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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Ultrasound-Guided Procedures | - Needle guidance and safety principles - Joint aspiration and injection techniques |
| Inflammatory and Degenerative Pathology | - Tendinopathy and enthesitis patterns - Synovitis, effusions, and erosions |
| Lower Extremity Ultrasound | - Knee, ankle, and foot evaluation - Hip joint assessment |
| 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:
1. 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.
2. A practitioner wants to assess the structures on the right, distal portion of this image.
What should the practitioner do at this time?
A) Increase the overall gain to brighten the image.
B) Place the focal point at the level of the area of interest.
C) Depress the distal end of the probe.
D) Choose a lower transducer frequency.
3. Which of the following statements is CORRECT with regard to the use of ultrasound equipment for children?" followed by four answer choices:
A) High-Trequency probes are necessary to adapt to the small pediatric joints
B) Pediatric joints can be imaged with the same ultrasound equipment used for adults
C) Special "hockey stick" transducers are essential to adequately image pediatric joints
D) Ultrasonography has limitations in imaging the relatively small structures in pediatric joints
4. Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?
A) Proximal interphalangeal osteophytes
B) Proximal interphalangeal synovitis
C) Flexor tenosynovitis
D) Flexor tendon rupture with reparative hyperemia
5. For an ultrasound examination, how should the patient, ultrasound machine, and examiner be oriented?
A) The examiner is between the patient and the monitor.
B) The examiner is closest to the limb of the patient being scanned while facing toward the monitor.
C) The monitor is between the patient and the examiner.
D) The monitor is on the left of the patient for a left-handed examiner.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: B |
