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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionObjectives
Upper Extremity Ultrasound- Shoulder joint evaluation
- Elbow, wrist, and hand structures
Ultrasound-Guided Procedures- Needle guidance and safety principles
- Joint aspiration and injection techniques
Inflammatory and Degenerative Pathology- Tendinopathy and enthesitis patterns
- Synovitis, effusions, and erosions
Foundations of Musculoskeletal Ultrasound- Image optimization and acquisition techniques
- Ultrasound physics and instrumentation
Lower Extremity Ultrasound- Knee, ankle, and foot evaluation
- Hip joint assessment

American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:

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. The shortest pathway to the region of interest should be selected with consideration given to adjacent neurovascular structures.
  • D. A slight to-and-fro movement or injection of a small amount of lidocaine may be beneficial in visualizing the needle.
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

This image shows the sequence of a guided procedure in a patient with rheumatoid arthritis and a mass of the right shoulder. Although guided aspiration was useful for the fluid examination, surgery was performed for a definitive diagnosis of the acromioclavicular cyst. Which condition is the finding MOST associated with this pathology?

  • A. Chondrocalcinosis
  • B. Rotator cuff tear
  • C. Amyloidosis
  • D. Humeral head fracture
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Which carpal bone is visualized medially to the ulnar nerve on a transverse scan of the wrist at the level of the distal wrist crease?

  • A. Capitate
  • B. Pisiform
  • C. Triquetrum
  • D. Hamate
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Which of the following is TRUE for document storage and record-keeping guidelines and requirements?

  • A. All images must be part of the electronic or paper patient file.
  • B. Ultrasound studies must be saved in a DICOM (Digital Imaging and Communications in Medicine) format.
  • C. There must be provisions for the storage and retrieval of examination records of all studies that are documented in the medical chart.
  • D. The physician's report on the ultrasound examination must be stored in a physically separate location from the machine.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

A practitioner obtains the following ultrasound image of a patient with a positive rheumatoid factor and normal ESR, CRP, and hand X-rays.

Which of the following options would be an evidence-based statement during a discussion of the management plan?

  • A. A positive Doppler signal is a predictor of future joint damage.
  • B. Hyperemia is suggestive of a septic joint and requires further diagnostic testing.
  • C. Severe (high-grade) synovial hyperemia, but not mild (low-grade) hyperemia, would be an indication to change therapy.
  • D. Low-grade synovial hyperemia is found in most patients in clinical remission from rheumatoid arthritis.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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