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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Ultrasound-Guided Procedures | - Needle guidance and safety principles - Joint aspiration and injection techniques |
| Topic 2: Upper Extremity Ultrasound | - Elbow, wrist, and hand structures - Shoulder joint evaluation |
| Topic 3: Foundations of Musculoskeletal Ultrasound | - Ultrasound physics and instrumentation - Image optimization and acquisition techniques |
| Topic 4: Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
| Topic 5: Lower Extremity Ultrasound | - Knee, ankle, and foot evaluation - Hip joint assessment |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?
- A. Ruling out of inflammatory arthritis
- B. Inflammatory arthritis
- C. Ankle pain
- D. Ruling out of infection
Which of the following is TRUE for document storage and record-keeping guidelines and requirements?
- A. All images must be part of the electronic or paper patient file.
- B. There must be provisions for the storage and retrieval of examination records of all studies that are documented in the medical chart.
- C. The physician's report on the ultrasound examination must be stored in a physically separate location from the machine.
- D. Ultrasound studies must be saved in a DICOM (Digital Imaging and Communications in Medicine) format.
A 30-year-old female patient with rheumatoid arthritis reports pain at the medial malleolus. The medial side of the ankle is tender and seems to be swollen. How should a practitioner interpret the transverse images at the medial malleolus?
- A. Tenosynovitis of the flexor hallucis longus
- B. Tenosynovitis of the tibialis anterior tendon
- C. Neurom of the tibiatis posterior nerve
- D. Tenosynovitis of the flexor digitorum
Which probe is the BEST choice for ultrasound examination of the adult wrist?
- A. Linear 20-25 mm, 3-8 MHz transducer
- B. Linear 20-25 mm, 10-18 MHz transducer
- C. Linear 40-50 mm, 10-18 MHz transducer
- D. Linear 40-50 mm, 3-8 MHz transducer
A 38-year-old woman with recent history of right shoulder subacromial impingement presents for a two-week follow-up after an anatomically guided subacromial/subdeltoid corticosteroid injection. She reports some initial, but only short-lived, improvement of her right shoulder pain and discomfort with arm elevation.
Her right shoulder X-rays are normal. What would be the MOST appropriate next intervention?
- A. Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa
- B. Ultrasound-guided corticosteroid injection of the glenohumeral joint
- C. Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
- D. Referral to occupational therapy for shoulder rehabilitation exercise
