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| Obstetrics & Gynecology Exam |
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Exam Content Outline
The American Registry of Diagnostic Medical Sonographers publishes its exam outlines and other important information on its website ( www.ARDMS.org). Visit the site for complete information about applying for and taking the registry examinations. The outline for each exam indicates the approximate percentage of the exam that a particular topic represents. This information is important because it indicates the relative importance of each topic and allows you to study more effectively. For example, abnormal pelvic anatomy and physiology represents 24%–28% of the Obstetrics and Gynecology exam, whereas patient care, preparation, and technique represent 1%–5%.
The complete outline for the Obstetrics and Gynecology specialty examination appears below.
Please note that this is the current Obstetrics & Gynecology Exam content outline, which became effective February 2007. Click here to review the outline that is proposed to become effective this summer.
| I. Gynecology—Normal Pelvic Anatomy and Physiology: pediatric, reproductive, and perimenopausal/postmenopausal (21%–25%) |
A. Uterus
B. Ovaries
C. Fallopian tubes
D. Other adnexal structures
E. Cul-de-sac
F. Vagina
G. Vascular/Doppler
H. Supporting structures
I. Menstrual cycle
J. Contraception and hormone replacement
K. Laboratory evaluation/drug effects |
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II. Gynecology—Abnormal Pelvic Anatomy and Physiology: pediatric, reproductive, and perimenopausal/postmenopausal (24%–28%) |
A. Uterine
1. Congenital
2. Acquired
B. Ovaries
C. Fallopian tubes
D. Other adnexal structures
E. Cul-de-sac
F. Vagina
G. Vascular/Doppler
H. Supporting structures
I. Menstrual cycle
J. Infertility
1. Causes
2. ART (assisted reproductive technology)
K. Laboratory evaluation/ Drug effects
L. Gynecology-related studies
M. Extra-pelvic pathology associated with gynecology |
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III. Obstetrics—First Trimester (11%–14%) |
A. Anatomy
B. Cul-de-sac
C. Measurements
D. Physiologic development
E. Pregnancy failure
F. Ectopic pregnancy
G. Abnormalities
H. Ovaries/adnexa |
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IV. Obstetrics—Second/Third Trimester Normal Anatomy (8%–12%) |
A. Abdomen
B. Cardiovascular system
C. Central nervous system
D. Gastrointestinal system
E. Genitourinary system
F. Musculoskeletal system
G. Thorax |
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V. Obstetrics—Second/Third Trimester Assessment (4%–8%) |
A. Placenta and umbilical cord
1. Anatomy/physiology
2. Development/grading
3. Doppler
4. Pathology
5. Position
B. Obstetrics—measurements
1. Head/face
2. Trunk
3. Extremities
C. Amniotic fluid assessment
D. Fetal lie
E. Fetal well-being |
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VI. Obstetrics—Complications (12%–16%) |
A. Antepartum
B. Fetal demise
C. Fetal therapy
D. Genetic studies
E. Intrauterine growth restriction
F. Maternal illness
G. Multiple gestations
H. Postpartum
I. Syndromes |
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VII. Obstetrics—Fetal Abnormalities (10%–16%) |
A. Abdominal wall
B. Cardiovascular system
C. Central nervous system
D. Facial
E. Gastrointestinal
F. Genitourinary
G. Musculoskeletal
H. Neck
I. Thoracic
J. Coexisting maternal disorders |
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VIII. Obstetrics/Gynecology—Patient Care/Preparation/Technique (1%–5 %) |
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Old Outline
| I. Obstetrics (Total 50%–60%) |
A. First Trimester (6%–8%)
