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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 performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:

A) Needle angle relative to the transducer is minimized.
B) Needle crosses the plane of the transducer.
C) Target is as close as possible to the side of the transducer where the needle will be inserted.
D) Transducer touches the point where the needle penetrates the skin.

2. How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?

A) By placing the probe in a transverse position over the distal clavicle and asking the patient to raise the arm
B) By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm
C) By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm
D) By placing the probe in a longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm.

3. Which of the following images is MOST consistent with crystal-induced arthropathy?

A) Option D
B) Option A
C) Option B
D) Option C

4. In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?

A) Flexor tenosynovitis
B) Median nerve impingement
C) Persistent median artery
D) Anomalous radial artery

5. Why is musculoskeletal ultrasound (MSKUS) useful in monitoring the treatment response in rheumatoid arthritis?

A) Power Doppler ultrasound is sensitive to change in disease activity.
B) Power Doppler ultrasound is specific to rheumatoid arthritis disease activity.
C) MSKUS is able to detect bone marrow edema around joints
D) Gray-scale ultrasound can predict the development of erosions.

Solutions: