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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Procedural Guidance | - Safety and procedural considerations - Ultrasound-guided injections and interventions | |
| Topic 2: Interpretation and Integration | - Integrating ultrasound findings into clinical decisions - Identifying normal and pathological findings | |
| Topic 3: Equipment Use and Management | - Transducer selection and maintenance - Ultrasound machine controls and optimization | |
| Topic 4: Preparing the Patient and Environment | - Environment and equipment setup - Patient positioning and preparation | |
| Topic 5: Documentation | - Image archiving and record keeping - Reporting standards and required documentation | |
| Topic 6: Performing the Ultrasound Examination | - Anatomical landmark recognition - Scanning techniques for joints and soft tissue | |
| Topic 7: Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Ultrasound capabilities and limitations - Clinical indications and appropriate use cases |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Question #1
Which of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?
A. A person with no shirt Description automatically generated
B. A person in a hospital room Description automatically generated with medium confidence
C. A person sitting in front of a machine Description automatically generated
D. A person sitting in a chair with a machine Description automatically generated
Question #2
How reliable is ultrasound as compared to other imaging modalities for diagnosing synovitis in the joints of the fingers?
A. Ultrasound is as sensitive as MRI but superior to X-ray.
B. Ultrasound is inferior to MRI and X-ray in sensitivity.
C. Ultrasound is inferior to MRI but superior to clinical exam in sensitivity.
D. Ultrasound is inferior to MRI but superior to X-ray in sensitivity.
Question #3
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. Intercarpal joint
C. Radioulnar joint
D. Extensor tenosynovium
Question #4
Which of the following statements regarding ultrasound probe care is MOST accurate?
A. Internal-use probes are considered critical devices and require sterilization after each use.
B. Internal-use probes are considered semi-critical devices and require low-level disinfection 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.
Question #5
Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?
A. Knee in a 72-year-old female with unilateral knee pain, no swelling on examination, and medial narrowing of the joint space on knee radiograph
B. Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine
C. Asymptomatic hand and wrist joints with bony deformities present in a 60-year-old female with a positive rheumatoid factor and CCP antibody but normal sedimentation rate and C-reactive protein level
D. Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
Solutions:
| Question #1 Correct Answer: A | Question #2 Correct Answer: D | Question #3 Correct Answer: B | Question #4 Correct Answer: C | Question #5 Correct Answer: D |
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