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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Upper Extremity Ultrasound | - Elbow, wrist, and hand structures - Shoulder joint evaluation |
| Foundations of Musculoskeletal Ultrasound | - Ultrasound physics and instrumentation - Image optimization and acquisition techniques |
| Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
| Ultrasound-Guided Procedures | - Joint aspiration and injection techniques - Needle guidance and safety principles |
| Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
A 78-year-old woman presents with three days of ankle pain and swelling. Her exam reveals swelling localized around the medial malleolus, and any motion or palpation causes pain. The medial transverse ultrasound view of the ankle is shown. Based on her presentation and the ultrasound image, what is the MOST likely anatomic structure from which her pain is emanating?
- A. Posterior tibial tendon
- B. Flexor hallucis
- C. Flexor digitorum
- D. Subtalar joint
Correct Answer: A 🗳️
Which pathologic condition is MOST likely responsible for the etiology of shoulder pain in the patient?
- A. Rheumatoid synovitis
- B. Subacromial bursitis
- C. Osteoarthritis
- D. Calcific tendinitis
Correct Answer: B 🗳️
Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?
- A. Radiation exposure
- B. Poor calibration
- C. Examiner injury
- D. Infection
Correct Answer: D 🗳️
In this volar transverse image of the second metacarpophalangeal joint, the hyperechoic focus indicated by the arrow is which of the following?
- A. A foreign body
- B. A normal sesamoid
- C. The tip of an osteophyte
- D. A metacarpal fragment from prior trauma
Correct Answer: B 🗳️
At approximately how many degrees of flexion is the MOST sensitive resting position of the knee for imaging fluid in the suprapatellar recess?
- A. 45
- B. 15
- C. 30
- D. 0
Correct Answer: D 🗳️
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