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  The theoretical examination
The theoretical part of the course ends with a multiple-choice question examination. It aims at ensuring that candidates have fully understood the course content. The course is considered completed successfully if 70% of the questions have been answered correctly. If the candidate has passed the theoretical examination, he or she will receive a confirmation to this effect.
  The practical examination
The practical examination consists of two parts: a. the submission of 3 high-quality ultrasound images evidencing correct NT measurement and b. the practical demonstration of an NT measurement. This examination aims at ensuring that nuchal translucency is measured in compliance with the FMF guidelines.
A. Submission and evaluation of 3 ultrasound images obtained through NT measurement
Prior to the practical demonstration, 3 ultrasound images evidencing correct NT measurement of 3 different fetuses must be submitted to the authorised course instructor / examiner.
The candidate is required to enclose a written confirmation along with image submission in which he or she certifies to have performed and documented the 3 measurements personally.
  Requirements on ultrasound images:

The image should provide a good mid-sagittal view of the fetus,
the fetal image must be sufficiently magnified (the fetus should occupy at least 75% of the image),
fetal skin surface should be visible separately from the amnion,
head position should be neutral,
calipers should be correctly positioned at the point of maximum translucency thickness.
  Image evaluation:

 Section plane (rotated: 0, slightly rotated 1, mid-sagittal: 2),
 Image magnification (insufficient: 0; near correct: 1, >75% or detail 2),
 Amnion (not visible: 0; visible: 1, skin and amnion: 2),
 Head position (too strongly flexed, hyper-extended: 0; near correct: 1, neutral: 2),
 Caliper positioning (wrong positioning: 0; near correct: 1, correct: 2).
Score system::
(I)

(II)

(III) 		very good

good

insufficient 		(9 - 10)

(7 - 8)

(0 - 6)
Renewed submission of images:
If the score attained on one or several images falls short of 7 points, a corresponding number of newly obtained images must be submitted. Only when all 3 images have been recognised can the candidate be admitted to the practical NT demonstration.
B. Practical demonstration of NT measurement
  Requirements on ultrasound images:

Candidates must demonstrate in at least one case that they are capable of correctly visualising and measuring nuchal translucency. To this end, a photo must be produced which complies with the specified minimum requirements and which will be evaluated according to the above-listed score.

The practical demonstration part of the examination is considered completed successfully if a minimum score of 7 out of 10 points has been achieved in image evaluation.
Furthermore, candidates must provide practical evidence in one case that they know how to use the FMF software in order to provide the patient with an explanation of diagnostic results displayed on the screen. Elucidation must be provided in such a manner that the patient is in a position to understand the significance of risk figures and to which degree the background risk has changed after performance of nuchal translucency measurement and, if applicable, after completion of biochemical analysis.
Candidates should moreover exhibit their knowledge of possible follow-up measures. They should be in a position to offer performance of such measures themselves or in cooperation with an appropriate specialist centre.