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The American Registry for Diagnostic Medical Sonography (ARDMS) is a non-profit organization that administers exams for credentialing in sonography.

Two credentials are offered: the Registered Diagnostic Medical Sonographer (RDMS) and the Registered Diagnostic Cardiac Sonographer (RDCS). Medical sonography specialties for credentialing include obstetrics and gynecology, fetal echocardiography, abdomen, breast and neurosonology. Cardiac sonography specialties for credentialing include fetal, pediatric and adult echocardiography.

ARDMS certifications are accredited by the National Commission for Certifying Agencies. Candidates for the exam must have completed a post-secondary program in sonography including a physics class with grades of C or higher.

Two separate, comprehensive exams are offered for credentialing. All candidates must pass the Sonography Principles and Instrumentation Exam and one specialty exam. Candidates may take as many specialty exams as they wish, but they must first pass the Sonography Principles and Instrumentation Exam. Specialty exams must be taken within five years of the Sonography Principles and Instrumentation Exam.

Five specialties lead to the credential of Registered Diagnostic Medical Sonographer:
Abdomen
Breast
Fetal Echocardiography
Neurosonology
Obstetrics and Gynecology

Aspiring Registered Diagnostic Cardiac Sonographers can specialize in:
Adult Echocardiography
Pediatric Echocardiography
Fetal Echocardiography

The Sonography Principles and Instrumentation Exam is a two-hour, computerized exam that includes 120 multiple-choice questions on the following topics:
Patient Care, Safety and Communication (5%)
Principles of Physics (20%)
Ultrasound Transducers (20%)
Pulse-Echo Instrumentation (30%)
Doppler Instrumentation and Hemodynamics (20%)
Quality Assurance and Quality Control of Equipment (5%)

Application for the exam may be made at ardms.org/apply. Each exam carries a fee of $200. If an exam candidate must cancel an exam, they are refunded $100 of the exam fee.

Disclaimer:
This application is just an excellent tool for self-study and exam preparation. It's not affiliated with or endorsed by any testing organization, certificate, test name or trademark.