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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Interpretation and Integration | - Integrating ultrasound findings into clinical decisions - Identifying normal and pathological findings | |
| Topic 2: Procedural Guidance | - Safety and procedural considerations - Ultrasound-guided injections and interventions | |
| Topic 3: Performing the Ultrasound Examination | - Anatomical landmark recognition - Scanning techniques for joints and soft tissue | |
| Topic 4: Preparing the Patient and Environment | - Patient positioning and preparation - Environment and equipment setup | |
| Topic 5: Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Clinical indications and appropriate use cases - Ultrasound capabilities and limitations |
| Topic 6: Documentation | - Image archiving and record keeping - Reporting standards and required documentation | |
| Topic 7: Equipment Use and Management | - Ultrasound machine controls and optimization - Transducer selection and maintenance |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
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. Referral to occupational therapy for shoulder rehabilitation exercise
- C. Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
- D. Ultrasound-guided corticosteroid injection of the glenohumeral joint
Correct Answer: B 🗳️
Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?
- A. Anterior glenoid labrum
- B. Posterior cruciate ligament
- C. Posterior patellar cartilage
- D. Metacarpal volar plate
Correct Answer: C 🗳️
Which of the following images is MOST suggestive of sonographic features of patients with spondyloarthropathy?
- A. Option C
- B. Option A
- C. Option D
- D. Option B
Correct Answer: A 🗳️
Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?
- A. Proximal interphalangeal osteophytes
- B. Proximal interphalangeal synovitis
- C. Flexor tendon rupture with reparative hyperemia
- D. Flexor tenosynovitis
Correct Answer: D 🗳️
A 37-year-old female with a history of rheumatoid arthritis presents for sonographic evaluation. She has been in clinical remission for six months and is considering discontinuation of her biologic agent. Sonography of the right third metacarpophalangeal joint is shown. Which of the following is the MOST accurate description regarding this image?
- A. Abnormal hyperechoic extra-articular tissue with Doppler signal
- B. Abnormal hypoechoic extra-articular tissue with Doppler signal
- C. Abnormal hyperechoic intra-articular tissue with Doppler signal
- D. Abnormal hypoechoic intra-articular tissue with Doppler signal
Correct Answer: D 🗳️
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