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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?

A) Osteophytes and meniscal cyst
B) Osteophytes, distension of the medial collateral ligament, and meniscal degeneration
C) Osteophytes and rupture of the medial collateral ligament
D) Osteophytes and distension and calcification of the medial collateral ligament

2. In this ultrasound image of a hip, where is the transducer positioned?

A) Parallel to the inguinal ligament
B) Parallel to the greater trochanter
C) Parallel to the femoral neck
D) Parallel to the femoral shaft

3. The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?

A) Tendon tear
B) Normal tendon variability
C) Artifact from transducer placement
D) Tendinopathy

4. What should be taken into consideration prior to any procedure?

A) The shortest pathway to the region of interest should be selected with consideration given to adjacent neurovascular structures.
B) The needle should be visualized only prior to its insertion to the target area.
C) A slight to-and-fro movement or injection of a small amount of lidocaine may be beneficial in visualizing the needle.
D) The transducer should be aligned perpendicular to the plane of the needle.

5. Which of the following images is MOST consistent with crystal-induced arthropathy?

A) Option B
B) Option D
C) Option C
D) Option A

Solutions: