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American College of Rheumatology RhMSUS Exam Syllabus Topics:

Section	Objectives
Topic 1: Preparing the Patient and Environment
Topic 2: Procedural Guidance
Topic 3: Performing the Ultrasound Examination
Topic 4: Equipment Use and Management
Topic 5: Interpretation and Integration
Topic 6: Documentation
Topic 7: Recognize Indications for the Use of Ultrasound in Rheumatology

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

1. A practitioner reviews this long-axis ultrasound image of the medial aspect of the knee. Which of the following is the MOST likely differential diagnosis?

A) Osteoarthritis with bone spur and extrusion of the medial meniscus
B) No sonographic evidence for abnormality
C) Topheaceous gout with displacement of the medial collateral ligament
D) Rheumatoid arthritis with erosion formation

2. An 81-year-old male with known shoulder osteoarthritis presents to the office for an ultrasound-guided injection of the glenohumeral joint. Prior to injection, where should the needle tip be visualized?

A) C
B) D
C) B
D) A

3. An 83-year-old female with a medical history of congestive heart failure, critical aortic stenosis, end-stage renal disease, and morbid obesity presents to the office with a complaint of right knee pain for two years. The pain is worse with activity and better with rest. She notes no redness, warmth, or swelling in the joint, with no other joints being painful. A physical examination reveals crepitus in the right knee with medial and lateral joint line tenderness of the left knee. X-rays of the right knee from six months ago are consistent with severe tricompartmental osteoarthritis. Due to morbid obesity, visualization of bony landmarks is not possible and the decision is made to proceed with an ultrasound-guided knee injection with a hyaluronic acid derivative.
Prior to injection, where should the needle tip be visualized?

A) C
B) D
C) B
D) A

4. Which of these supraspinatus longitudinal images has the BEST combination of ultrasound machine settings?

A) Option B
B) Option A
C) Option D
D) Option C

5. Which of the dorsal longitudinal metacarpophalangeal images below MOST suggests the diagnosis of rheumatoid arthritis?

A) A close-up of an ultrasound Description automatically generated

B) An ultrasound image of a human body Description automatically generated

C) A close-up of a black and white image Description automatically generated

D) A close-up of a ultrasound Description automatically generated