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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Equipment Use and Management | |
| Topic 2: Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Topic 3: Interpretation and Integration | |
| Topic 4: Preparing the Patient and Environment | |
| Topic 5: Procedural Guidance | |
| Topic 6: Performing the Ultrasound Examination | |
| Topic 7: Documentation |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
What should be adjusted to improve the quality of the image of the tibiotalar joint?
- A. Frame average and depths
- B. Focus and map
- C. Frame average and frequency
- D. Focus and frequency
The second finger was examined. Which of the following is shown in the image below?
- A. Metacarpophalangeal, palmar longitudinal view
- B. Metacarpophalangeal, dorsal longitudinal view
- C. Proximal interphalangeal, palmar longitudinal view
- D. Proximal interphalangeal, dorsal longitudinal view
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.
A practitioner obtains the following ultrasound image of a patient with a positive rheumatoid factor and normal ESR, CRP, and hand X-rays.
Which of the following options would be an evidence-based statement during a discussion of the management plan?
- A. A positive Doppler signal is a predictor of future joint damage.
- B. Low-grade synovial hyperemia is found in most patients in clinical remission from rheumatoid arthritis.
- C. Severe (high-grade) synovial hyperemia, but not mild (low-grade) hyperemia, would be an indication to change therapy.
- D. Hyperemia is suggestive of a septic joint and requires further diagnostic testing.
A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?
- A. Image C
- B. Image D
- C. Image A
- D. Image B
