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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Upper Extremity Ultrasound | - Elbow, wrist, and hand structures - Shoulder joint evaluation |
| Foundations of Musculoskeletal Ultrasound | - Image optimization and acquisition techniques - Ultrasound physics and instrumentation |
| Lower Extremity Ultrasound | - Knee, ankle, and foot evaluation - Hip joint assessment |
| Ultrasound-Guided Procedures | - Needle guidance and safety principles - Joint aspiration and injection techniques |
| Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
1. Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"
A) A femoral neck enchondroma in a patient complaining of hip pain
B) Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
C) Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis
D) A Morton's neuroma in a patient complaining of foot pain
2. What is the MAIN pathologic finding shown in this ultrasound image?
A) Osteophytes
B) Erosion
C) Tendon rupture
D) Synovitis
3. Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?
A) The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
B) Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip.
C) Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.
D) Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
4. For which of the following conditions is the use of diagnostic musculoskeletal ultrasound appropriate?
A) Osgood-Schlatter disease
B) Meniscal tear
C) Anterior cruciate ligament tear
D) Tibial stress fracture
5. Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?
A) Poor calibration
B) Infection
C) Examiner injury
D) Radiation exposure
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: B |



