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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionObjectives
Preparing the Patient and Environment
Documentation
Recognize Indications for the Use of Ultrasound in Rheumatology
Performing the Ultrasound Examination
Equipment Use and Management
Procedural Guidance
Interpretation and Integration

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

Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?

  • A. Knee in a 72-year-old female with unilateral knee pain, no swelling on examination, and medial narrowing of the joint space on knee radiograph
  • B. Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
  • C. Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine
  • D. Asymptomatic hand and wrist joints with bony deformities present in a 60-year-old female with a positive rheumatoid factor and CCP antibody but normal sedimentation rate and C-reactive protein level
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

What is the MOST prominent ultrasound artifact depicted in this image?

  • A. Comet tail
  • B. Enhancement
  • C. Ring down
  • D. Shadowing
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

By comparing gray-scale images from before pharmacologic treatment and after months of treatment, rheumatologists are able to assess patient improvement and response with regard to:

  • A. Synovitis in rheumatoid arthritis.
  • B. Erosions in rheumatoid arthritis.
  • C. Articular cartilage damage in osteoarthritis.
  • D. Osteophytes in osteoarthritis.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?

  • A. An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces
  • B. Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions
  • C. The normal appearance of irregular ossification centers of the respective midfoot bones
  • D. The typical appearance of pes equinovarus
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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