American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

Question 1

Which of the following is MOST likely to cause vertical lines on every image obtained from a piece of ultrasound equipment?

A. Damage to the transducer cable
B. Cracks in the transducer that may indicate breakage of piezoelectric crystal elements
C. Misaligned time-gain compensation
D. Increased number of air bubbles in the transducer gel that may impede sound waves

Question 2

Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?

A. The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.
B. The patient has a normal hip joint.
C. The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.
D. The patient should be referred for plain radiography to evaluate for femoral neck fracture.

Question 3

At approximately how many degrees of flexion is the MOST sensitive resting position of the knee for imaging fluid in the suprapatellar recess?

A. 15
B. 30
C. 45
D. 0

Question 4

In which situation is an ultrasound MOST appropriate for making the correct clinical diagnosis?

A. In juvenile idiopathic arthritis, to diagnose tenosynovitis in a patient with ankle swelling
B. In fibromyalgia, to confirm the absence of joint and tendon pathology
C. In gout, using the double contour sign alone as diagnostic confirmation of the disease
D. In rheumatoid arthritis, to diagnose carpal tunnel syndrome

Question 5

Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?

A. Glenohumeral joint
B. Subacromial bursa
C. Flexor digitorum tendon at the A1 pulley
D. Trochanteric bursa

Solutions: