, they could influence physicians’ moves. And that system can begin as soon as patients demand it.

related: Burnout, depression, denial: How our way of life of drugs is killing both medical doctors and patients

listed below are five questions to be able to support protect you and your household from the poor elements of health care professional way of life while assisting to accelerate the transformation of medical follow:

1. What’s this going to charge me?

In well mannered society, it’s rude to discuss cash. In physician tradition, it’s in a similar fashion taboo to aspect the cost of care into medical choice making. Physicians trust their job is to deal with ailment and store a existence at any cost, now not to present rate comparisons for medications, surgeries or diagnostic assessments.

This considering now not simplest is old-fashioned however additionally wastes sufferers’ cash. subsequently, sufferers overpay for operations and manufacturer-name medicine and some experts use out-of-community billing to garner introduced profits, hitting sufferers with surprise medical expenses.

connected questions for the affected person: Are you in my assurance community? Is the sanatorium you're recommending for my system in my assurance network? Will the entire docs be in my community? Are there much less high priced medications or tips on how to handle my difficulty? And if so, how will the outcome be affected (if in any respect)?

doctors might also not opt to supply an in depth breakdown of charges and merits for the care they suggest. however when patients take the time to ask, the care they acquire proves less high priced, yet no less effective.

2. am i able to electronic mail, textual content or essentially seek advice from with you?

medical doctors have always assumed that the choicest clinical care is equipped of their offices. consequently, patients are pressured to omit work and undergo unnecessary inconveniences when receiving hobbies medical care.

It took a world pandemic to assist doctors and sufferers know the merits of digital care. not handiest did telemedicine retain medical doctors and sufferers safer throughout a viral outbreak (by holding them aside), the adventure helped each person understand what number of complications could be resolved via this widely purchasable and handy kind of expertise. even if docs continue to present telehealth solutions in the future will depend partly on even if patients demand these features.

connected questions for the patient: can i make future appointments on-line rather than via telephone? Is there any way to get a few of my care through video as opposed to in person? can i e-mail or text you with any questions I even have? How am i able to assess the results of my laboratory tests on-line? How do I access my own medical list on-line?

doctors may supply their sufferers relief from agonize and stress by using providing reputable and personal access to on-line scheduling, video visits, cozy emailing and significant clinical counsel. sufferers can acquire these timesaving conveniences, but only by way of disturbing them.

three. Who’s going to coordinate my care?

doctors expect every affected person’s care is well coordinated because they presume all their suggestions will fit together if the consultants involved readily tackle their specific enviornment of capabilities.

regrettably, this is no longer the case. In a scientific way of life that undervalues fundamental care doctors and preventive drugs, getting well-coordinated fitness care and heading off medical blunders prove more durable than they should still be.

connected questions to ask: (To your primary care doctor: How intently will you work with my specialist?) (Or, to your specialist: How closely will you're employed with my basic care physician?) How will the two of you exchange medical assistance to maximise my probabilities of a a success outcome? How will you coordinate my medical care with the other certified treating me, both earlier than and after the process you’re recommending?

additionally see: 5 things to know about health care in retirement

Asking questions about teamwork encourages physicians to speak with each and every other, believe conflicts in medication concepts and close any care gaps that could exist.

four. is this process or treatment crucial?

even if it’s surgery for knee ache or yet one more painful round of chemotherapy, patents often bear aggressive interventions, even when statistics prove they are doubtlessly detrimental or no better than a more conservative medicine.

sufferers should ask for evidence of success charges with linked questions like: What evidence are you able to reveal me that the intervention (procedure, remedy, or medicine) you're recommending will work? Are there less invasive options that may additionally get to the bottom of my issue?

5. will we talk about the conclusion?

Physicians are expert to never let the affected person lose hope, although that means heading off the certainty concerning the probabilities of dying or living in soreness. For physicians, saving a lifestyles is the optimum virtue, whereas losing a affected person is tantamount to failure (even when providing more care would have been futile).

related questions: can you tell me the complete latitude of my conclusion-of-life options, so I can make a fully counseled choice? Will you make sure my nice-of-lifestyles preferences are introduced to my scientific list? Will my best of existence endure if I refuse extra treatments? And if so, in what techniques? When it’s clear to me that I don’t need any more scientific care, will you support my decision and proceed to assist me? Will you connect me with a hospice core or palliative care skilled as soon as I’m eligible?

Don’t pass over: COVID-19 pandemic changed into a ‘preventable catastrophe,’ made worse by means of an absence of global coordination and dithering, unbiased panel finds

The preferred behavior is to get medical doctors to tell patients the reality when dying is viable, possible or imminent. Most individuals nearing demise want their physicians to be honest and they desire assurance they received’t be deserted by using their doctors despite the choice they make. These questions support sufferers obtain each.

sometimes in life, it's stronger to continue to be quiet than to communicate up. however in the context of being a affected person, silence is risky, bad and of no value in anyway.

this text is excerpted from “Uncaring: How the tradition of medication Kills doctors and sufferers” by way of Dr. Robert Pearl, posted via Hachette booklet community.

Dr. Robert Pearl is the writer of “Uncaring: How the way of life of medication Kills medical doctors and sufferers” and the former CEO of The Permanente scientific neighborhood, the nation’s biggest medical neighborhood, and former president of The Mid-Atlantic Permanente clinical neighborhood. In these roles, he led 10,000 physicians, 38,000 team of workers and became answerable for the clinical care of 5 million Kaiser permanent contributors. he is a medical professor of plastic surgery at Stanford university college of medication and is on the faculty of the Stanford Graduate school of enterprise. 

this article is reprinted via permission from NextAvenue.org, © 2021 Twin Cities Public television, Inc. All rights reserved.

more from subsequent Avenue:




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