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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionObjectives
Topic 1: Inflammatory and Degenerative Pathology- Synovitis, effusions, and erosions
- Tendinopathy and enthesitis patterns
Topic 2: Lower Extremity Ultrasound- Knee, ankle, and foot evaluation
- Hip joint assessment
Topic 3: Foundations of Musculoskeletal Ultrasound- Image optimization and acquisition techniques
- Ultrasound physics and instrumentation
Topic 4: Ultrasound-Guided Procedures- Needle guidance and safety principles
- Joint aspiration and injection techniques
Topic 5: Upper Extremity Ultrasound- Shoulder joint evaluation
- Elbow, wrist, and hand structures

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

1. What is the MAIN pathologic finding shown in this ultrasound image?

A) Synovitis
B) Erosion
C) Tendon rupture
D) Osteophytes


2. Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?

A) Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
B) The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
C) Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.
D) Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip.


3. Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?

A) Metacarpal volar plate
B) Posterior patellar cartilage
C) Anterior glenoid labrum
D) Posterior cruciate ligament


4. Which of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?

A) A person sitting in front of a machine Description automatically generated
B) A person with no shirt Description automatically generated
C) A person sitting in a chair with a machine Description automatically generated


D) A person in a hospital room Description automatically generated with medium confidence


5. The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?

A) Eosinophilic fasciitis
B) Sjogren's syndrome
C) Shoulder capsulitis
D) Polymyositis


Solutions:

Question # 1
Answer: D
Question # 2
Answer: D
Question # 3
Answer: B
Question # 4
Answer: B
Question # 5
Answer: C

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