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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionWeightObjectives
Procedural Guidance- Ultrasound-guided injections and interventions
- Safety and procedural considerations
Equipment Use and Management- Ultrasound machine controls and optimization
- Transducer selection and maintenance
Preparing the Patient and Environment- Environment and equipment setup
- Patient positioning and preparation
Recognize Indications for Use of Ultrasound in Rheumatology9%- Ultrasound capabilities and limitations
- Clinical indications and appropriate use cases
Documentation- Reporting standards and required documentation
- Image archiving and record keeping
Interpretation and Integration- Integrating ultrasound findings into clinical decisions
- Identifying normal and pathological findings
Performing the Ultrasound Examination- Anatomical landmark recognition
- Scanning techniques for joints and soft tissue

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

What is the MAXIMUM normal distance between the markers in this plantar longitudinal view of the foot?

  • A. 5.3 mm
  • B. 3.3 mm
  • C. 9.3 mm
  • D. 7.3 mm
Answer: D

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. Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
  • B. Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
  • C. Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
  • D. Ultrasound can delineate volar wrist anatomy.
Answer: D

Which of the following statements regarding ultrasound probe care is MOST accurate?

  • A. Internal-use probes are considered semi-critical devices and require low-level disinfection after each use.
  • B. 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.
  • C. Internal-use probes are considered critical devices and require sterilization 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.
Answer: D

Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?

  • A. Sacroiliac joint
  • B. Knee
  • C. Lateral epicondyle
  • D. Glenohumeral joint
Answer: A

Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?

  • A. Glenohumeral synovitis
  • B. Adhesive capsulitis
  • C. Complex regional pain syndrome
  • D. Superior labral anterior-posterior lesion
Answer: A

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