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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 of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?

A) A person with no shirt Description automatically generated
B) A person in a hospital room Description automatically generated with medium confidence


C) A person sitting in a chair with a machine Description automatically generated


D) A person sitting in front of a machine Description automatically generated

2. This is a short-axis scan of the supraspinatus tendon in a normal person. What is the finding marked with the arrow?

A) Calcification of the supraspinatus tendon
B) Normal deltoid muscle
C) Subacromial bursa calcification
D) A probe-generated artifact

3. Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?

A) Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip.
B) Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
C) The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
D) Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.

4. Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"

A) Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
B) Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis
C) A femoral neck enchondroma in a patient complaining of hip pain
D) A Morton's neuroma in a patient complaining of foot pain

5. Which of the following statements is CORRECT with regard to the use of ultrasound equipment for children?" followed by four answer choices:

A) Pediatric joints can be imaged with the same ultrasound equipment used for adults
B) Ultrasonography has limitations in imaging the relatively small structures in pediatric joints
C) Special "hockey stick" transducers are essential to adequately image pediatric joints
D) High-Trequency probes are necessary to adapt to the small pediatric joints

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