Exam Overview

Examination Matrix

This examination matrix is provided to illustrate the general distribution of questions and the relative weight or emphasis given to a skill or content area on the examination.

A. Maintain Information, Facility, and Safety 6%
B. Patient Diagnosis 22%
C. Performance of Diagnostic Testing 35%
D. Conservative Treatment / Therapy of Patients 9%
E. Minimally Invasive and Invasive Treatment of Patients 27%
TOTAL 100%

Knowledge List

The list below describes general areas of knowledge that are needed in order to perform the tasks identified.  This knowledge will apply across multiple tasks.

  • Regulatory and Compliance Standards
    (e.g. OSHA, HIPAA, informed consent,
    medical records)
  • Medical ethics
  • Medical terminology
  • General anatomy
  • Cardiovascular anatomy and physiology
    (normal and abnormal)
  • Venous anatomy, physiology, and
  • Vascular hemodynamics
  • Venous disease process and progression
  • Diagnosis and treatment of lymphatic
  • Basic math and statistical skills (formulas,
    exponents, decimals, scientific notation)
  • Basic pharmacology
  • History & physical
    • Vascular signs and symptoms
    • Risk factors (family history, genetics)
    • CEAP classification
    • Pre- and post-treatment
  • Basic Life Support (BLS) 
  • Safety practices for patients and staff
    • Universal precautions/infection
    • Sterile procedure
    • Ergonomics
  • Ultrasound physics
    • Ultrasound instrumentation
    • Ultrasound modalities
      (e.g., spectral Doppler, color Doppler,
  • Vascular anomalies and normal variances
  • Nonsurgical interventions (e.g., medications,
    risk factor modification)
  • Sclerotherapy (visual and ultrasoundguided)
  • Compression therapy
  • Physical therapy
  • Open-surgical venous procedures
  • Minimally-invasive venous procedures
  • Thermal ablation
  • Phlebectomy
  • Other testing modalities
    (e.g., CT, MR, plethysmography)
  • Exam correlation with other imaging
  • Complications of venous treatment

Task List

The task lists below describes the activities which a Registered Phlebology Sonographer is expected perform on the job. All examinations questions are linked to these tasks.

     Duties and Tasks  % of Exam
A   Maintain Information, Facility, and Safety 6% 
  1 Utilize Universal Precautions  
  2 Triage Patient Status  
  3 Inspect Electromechanical Equipment and Perform Preventative Maintenance  
  4 Optimize Workspace  
  5 Facilitate Continuous Quality Improvement  
  6 Secure and Archive Patient Information  
B   Patient Diagnosis  22%
  1 Obtain Patient Demographic Information  
  2 Obtain Patient History  
  3 Perform Physical Exam  
  4 Establish Differential Diagnoses  
  5 Formulate and/or Assist in Formulating a Diagnostic Plan  
  6 Analyze Patient Data  
  7 Formulate and/or Assist in Formulating a Treatment Plan  
  8 Evaluate Post-Treatment Status  
C   Performance of Diagnostic Testing  35%
  1 Confirm Indications for Study  
  2 Position patient  
  3 Select Appropriate Equipment and Optimize Settings  
  4 Select Appropriate Transducer and Optimize Frequency  
  5 Perform Study Protocol  
  6 Document Exam Findings  
  7 Store Test Images  
  8 Communicate Unusual or Abnormal Findings  
D   Conservative Treatment/Therapy of Patients 9%
  1 Assist in or Provide Conservative Treatment(s)  
  2 Assist in or Provide Compression Therapy  
  3 Recognize Lymphedema and Facilitate its Treatment  
  4 Advise Patients on Physical Therapy Options  
E   Minimally Invasive and Invasive Treatment of Patients 27%
  1 Confirm Signed Informed Consent  
  2 Assist in or Perform Visual Sclerotherapy  
  3 Assist in or Perform Ultrasound Guided Procedures  
  4 Assist in or Perform Minimally Invasive Treatment (e.g., phlebectomy, ablation, ligation)  
  5 Perform Pre and Post Operative Evaluation of Open Surgical Procedure (e.g. phlebectomy, ablation, ligation)  
  6  Consider the Use of Patient and/or Physician Reported Outcomes Measures  
  7 Provide Patient Discharge Instructions  
    TOTAL  100%


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