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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
| Topic 2: Ultrasound-Guided Procedures | - Joint aspiration and injection techniques - Needle guidance and safety principles |
| Topic 3: Inflammatory and Degenerative Pathology | - Tendinopathy and enthesitis patterns - Synovitis, effusions, and erosions |
| Topic 4: Upper Extremity Ultrasound | - Elbow, wrist, and hand structures - Shoulder joint evaluation |
| Topic 5: Foundations of Musculoskeletal Ultrasound | - Image optimization and acquisition techniques - Ultrasound physics and instrumentation |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?
- A. Glenohumeral joint
- B. Lateral epicondyle
- C. Knee
- D. Sacroiliac joint
Correct Answer: D 🗳️
A 38-year-old woman with recent history of right shoulder subacromial impingement presents for a two-week follow-up after an anatomically guided subacromial/subdeltoid corticosteroid injection. She reports some initial, but only short-lived, improvement of her right shoulder pain and discomfort with arm elevation.
Her right shoulder X-rays are normal. What would be the MOST appropriate next intervention?
- A. Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
- B. Ultrasound-guided corticosteroid injection of the glenohumeral joint
- C. Referral to occupational therapy for shoulder rehabilitation exercise
- D. Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa
Correct Answer: C 🗳️
A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?
- A. Image A
- B. Image B
- C. Image D
- D. Image C
Correct Answer: B 🗳️
This ultrasound image from a 60-year-old woman with knee pain is MOST suggestive of which of the following?
- A. Urate deposition
- B. Chondrocalcinosis
- C. Meniscus tear
- D. Osteophyte formation
Correct Answer: D 🗳️
The best way to facilitate visualization of ultrasound images in an exam room.
- A. Brighten the ambient lighting to improve the signal-to-noise ratio
- B. Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
- C. Decrease high-frequency ambient noise to minimize interfering sound waves
- D. Decrease the amount of gel in between transducer and skin to improve transmission of sound waves
Correct Answer: B 🗳️
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