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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. Which pathologic condition is MOST likely responsible for the etiology of shoulder pain in the patient?

A) Rheumatoid synovitis
B) Calcific tendinitis
C) Osteoarthritis
D) Subacromial bursitis

2. What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?

A) Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint
B) Images of the sonographic views with the presence of power Doppler synovitis only
C) Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only
D) All appropriate sonographic views of every joint examined

3. At approximately how many degrees of flexion is the MOST sensitive resting position of the knee for imaging fluid in the suprapatellar recess?

A) 30
B) 0
C) 45
D) 15

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

5. What is the BEST assessment of these longitudinal images of the pes anserinus region?

A) Tenosynovitis
B) Normal medial genicular artery signal
C) Presence of enthesopathy with hyperemia
D) Reverberation artifact

Solutions: