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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Equipment Use and Management | |
| Topic 2: Procedural Guidance | |
| Topic 3: Interpretation and Integration | |
| Topic 4: Documentation | |
| Topic 5: Preparing the Patient and Environment | |
| Topic 6: Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Topic 7: Performing the Ultrasound Examination |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
A 38-year-old woman with recent history of right shoulder subacromial impingement presents for a two-week follow-up after an anatomically guided subacromial/subdeltoid corticosteroid injection. She reports some initial, but only short-lived, improvement of her right shoulder pain and discomfort with arm elevation.
Her right shoulder X-rays are normal. What would be the MOST appropriate next intervention?
- A. Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
- B. Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa
- C. Referral to occupational therapy for shoulder rehabilitation exercise
- D. Ultrasound-guided corticosteroid injection of the glenohumeral joint
Correct Answer: C 🗳️
A 30-year-old pregnant woman with rheumatoid arthritis presents with right wrist pain and swelling despite a palpation-guided corticosteroid injection one month ago.

- A. Radiocarpal joint
- B. Extensor tenosynovium
- C. Radioulnar joint
- D. Intercarpal joint
Correct Answer: D 🗳️
A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?
- A. Image D
- B. Image C
- C. Image B
- D. Image A
Correct Answer: C 🗳️
This suprapatellar longitudinal scan in a 3-year-old girl is MOST consistent with which of the following?
- A. Normal anatomy for age
- B. An effusion of the suprapatellar recess
- C. Quadriceps tendinopathy with acoustic shadow
- D. Chondromalacia of the patella
Correct Answer: B 🗳️
A 62-year-old man presents with left shoulder pain. The ultrasound image was taken at the patient's maximum abduction (45 degrees). Which of the following rotator cuff pathologies is BEST evaluated with this shoulder position?
- A. Intrasubstance tear
- B. Enthesopathy
- C. Complete tear
- D. Impingement
Correct Answer: D 🗳️
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