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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
| Lower Extremity Ultrasound | - Knee, ankle, and foot evaluation - Hip joint assessment |
| Ultrasound-Guided Procedures | - Needle guidance and safety principles - Joint aspiration and injection techniques |
| Foundations of Musculoskeletal Ultrasound | - Image optimization and acquisition techniques - Ultrasound physics and instrumentation |
| Upper Extremity Ultrasound | - Elbow, wrist, and hand structures - Shoulder joint evaluation |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
1. A practitioner reviews this long-axis ultrasound image of the medial aspect of the knee. Which of the following is the MOST likely differential diagnosis?
A) Topheaceous gout with displacement of the medial collateral ligament
B) Rheumatoid arthritis with erosion formation
C) Osteoarthritis with bone spur and extrusion of the medial meniscus
D) No sonographic evidence for abnormality
2. A practitioner wants to assess the structures on the right, distal portion of this image.
What should the practitioner do at this time?
A) Place the focal point at the level of the area of interest.
B) Depress the distal end of the probe.
C) Choose a lower transducer frequency.
D) Increase the overall gain to brighten the image.
3. An 81-year-old male with known shoulder osteoarthritis presents to the office for an ultrasound-guided injection of the glenohumeral joint. Prior to injection, where should the needle tip be visualized?
A) B
B) C
C) D
D) A
4. Which of the following images is MOST suggestive of sonographic features of patients with spondyloarthropathy?
A) Option B
B) Option D
C) Option A
D) Option C
5. What should be taken into consideration prior to any procedure?
A) The transducer should be aligned perpendicular to the plane of the needle.
B) The needle should be visualized only prior to its insertion to the target area.
C) A slight to-and-fro movement or injection of a small amount of lidocaine may be beneficial in visualizing the needle.
D) The shortest pathway to the region of interest should be selected with consideration given to adjacent neurovascular structures.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: D |
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