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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. A 30-year-old female patient with rheumatoid arthritis reports pain at the medial malleolus. The medial side of the ankle is tender and seems to be swollen. How should a practitioner interpret the transverse images at the medial malleolus?

A) Neurom of the tibiatis posterior nerve
B) Tenosynovitis of the flexor digitorum
C) Tenosynovitis of the flexor hallucis longus
D) Tenosynovitis of the tibialis anterior tendon

2. This suprapatellar longitudinal scan in a 3-year-old girl is MOST consistent with which of the following?

A) Quadriceps tendinopathy with acoustic shadow
B) Normal anatomy for age
C) An effusion of the suprapatellar recess
D) Chondromalacia of the patella

3. 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

4. The second finger was examined. Which of the following is shown in the image below?

A) Metacarpophalangeal, dorsal longitudinal view
B) Metacarpophalangeal, palmar longitudinal view
C) Proximal interphalangeal, palmar longitudinal view
D) Proximal interphalangeal, dorsal longitudinal view

5. Which of the following is the MOST appropriate next step to confirm the presence of pathology in this metacarpophalangeal joint?

A) Check the transverse plane.
B) Float the probe.
C) Use a "hockey stick" probe.
D) Decrease the depth.

Solutions: