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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Equipment Use and Management | |
| Preparing the Patient and Environment | |
| Interpretation and Integration | |
| Procedural Guidance | |
| Performing the Ultrasound Examination | |
| Documentation |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
The best way to facilitate visualization of ultrasound images in an exam room.
- A. Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
- B. Decrease high-frequency ambient noise to minimize interfering sound waves
- C. Brighten the ambient lighting to improve the signal-to-noise ratio
- D. Decrease the amount of gel in between transducer and skin to improve transmission of sound waves
Correct Answer: A 🗳️
A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?

- A. Rheumatoid nodulosis
- B. Ganglion cyst rupture
- C. Extensor tendon tear
- D. Extensor tenosynovitis
Correct Answer: D 🗳️
A 80-year-old man presents with two weeks of wrist swelling and pain. His exam reveals swelling and tenderness over the dorsum of his right wrist as well as synovial swelling of the second and third metacarpophalangeal joints of his left hand. His serum uric acid concentration is 6.0 mg/dL. The longitudinal and transverse images of the dorsal aspect of his right wrist are shown below. What is the MOST likely diagnosis?

- A. Rheumatoid arthritis
- B. Psoriatic arthritis
- C. Gout
- D. Calcium pyrophosphate arthritis
Correct Answer: C 🗳️
For which of the following conditions is the use of diagnostic musculoskeletal ultrasound appropriate?
- A. Anterior cruciate ligament tear
- B. Tibial stress fracture
- C. Meniscal tear
- D. Osgood-Schlatter disease
Correct Answer: D 🗳️
This posterior transverse scan of the shoulder of a 3-year-old boy shows which of the following?
- A. Effusion with an erosion of the humeral head
- B. Fracture of the humeral head
- C. Effusion of the glenohumeral joint
- D. Normal shoulder scan
Correct Answer: C 🗳️
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