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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Procedural Guidance | - Ultrasound-guided injections and interventions - Safety and procedural considerations | |
| Topic 2: Performing the Ultrasound Examination | - Anatomical landmark recognition - Scanning techniques for joints and soft tissue | |
| Topic 3: Interpretation and Integration | - Identifying normal and pathological findings - Integrating ultrasound findings into clinical decisions | |
| Topic 4: Documentation | - Image archiving and record keeping - Reporting standards and required documentation | |
| Topic 5: Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Clinical indications and appropriate use cases - Ultrasound capabilities and limitations |
| Topic 6: Preparing the Patient and Environment | - Patient positioning and preparation - Environment and equipment setup | |
| Topic 7: Equipment Use and Management | - Transducer selection and maintenance - Ultrasound machine controls and optimization |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?
- A. Curvilinear structure
- B. Smaller footprint
- C. Higher frequency
- D. Standoff pad
Correct Answer: A 🗳️
Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?
- A. Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing
- B. Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
- C. Cartilage loss quantification in a patient with osteoarthritis
- D. Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions
Correct Answer: D 🗳️
What is the MOST appropriate conclusion for the image of this hip?
- A. Hip synovitis in longitudinal view
- B. Normal longitudinal view of the hip
- C. Hip effusion in longitudinal view
- D. Iliopsoas bursitis in longitudinal view
Correct Answer: A 🗳️
Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?
- A. Radiation exposure
- B. Poor calibration
- C. Infection
- D. Examiner injury
Correct Answer: C 🗳️
What should be taken into consideration prior to any procedure?
- A. A slight to-and-fro movement or injection of a small amount of lidocaine may be beneficial in visualizing the needle.
- B. The needle should be visualized only prior to its insertion to the target area.
- C. The shortest pathway to the region of interest should be selected with consideration given to adjacent neurovascular structures.
- D. The transducer should be aligned perpendicular to the plane of the needle.
Correct Answer: C 🗳️
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