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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Preparing the Patient and Environment | - Environment and equipment setup - Patient positioning and preparation | |
| Equipment Use and Management | - Ultrasound machine controls and optimization - Transducer selection and maintenance | |
| Interpretation and Integration | - Identifying normal and pathological findings - Integrating ultrasound findings into clinical decisions | |
| Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Ultrasound capabilities and limitations - Clinical indications and appropriate use cases |
| Procedural Guidance | - Ultrasound-guided injections and interventions - Safety and procedural considerations | |
| Performing the Ultrasound Examination | - Scanning techniques for joints and soft tissue - Anatomical landmark recognition | |
| Documentation | - Reporting standards and required documentation - Image archiving and record keeping |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?
- A. Smaller footprint
- B. Higher frequency
- C. Curvilinear structure
- D. Standoff pad
Correct Answer: C 🗳️
A 38-year-old woman with recent history of right shoulder subacromial impingement presents for a two-week follow-up after an anatomically guided subacromial/subdeltoid corticosteroid injection. She reports some initial, but only short-lived, improvement of her right shoulder pain and discomfort with arm elevation.
Her right shoulder X-rays are normal. What would be the MOST appropriate next intervention?
- A. Ultrasound-guided corticosteroid injection of the glenohumeral joint
- B. Referral to occupational therapy for shoulder rehabilitation exercise
- C. Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
- D. Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa
Correct Answer: B 🗳️
This ultrasound image from a 60-year-old woman with knee pain is MOST suggestive of which of the following?
- A. Meniscus tear
- B. Chondrocalcinosis
- C. Urate deposition
- D. Osteophyte formation
Correct Answer: D 🗳️
A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?
- A. Inflammatory arthritis
- B. Ruling out of inflammatory arthritis
- C. Ruling out of infection
- D. Ankle pain
Correct Answer: B 🗳️
What is the MOST appropriate conclusion for the image of this hip?
- A. Hip synovitis in longitudinal view
- B. Hip effusion in longitudinal view
- C. Normal longitudinal view of the hip
- D. Iliopsoas bursitis in longitudinal view
Correct Answer: A 🗳️
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