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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Documentation | - Reporting standards and required documentation - Image archiving and record keeping | |
| Topic 2: Preparing the Patient and Environment | - Patient positioning and preparation - Environment and equipment setup | |
| Topic 3: Procedural Guidance | - Ultrasound-guided injections and interventions - Safety and procedural considerations | |
| Topic 4: Equipment Use and Management | - Ultrasound machine controls and optimization - Transducer selection and maintenance | |
| Topic 5: Performing the Ultrasound Examination | - Scanning techniques for joints and soft tissue - Anatomical landmark recognition | |
| Topic 6: Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Ultrasound capabilities and limitations - Clinical indications and appropriate use cases |
| Topic 7: Interpretation and Integration | - Identifying normal and pathological findings - Integrating ultrasound findings into clinical decisions |
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. A 30-year-old pregnant woman with rheumatoid arthritis presents with right wrist pain and swelling despite a palpation-guided corticosteroid injection one month ago.

A) Radioulnar joint
B) Intercarpal joint
C) Extensor tenosynovium
D) Radiocarpal joint
3. Which of the following is TRUE for document storage and record-keeping guidelines and requirements?
A) The physician's report on the ultrasound examination must be stored in a physically separate location from the machine.
B) There must be provisions for the storage and retrieval of examination records of all studies that are documented in the medical chart.
C) All images must be part of the electronic or paper patient file.
D) Ultrasound studies must be saved in a DICOM (Digital Imaging and Communications in Medicine) format.
4. What is the MOST prominent ultrasound artifact depicted in this image?
A) Enhancement
B) Comet tail
C) Ring down
D) Shadowing
5. Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?
A) The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.
B) The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.
C) The patient has a normal hip joint.
D) The patient should be referred for plain radiography to evaluate for femoral neck fracture.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: C |


