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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?

A) A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation
B) A 50-year-old woman with pain between the third and fourth metatarsals
C) A patient who has pain and numbness over the lateral calf
D) A patient with psoriasis and posterior heel pain

2. 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, when used without a cover for ultrasound-guided injections or aspiration, are considered semi-critical devices and require low-level disinfection after each use.
D) External probes that come into contact with intact skin are considered noncritical devices and require cleaning with low-level disinfectants after each use.

3. Why is musculoskeletal ultrasound (MSKUS) useful in monitoring the treatment response in rheumatoid arthritis?

A) Gray-scale ultrasound can predict the development of erosions.
B) Power Doppler ultrasound is specific to rheumatoid arthritis disease activity.
C) MSKUS is able to detect bone marrow edema around joints
D) Power Doppler ultrasound is sensitive to change in disease activity.

4. Which of the following protocols would be MOST consistent with a complete routine ultrasound examination of the shoulder?

A) Anterior long- and short-axis views of the biceps tendon
oAnterior view of the subscapularis tendon in external rotation
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterolateral view of the infraspinatus tendon oPosterior view of the glenohumeral joint recess oView from cranial at the acromioclavicular joint
B) Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLateral views of the subscapularis tendon
oLateral long- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior view of the glenohumeral joint recess oDynamic lateral long-axis assessment of impingement with abduction of the arm
C) Anterior long- and short-axis views of the biceps tendon
oAnterior views of the pectoralis tendon insertion
oAnterior view of the coracoid ligament and rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior long- and short-axis views of the infraspinatus tendon insertion oAxillary long-axis view with arm raised
D) Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oDynamic lateral long-axis assessment of impingement with abduction of the arm oPosterior transverse view of the suprascapular notch oView from cranial at the acromioclavicular joint

5. Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?

A) Examiner injury
B) Infection
C) Poor calibration
D) Radiation exposure

Solutions: