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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Upper Extremity Ultrasound | - Shoulder joint evaluation - Elbow, wrist, and hand structures |
| Ultrasound-Guided Procedures | - Needle guidance and safety principles - Joint aspiration and injection techniques |
| Foundations of Musculoskeletal Ultrasound | - Image optimization and acquisition techniques - Ultrasound physics and instrumentation |
| Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
| Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
1. To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?
A) Standoff pad
B) Smaller footprint
C) Higher frequency
D) Curvilinear structure
2. Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?
A) Examiner injury
B) Radiation exposure
C) Infection
D) Poor calibration
3. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?
A) Image B
B) Image A
C) Image C
D) Image D
4. What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?
A) Osteophytes and meniscal cyst
B) Osteophytes and distension and calcification of the medial collateral ligament
C) Osteophytes, distension of the medial collateral ligament, and meniscal degeneration
D) Osteophytes and rupture of the medial collateral ligament
5. Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?
A) The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
B) Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
C) Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.
D) Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: D |