1. Gestational sac
2. Yolk Sac
3. Embryo (normal physiologic development/sonographic appearance
4. Ovaries (corpus luteum)
5. Cul-de-sac
6. Pregnancy failure
7. Ectopic pregnancy
B. Second/Third Trimester (Normal Anatomy) (8%–12%)
1. Cranial
2. Spine
3. Heart
4. Thorax
5. Abdomen
a. Gastrointestinal
b. Genitourinary
c. General
6. Extremities
7. Fetal Position
8. Other
C. Placenta (1%–5%)
1. Development
2. Position
3. Anatomy
4. Membranes
5. Umbilical cord
6. Abruption
7. Previa
8. Masses & lesions
9. Maturity/grading
10. Doppler
11. Physiology
12. Accreta
D. Assessment of Gestational Age (2%–6%)
1. Gestational sac
2. Embryonic size/crown-rump length
3. Biparietal diameter
4. Femur length
5. Abdominal circumference
6. Head circumference
7. Transcerebellar measurements
8. Binocular measurements
9. Cephalic indices
10.Fetal lung maturity
11. Other
E. Complications (6%–10%)
1. Intrauterine growth retardation
a. Symmetrical
b. Asymmetrical
c. Nonstress test
d. Biophysical profile
e. Doppler flow studies
2. Multiple gestations
a. Diamniotic
b. Monoamniotic
c. Complications
3. Maternal illness
a. Gestational diabetes
b. Diabetes mellitus
c. Hypertension
d. Other
4. Antepartum
a. Preterm labor
b. Premature rupture of membranes
c. RH isoimmunization
d. Cervix related
e. Other
5. Fetal therapy
a. Fetal blood sampling/transfusion
b. Other
6. Postpartum
a. Hemorrhage
b. Infection
c. Caesarean section
d. Other
F. Amniotic Fluid (1%–5%)
1. Assessment
2. Polyhydramnios
3. Oligohydramnios
4. Fetal pulmonic maturity studies
G. Genetic Studies (1%–3%)
1. Maternal serum testing
2. Amniotic fluid testing
3. Chorionic villus sampling
4. Dominate/recessive risk occurrence
H. Fetal Demise (0%–3%)
I. Fetal Abnormalities (10%–15%)
1. Cranial
2. Facial
3. Neck
4. Neural tube
5. Abdominal wall
6. Thoracic
7. Genitourinary
8. Gastrointestinal
9. Skeletal
10. Cardiac
11. Syndromes
12. Other
J. Coexisting Disorders (0%–3%)
1. Leiomyoma
2. Cystic
3. Trophoblastic disease
4. Solid/mixed
5. Myometrial contraction
6. Other |
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II. Gynecology (Total 40%–50%) |
A. Normal Pelvic Anatomy (10%–15%)
1. Uterus
a. Corpus
b. Endometrium
c. Cervix
d. Vagina
2. Ovaries
3. Fallopian tubes
4. Supporting structures
5. Cul-de-sac
6. Vasculature
7. Doppler flow
8. Gynecology related studies
a. Gastrointestinal
b. Genitourinary
B. Physiology (6%–15%)
1. Menstrual cycle
2. Pregnancy tests
3. Human chorionic gonadotropin (hCg)
4. Fertilization
C. Pediatric (1%–5%)
1. Precocious puberty
2. Hematometra/hematocolpos
3. Sexual ambiguity
4. Other
D. Infertility/Endocrinology (2%–6%)
1. Contraception
2. Causes
3. Medications and treatment
4. Ovulation induction (follicular monitoring)
5. ART (Assisted Reproductive Technology), GIFT, IVF, ZIFT
E. Postmenopausal (6%–10%)
1. Anatomy
2. Physiology
3. Therapy
a. Hormonal replacement
4. Pathology
a. Hyperplasia
b. Polyps
c. Endometrial cancer
d. Ovarian cancer
e. Other
F. Pelvic Pathology (6%–10%)
1. Congenital uterine malformation
2. Uterine masses
3. Ovarian masses
4. Endometriosis
5. Polycystic ovarian disease
6. Inflammatory disease
7. Doppler flow studies
8. Gynecology related studies
a. Gastrointestinal
b. Genitourinary
9. Other
G. Extra-pelvic Pathology Associated with Gynecology (1%–3%)
1. Ascites
2. Liver metastasis
3. Hydronephrosis
4. Other |
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III. Patient Care Preparation/Technique (Total 1%–5%) |
A. Review Charts
B. Explain Examinations
C. Supine Hypotensive Syndrome
D. Bioeffects
E. Infectious Disease Control
F. Scanning Techniques
G. Artifacts
H. Physical Principles |
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