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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. 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 gout, using the double contour sign alone as diagnostic confirmation of the disease
C) In fibromyalgia, to confirm the absence of joint and tendon pathology
D) In juvenile idiopathic arthritis, to diagnose tenosynovitis in a patient with ankle swelling

2. A practitioner wants to assess the structures on the right, distal portion of this image.

What should the practitioner do at this time?

A) Place the focal point at the level of the area of interest.
B) Choose a lower transducer frequency.
C) Increase the overall gain to brighten the image.
D) Depress the distal end of the probe.

3. For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?

A) A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation
B) A patient who has pain and numbness over the lateral calf
C) A 50-year-old woman with pain between the third and fourth metatarsals
D) A patient with psoriasis and posterior heel pain

4. Which of the following is required in a report documenting an ultrasound-guided procedure?

A) Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions
B) Image labeled with exam date, patient identification, image orientation, and image views of the target area
C) Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
D) Image showing needle in the target structure or orthogonal images of the target structure before and after injection

5. A practitioner is counseling a patient with suspected rotator cuff tendinopathy on imaging options. Which of the following is CORRECT regarding diagnostic ultrasound examination?

A) It is the gold standard for preoperative planning for rotator cuff surgery.
B) It uses sound energy with no adverse effects found in clinical studies.
C) It provides the same information as an MRI without gadolinium.
D) It obviates the need for X-ray examination when cortical margins are normal.

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