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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Preparing the Patient and Environment | |
| Interpretation and Integration | |
| Performing the Ultrasound Examination | |
| Procedural Guidance | |
| Documentation | |
| Equipment Use and Management |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
An 83-year-old female with a medical history of congestive heart failure, critical aortic stenosis, end-stage renal disease, and morbid obesity presents to the office with a complaint of right knee pain for two years. The pain is worse with activity and better with rest. She notes no redness, warmth, or swelling in the joint, with no other joints being painful. A physical examination reveals crepitus in the right knee with medial and lateral joint line tenderness of the left knee. X-rays of the right knee from six months ago are consistent with severe tricompartmental osteoarthritis. Due to morbid obesity, visualization of bony landmarks is not possible and the decision is made to proceed with an ultrasound-guided knee injection with a hyaluronic acid derivative.
Prior to injection, where should the needle tip be visualized?
- A. B
- B. C
- C. D
- D. A
Correct Answer: A π³οΈ
In this volar transverse image of the carpal tunnel, the arrows represent needles, and the arrowheads represent the needle tips. In planning a carpal tunnel corticosteroid injection with ultrasound guidance, which of the arrows combines the safest path through tissues with the BEST needle visualization?
- A. Arrow C
- B. Arrow D
- C. Arrow B
- D. Arrow A
Correct Answer: A π³οΈ
Which of the following is MOST accurate regarding high-level disinfection of a probe?
- A. High-level disinfection of an external probe removes all bacterial spores.
- B. High-level disinfection of an external probe does not remove most fungi
- C. High-level disinfection of an internal-use probe is required between every patient
- D. High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
Correct Answer: D π³οΈ
A 78-year-old woman presents with three days of ankle pain and swelling. Her exam reveals swelling localized around the medial malleolus, and any motion or palpation causes pain. The medial transverse ultrasound view of the ankle is shown. Based on her presentation and the ultrasound image, what is the MOST likely anatomic structure from which her pain is emanating?
- A. Subtalar joint
- B. Flexor hallucis
- C. Posterior tibial tendon
- D. Flexor digitorum
Correct Answer: C π³οΈ
The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?
- A. Tendinopathy
- B. Normal tendon variability
- C. Artifact from transducer placement
- D. Tendon tear
Correct Answer: D π³οΈ
