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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:
1. 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
2. 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
3. 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.
4. 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.
5. 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
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: D |
