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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
| Inflammatory and Degenerative Pathology | - Tendinopathy and enthesitis patterns - Synovitis, effusions, and erosions |
| Ultrasound-Guided Procedures | - Joint aspiration and injection techniques - Needle guidance and safety principles |
| Foundations of Musculoskeletal Ultrasound | - Image optimization and acquisition techniques - Ultrasound physics and instrumentation |
| Upper Extremity Ultrasound | - Elbow, wrist, and hand structures - Shoulder joint evaluation |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?
- A. Extensor tendon tear
- B. Ganglion cyst rupture
- C. Rheumatoid nodulosis
- D. Extensor tenosynovitis
Correct Answer: D 🗳️
What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?
- A. Osteophytes and meniscal cyst
- B. Osteophytes and rupture of the medial collateral ligament
- C. Osteophytes and distension and calcification of the medial collateral ligament
- D. Osteophytes, distension of the medial collateral ligament, and meniscal degeneration
Correct Answer: D 🗳️
Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?
- A. The typical appearance of pes equinovarus
- B. The normal appearance of irregular ossification centers of the respective midfoot bones
- C. Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions
- D. An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces
Correct Answer: B 🗳️
What should be taken into consideration prior to any procedure?
- A. The transducer should be aligned perpendicular to the plane of the needle.
- B. The shortest pathway to the region of interest should be selected with consideration given to adjacent neurovascular structures.
- C. A slight to-and-fro movement or injection of a small amount of lidocaine may be beneficial in visualizing the needle.
- D. The needle should be visualized only prior to its insertion to the target area.
Correct Answer: B 🗳️
Which of the following statements regarding ultrasound probe care is MOST accurate?
- A. Internal-use probes are considered critical devices and require sterilization after each use.
- B. External probes that come into contact with intact skin are considered noncritical devices and require cleaning with low-level disinfectants after each use.
- C. External probes, when used without a cover for ultrasound-guided injections or aspiration, are considered semi-critical devices and require low-level disinfection after each use.
- D. Internal-use probes are considered semi-critical devices and require low-level disinfection after each use.
Correct Answer: B 🗳️
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