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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. Which of the following statements is CORRECT with regard to the use of ultrasound equipment for children?" followed by four answer choices:

A) Ultrasonography has limitations in imaging the relatively small structures in pediatric joints
B) Pediatric joints can be imaged with the same ultrasound equipment used for adults
C) High-Trequency probes are necessary to adapt to the small pediatric joints
D) Special "hockey stick" transducers are essential to adequately image pediatric joints

2. In this image of a knee, what is the MOST obvious abnormality?

A) Asymmetric femoral cartilage thinning
B) Chondrocalcinosis
C) Cartilage interface sign
D) Avascular necrosis

3. In this volar transverse image of the carpal tunnel, the arrows represent needles, and the arrowheads represent the needle tips. In planning a carpal tunnel corticosteroid injection with ultrasound guidance, which of the arrows combines the safest path through tissues with the BEST needle visualization?

A) Arrow A
B) Arrow C
C) Arrow B
D) Arrow D

4. A 45-year-old man presents to the emergency room for evaluation of right knee pain for the past five days.
He denies a history of trauma and is afebrile on examination. A right knee effusion is noted on exam.
Arthrocentesis is planned and a traditional palpation-guided method is being considered versus an ultrasound-guided technique.
Which of the following is the MOST accurate description of the ultrasound-guided technique in this setting?

A) The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.
B) The ultrasound-guided technique takes additional time to perform.
C) The ultrasound-guided technique leads to more fluid aspiration among novice physicians.
D) The ultrasound-guided technique results in more pain.

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

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

Solutions: