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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionWeightObjectives
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 Rheumatology9%- 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
Reveal Solution  Discussion  0

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
Reveal Solution  Discussion  0

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
Reveal Solution  Discussion  0

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
Reveal Solution  Discussion  0

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
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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