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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| 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.
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
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
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.
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.
Correct Answer: D 🗳️
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