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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Equipment Use and Management | |
| Interpretation and Integration | |
| Procedural Guidance | |
| Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Preparing the Patient and Environment | |
| Documentation | |
| Performing the Ultrasound Examination |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
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. Use a "hockey stick" probe.
- C. Decrease the depth.
- D. Float the probe.
Correct Answer: B 🗳️
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. Ankle pain
- B. Ruling out of infection
- C. Inflammatory arthritis
- D. Ruling out of inflammatory arthritis
Correct Answer: D 🗳️
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. Referral to occupational therapy for shoulder rehabilitation exercise
- B. Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa
- C. Ultrasound-guided corticosteroid injection of the glenohumeral joint
- D. Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
Correct Answer: A 🗳️
What is the MAXIMUM normal dimension of the structure indicated by the line in this image?
- A. 7 mm in adults
- B. 7 mm in children less than 5 years old
- C. 9 mm in children less than 5 years old
- D. 9 mm in adults
Correct Answer: D 🗳️
Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?
- A. Posterior patellar cartilage
- B. Metacarpal volar plate
- C. Anterior glenoid labrum
- D. Posterior cruciate ligament
Correct Answer: A 🗳️
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