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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

Question 1

Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?

A. Cracks in the piezoelectric crystals
B. Gouges on the lens material
C. Dead elements
D. Electrical leakage

Question 2

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

Question 3

Which of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?

A. A person in a hospital room Description automatically generated with medium confidence


B. A person sitting in a chair with a machine Description automatically generated


C. A person sitting in front of a machine Description automatically generated
D. A person with no shirt Description automatically generated

Question 4

A 37-year-old female with a history of rheumatoid arthritis presents for sonographic evaluation. She has been in clinical remission for six months and is considering discontinuation of her biologic agent. Sonography of the right third metacarpophalangeal joint is shown. Which of the following is the MOST accurate description regarding this image?

A. Abnormal hyperechoic intra-articular tissue with Doppler signal
B. Abnormal hyperechoic extra-articular tissue with Doppler signal
C. Abnormal hypoechoic extra-articular tissue with Doppler signal
D. Abnormal hypoechoic intra-articular tissue with Doppler signal

Question 5

Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?

A. Preoperative evaluation of a patient with suspected rotator cuff tear
B. Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
C. Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
D. Assessment of pain and swelling of unclear etiology at the right temporomandibular joint

Solutions: