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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

Question 1

An 81-year-old male with known shoulder osteoarthritis presents to the office for an ultrasound-guided injection of the glenohumeral joint. Prior to injection, where should the needle tip be visualized?

A. D
B. A
C. C
D. B


Question 2

Which of the following is required in a report documenting an ultrasound-guided procedure?

A. Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions
B. Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
C. Image showing needle in the target structure or orthogonal images of the target structure before and after injection
D. Image labeled with exam date, patient identification, image orientation, and image views of the target area


Question 3

Which of the probe placement photographs BEST matches the standard wrist ultrasound image shown?

A. Image D
B. Image A
C. Image C
D. Image B


Question 4

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. Polymyositis
C. Shoulder capsulitis
D. Sjogren's syndrome


Question 5

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

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


Solutions:

Question 1
Answer: A
Question 2
Answer: A
Question 3
Answer: C
Question 4
Answer: C
Question 5
Answer: C

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