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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Upper Extremity Ultrasound | - Shoulder joint evaluation - Elbow, wrist, and hand structures |
| Topic 2: Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
| Topic 3: Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
| Topic 4: Ultrasound-Guided Procedures | - Needle guidance and safety principles - Joint aspiration and injection techniques |
| Topic 5: Foundations of Musculoskeletal Ultrasound | - Ultrasound physics and instrumentation - Image optimization and acquisition techniques |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?
- A. An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces
- B. The typical appearance of pes equinovarus
- C. The normal appearance of irregular ossification centers of the respective midfoot bones
- D. Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions
Correct Answer: C 🗳️
Which of these supraspinatus longitudinal images has the BEST combination of ultrasound machine settings?
- A. Option D
- B. Option A
- C. Option B
- D. Option C
Correct Answer: A 🗳️
Which of the dorsal longitudinal metacarpophalangeal images below MOST suggests the diagnosis of rheumatoid arthritis?
- A. A close-up of a black and white image Description automatically generated
- B. A close-up of a ultrasound Description automatically generated
- C. An ultrasound image of a human body Description automatically generated
- D. A close-up of an ultrasound Description automatically generated
Correct Answer: C 🗳️
Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?
- A. Preoperative evaluation of a patient with suspected rotator cuff tear
- B. Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
- C. Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
- D. Assessment of pain and swelling of unclear etiology at the right temporomandibular joint
Correct Answer: A 🗳️
For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?
- A. A patient who has pain and numbness over the lateral calf
- B. A patient with psoriasis and posterior heel pain
- C. A 50-year-old woman with pain between the third and fourth metatarsals
- D. A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation
Correct Answer: D 🗳️
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