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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| 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 Rheumatology | 9% | - 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
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.
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.
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
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

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