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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionObjectives
Performing the Ultrasound Examination
Documentation
Procedural Guidance
Preparing the Patient and Environment
Recognize Indications for the Use of Ultrasound in Rheumatology
Equipment Use and Management
Interpretation and Integration

American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:

1. In performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:

A) Transducer touches the point where the needle penetrates the skin.
B) Needle crosses the plane of the transducer.
C) Target is as close as possible to the side of the transducer where the needle will be inserted.
D) Needle angle relative to the transducer is minimized.


2. Which of the following is required in a report documenting an ultrasound-guided procedure?

A) Image labeled with exam date, patient identification, image orientation, and image views of the target area
B) Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
C) Image showing needle in the target structure or orthogonal images of the target structure before and after injection
D) Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions


3. The change between the ankle depicted in the first and second images would BEST be explained by which of the following?

A) Decreased transducer pressure
B) Decreased synovitis
C) Increased gain
D) Decreased frequency


4. The second finger was examined. Which of the following is shown in the image below?

A) Proximal interphalangeal, dorsal longitudinal view
B) Proximal interphalangeal, palmar longitudinal view
C) Metacarpophalangeal, palmar longitudinal view
D) Metacarpophalangeal, dorsal longitudinal view


5. A practitioner obtains the following ultrasound image of a patient with a positive rheumatoid factor and normal ESR, CRP, and hand X-rays.

Which of the following options would be an evidence-based statement during a discussion of the management plan?

A) Low-grade synovial hyperemia is found in most patients in clinical remission from rheumatoid arthritis.
B) A positive Doppler signal is a predictor of future joint damage.
C) Hyperemia is suggestive of a septic joint and requires further diagnostic testing.
D) Severe (high-grade) synovial hyperemia, but not mild (low-grade) hyperemia, would be an indication to change therapy.


Solutions:

Question # 1
Answer: C
Question # 2
Answer: D
Question # 3
Answer: B
Question # 4
Answer: B
Question # 5
Answer: A

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