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American College of Rheumatology RhMSUS Exam Syllabus Topics:

American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:

Question 1

An 81-year-old male with known shoulder osteoarthritis presents to the office for an ultrasound-guided injection of the glenohumeral joint. Prior to injection, where should the needle tip be visualized?

A. D
B. B
C. C
D. A

Question 2

Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?

A. Preoperative evaluation of a patient with suspected rotator cuff tear
B. Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
C. Assessment of pain and swelling of unclear etiology at the right temporomandibular joint
D. Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint

Question 3

Which carpal bone is visualized medially to the ulnar nerve on a transverse scan of the wrist at the level of the distal wrist crease?

A. Capitate
B. Triquetrum
C. Pisiform
D. Hamate

Question 4

Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?

A. The normal appearance of irregular ossification centers of the respective midfoot bones
B. An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces
C. Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions
D. The typical appearance of pes equinovarus

Question 5

Which effect is achieved by increasing the gain while in Doppler mode?

A. Reduced noise artifacts in the image
B. Increased image brightness
C. Increased sensitivity to flow
D. Increased tissue penetration

Solutions: