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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Ultrasound-Guided Procedures | - Joint aspiration and injection techniques - Needle guidance and safety principles |
| Inflammatory and Degenerative Pathology | - Tendinopathy and enthesitis patterns - Synovitis, effusions, and erosions |
| Upper Extremity Ultrasound | - Elbow, wrist, and hand structures - Shoulder joint evaluation |
| Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
| Foundations of Musculoskeletal Ultrasound | - Image optimization and acquisition techniques - Ultrasound physics and instrumentation |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Question 1
Which of these supraspinatus longitudinal images has the BEST combination of ultrasound machine settings?

A. Option A
B. Option B
C. Option C
D. Option D
Question 2
In this ultrasound image of a hip, where is the transducer positioned?
A. Parallel to the inguinal ligament
B. Parallel to the femoral shaft
C. Parallel to the greater trochanter
D. Parallel to the femoral neck
Question 3
What is the MAIN pathologic finding shown in this ultrasound image?
A. Osteophytes
B. Synovitis
C. Erosion
D. Tendon rupture
Question 4
A practitioner wants to assess the structures on the right, distal portion of this image.
What should the practitioner do at this time?
A. Place the focal point at the level of the area of interest.
B. Choose a lower transducer frequency.
C. Depress the distal end of the probe.
D. Increase the overall gain to brighten the image.
Question 5
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 of the joint line
C. A posteromedial approach at the level proximal to the joint line
D. An anteromedial approach at the level of the joint line
Solutions:
| Question 1 Answer: D | Question 2 Answer: A | Question 3 Answer: A | Question 4 Answer: A | Question 5 Answer: C |
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