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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Preparing the Patient and Environment | - Environment and equipment setup - Patient positioning and preparation | |
| Documentation | - Image archiving and record keeping - Reporting standards and required documentation | |
| Equipment Use and Management | - Ultrasound machine controls and optimization - Transducer selection and maintenance | |
| Interpretation and Integration | - Integrating ultrasound findings into clinical decisions - Identifying normal and pathological findings | |
| Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Ultrasound capabilities and limitations - Clinical indications and appropriate use cases |
| Performing the Ultrasound Examination | - Anatomical landmark recognition - Scanning techniques for joints and soft tissue | |
| Procedural Guidance | - Safety and procedural considerations - Ultrasound-guided injections and interventions |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Question 1
A 41-year-old man presents with suspected right carpal tunnel syndrome but normal nerve conduction studies. For which reason will a sonographic study be helpful for further diagnostic evaluation?
A. Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
B. Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
C. Ultrasound can delineate volar wrist anatomy.
D. Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
Question 2
Which of the probe placement photographs BEST matches the standard wrist ultrasound image shown?
A. Image B
B. Image A
C. Image C
D. Image D
Question 3
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. B
B. C
C. D
D. A
Question 4
By comparing gray-scale images from before pharmacologic treatment and after months of treatment, rheumatologists are able to assess patient improvement and response with regard to:
A. Articular cartilage damage in osteoarthritis.
B. Osteophytes in osteoarthritis.
C. Erosions in rheumatoid arthritis.
D. Synovitis in rheumatoid arthritis.
Question 5
The best way to facilitate visualization of ultrasound images in an exam room.
A. Brighten the ambient lighting to improve the signal-to-noise ratio
B. Decrease the amount of gel in between transducer and skin to improve transmission of sound waves
C. Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
D. Decrease high-frequency ambient noise to minimize interfering sound waves
Solutions:
| Question 1 Answer: C | Question 2 Answer: C | Question 3 Answer: C | Question 4 Answer: D | Question 5 Answer: C |
