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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 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

2. Which of the following protocols would be MOST consistent with a complete routine ultrasound examination of the shoulder?

A) Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLateral views of the subscapularis tendon
oLateral long- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior view of the glenohumeral joint recess oDynamic lateral long-axis assessment of impingement with abduction of the arm
B) Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oDynamic lateral long-axis assessment of impingement with abduction of the arm oPosterior transverse view of the suprascapular notch oView from cranial at the acromioclavicular joint
C) Anterior long- and short-axis views of the biceps tendon
oAnterior view of the subscapularis tendon in external rotation
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterolateral view of the infraspinatus tendon oPosterior view of the glenohumeral joint recess oView from cranial at the acromioclavicular joint
D) Anterior long- and short-axis views of the biceps tendon
oAnterior views of the pectoralis tendon insertion
oAnterior view of the coracoid ligament and rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior long- and short-axis views of the infraspinatus tendon insertion oAxillary long-axis view with arm raised

3. Which of the following is the MOST appropriate next step to confirm the presence of pathology in this metacarpophalangeal joint?

A) Decrease the depth.
B) Check the transverse plane.
C) Float the probe.
D) Use a "hockey stick" probe.

4. Which of the following is the MOST appropriate approach to use when performing an ultrasound-guided aspiration on a Baker's cyst in the posterior knee of a 76-year-old female patient?

A) A posteromedial approach at the level of the mid-gastrocnemius muscle
B) A posteromedial approach at the level proximal to the joint line
C) An anteromedial approach at the level of the joint line
D) A posteromedial approach at the level of the joint line

5. In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?

A) Median nerve impingement
B) Anomalous radial artery
C) Flexor tenosynovitis
D) Persistent median artery

Solutions: