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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Equipment Use and Management | - Ultrasound machine controls and optimization - Transducer selection and maintenance | |
| Topic 2: Procedural Guidance | - Ultrasound-guided injections and interventions - Safety and procedural considerations | |
| Topic 3: Interpretation and Integration | - Integrating ultrasound findings into clinical decisions - Identifying normal and pathological findings | |
| Topic 4: Performing the Ultrasound Examination | - Scanning techniques for joints and soft tissue - Anatomical landmark recognition | |
| Topic 5: Documentation | - Image archiving and record keeping - Reporting standards and required documentation | |
| Topic 6: Preparing the Patient and Environment | - Environment and equipment setup - Patient positioning and preparation | |
| Topic 7: Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Clinical indications and appropriate use cases - Ultrasound capabilities and limitations |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?
- A. Flexor tenosynovitis
- B. Anomalous radial artery
- C. Persistent median artery
- D. Median nerve impingement
Correct Answer: C 🗳️
Why is musculoskeletal ultrasound (MSKUS) useful in monitoring the treatment response in rheumatoid arthritis?
- A. Gray-scale ultrasound can predict the development of erosions.
- B. Power Doppler ultrasound is sensitive to change in disease activity.
- C. Power Doppler ultrasound is specific to rheumatoid arthritis disease activity.
- D. MSKUS is able to detect bone marrow edema around joints
Correct Answer: B 🗳️
A 3-year-old child with juvenile idiopathic arthritis presents for an intra-articular corticosteroid injection of the knee. Using ultrasound guidance, which location should be targeted with a needle?
- A. B
- B. A
- C. C
- D. D
Correct Answer: C 🗳️
A practitioner wants to assess the structures on the right, distal portion of this image.
What should the practitioner do at this time?
- A. Depress the distal end of the probe.
- B. Increase the overall gain to brighten the image.
- C. Choose a lower transducer frequency.
- D. Place the focal point at the level of the area of interest.
Correct Answer: D 🗳️
A 41-year-old man presents with suspected right carpal tunnel syndrome but normal nerve conduction studies. For which reason will a sonographic study be helpful for further diagnostic evaluation?
- A. Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
- B. Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
- C. Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
- D. Ultrasound can delineate volar wrist anatomy.
Correct Answer: D 🗳️
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