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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. 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) Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions
D) Cartilage loss quantification in a patient with osteoarthritis

2. Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?

A) Adhesive capsulitis
B) Glenohumeral synovitis
C) Superior labral anterior-posterior lesion
D) Complex regional pain syndrome

3. What is the MOST appropriate conclusion for the image of this hip?

A) Hip effusion in longitudinal view
B) Iliopsoas bursitis in longitudinal view
C) Normal longitudinal view of the hip
D) Hip synovitis in longitudinal view

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) An anteromedial approach at the level of the joint line
C) A posteromedial approach at the level of the joint line
D) A posteromedial approach at the level proximal to the joint line

5. To determine whether the hypoechogenic region results in true pathology or artifact, which of the following maneuvers would OPTIMIZE the ultrasound assessment of the quadriceps tendon depicted in the image shown?

A) Tissue compression at the distal transducer edge
B) Passive knee extension
C) Quadriceps contraction
D) Rotation of the distal transducer edge

Solutions: