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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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 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 American Latest Questions

CDC has accomplished terrible job in its COVID communications, the existing illustration: unmasking | COMMENTARY | ARDMS Latest syllabus and Free PDF

that you can’t blame the messenger for not being clear if the message is a mishmash. And final week, the centers for ailment control and Prevention provided this kind of messed-up message about unmasking that its director nevertheless has now not been capable of clean it up. consequently, many people are greater at a loss for words than ever about masks, and we've a correct to be irritated about that.

“any individual who is thoroughly vaccinated can take part in indoor and out of doors actions, significant or small, with out donning a mask or real distancing,” Rochelle Walensky, director of the CDC, referred to at a White condominium briefing Thursday. “when you are wholly vaccinated, that you may beginning doing the issues that you had stopped doing as a result of the pandemic. we've all longed for this moment, when we can get again to some feel of normalcy.”

definitely? No masks? No real distancing? As I wrote two days before the directive became announced, we within the media have been at some extent in covering the pandemic the place readability and exactitude had been mandatory as plenty or greater than ever on account of the confusion that turned into already available about masks, vaccines and the way most suitable to live safe.

however what did we get from the CDC?

“Whiplash,” in accordance with Jerome Adams, a former surgeon usual.

“It changed into a bit bit of whiplash for the American public when it comes to them asserting just per week earlier than, keep your masks on. and then unexpectedly, they’re announcing now that you may take them off,” Dr. Adams stated Monday on CNN.

He changed into being form. NBC’s “Saturday evening live” turned into now not so form in the show’s opening, mocking the CDC for the confusion it generated.

“It’s your boy, Fauci, the buyer saint of Purell,” Kate McKinnon, taking part in Anthony Fauci, director of the U.S. national Institute of allergy and Infectious illnesses, mentioned in greeting viewers. “The CDC announced that americans which are vaccinated no longer deserve to put on masks, outside or indoors. pretty incredible, right? but a lot of people had questions, akin to, what does that mean? What the hell are you speaking about? is this a entice?”

It become a funny opening with actors from the SNL troupe enjoying CDC doctors acting out eventualities for when or when no longer masks should still be worn. however there's nothing funny about the deeper certainty it suggested: that the public health and scientific experts who're directing our COVID-19 response efforts are not very respectable at communicating with us.

Now I’m being type. by way of and big, they have been awful at speaking, and that has been a huge difficulty all the way through the pandemic. ultimate week, I entreated my media colleagues to strive for clarity and exactitude in reporting and examining the most suitable guidance on masking. but what can media do if the basic government agency charged with providing information and tips is offering suggestions so inexact that it's ripe for tv satire?

Dr. Walensky went on assorted Sunday morning indicates to are trying to walk lower back Thursday’s oh-chuffed-day announcement. She tried to explain the abrupt change to no masks for those who are vaccinated because the result of the CDC following the science because it “advanced.” She discovered some support for the “science” part, at the least.

i'm not saying the CDC’s counsel closing week is as dangerous as the assistance that got here out of the COVID briefings starring former President Donald Trump. Who can neglect the session through which he stood on the White condominium podium and suggested injecting oneself with bleach would kill the virus?

but this failure is on President Biden’s CDC and Dr. Walensky, and that i believe it suggests a cultural problem that has turn into a significant public health concern all over the pandemic. Ours is a media-saturated subculture with an overload of incredibly refined guidance and disinformation streams competing for our attention. in case you can’t speak your message certainly and without problems, you could as smartly not have one.

clinical, executive and public health officers have to put as a whole lot thought, cash and advantage into speaking their messages as they do into formulating them. no longer being clear, getting it incorrect or now not reaching the viewers at all may also be a matter of existence and dying for individuals of that intended audience. There isn't any excuse for that type of failure.




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https://www.clipsharelive.com/video/6567/ardms-american-registry-for-diagnostic-medical-sonography-2021-practice-test-by-killexams-com
https://justpaste.it/ARDMS
https://spaces.hightail.com/space/v47qz1ixkg/files/fi-42815405-fa01-47c0-9ff6-dbc16c084af5/fv-785c7129-452a-4467-86f0-8f998d5abff3/American-Registry-for-Diagnostic-Medical-Sonography-(ARDMS).pdf#pageThumbnail-1



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