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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Upper Extremity Ultrasound | - Shoulder joint evaluation - Elbow, wrist, and hand structures |
| Ultrasound-Guided Procedures | - Joint aspiration and injection techniques - Needle guidance and safety principles |
| Foundations of Musculoskeletal Ultrasound | - Image optimization and acquisition techniques - Ultrasound physics and instrumentation |
| Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
| Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
1. The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?
A) Eosinophilic fasciitis
B) Polymyositis
C) Sjogren's syndrome
D) Shoulder capsulitis
2. Which of the following statements regarding ultrasound probe care is MOST accurate?
A) Internal-use probes are considered semi-critical devices and require low-level disinfection after each use.
B) Internal-use probes are considered critical devices and require sterilization after each use.
C) External probes that come into contact with intact skin are considered noncritical devices and require cleaning with low-level disinfectants after each use.
D) External probes, when used without a cover for ultrasound-guided injections or aspiration, are considered semi-critical devices and require low-level disinfection after each use.
3. Which of the following is the MOST appropriate approach to use when performing an ultrasound-guided aspiration on a Baker's cyst in the posterior knee of a 76-year-old female patient?
A) A posteromedial approach at the level of the joint line
B) A posteromedial approach at the level of the mid-gastrocnemius muscle
C) A posteromedial approach at the level proximal to the joint line
D) An anteromedial approach at the level of the joint line
4. The change between the ankle depicted in the first and second images would BEST be explained by which of the following?

A) Increased gain
B) Decreased synovitis
C) Decreased frequency
D) Decreased transducer pressure
5. What is the MOST prominent ultrasound artifact depicted in this image?
A) Comet tail
B) Enhancement
C) Shadowing
D) Ring down
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: B |

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