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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Topic 2: Performing the Ultrasound Examination | |
| Topic 3: Procedural Guidance | |
| Topic 4: Interpretation and Integration | |
| Topic 5: Equipment Use and Management | |
| Topic 6: Preparing the Patient and Environment | |
| Topic 7: Documentation |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
In this volar transverse image of the second metacarpophalangeal joint, the hyperechoic focus indicated by the arrow is which of the following?
- A. A metacarpal fragment from prior trauma
- B. A normal sesamoid
- C. The tip of an osteophyte
- D. A foreign body
The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?
- A. Eosinophilic fasciitis
- B. Polymyositis
- C. Shoulder capsulitis
- D. Sjogren's syndrome
What should be adjusted to improve the quality of the image of the tibiotalar joint?
- A. Focus and frequency
- B. Frame average and depths
- C. Frame average and frequency
- D. Focus and map
What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?
- A. Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only
- B. All appropriate sonographic views of every joint examined
- C. Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint
- D. Images of the sonographic views with the presence of power Doppler synovitis only
In which situation is an ultrasound MOST appropriate for making the correct clinical diagnosis?
- A. In rheumatoid arthritis, to diagnose carpal tunnel syndrome
- B. In juvenile idiopathic arthritis, to diagnose tenosynovitis in a patient with ankle swelling
- C. In fibromyalgia, to confirm the absence of joint and tendon pathology
- D. In gout, using the double contour sign alone as diagnostic confirmation of the disease
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