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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:
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
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.
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
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.
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 Answer: A | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: D |
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