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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. An 83-year-old female with a medical history of congestive heart failure, critical aortic stenosis, end-stage renal disease, and morbid obesity presents to the office with a complaint of right knee pain for two years. The pain is worse with activity and better with rest. She notes no redness, warmth, or swelling in the joint, with no other joints being painful. A physical examination reveals crepitus in the right knee with medial and lateral joint line tenderness of the left knee. X-rays of the right knee from six months ago are consistent with severe tricompartmental osteoarthritis. Due to morbid obesity, visualization of bony landmarks is not possible and the decision is made to proceed with an ultrasound-guided knee injection with a hyaluronic acid derivative.
Prior to injection, where should the needle tip be visualized?

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

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

3. The second finger was examined. Which of the following is shown in the image below?

A) Proximal interphalangeal, dorsal longitudinal view
B) Metacarpophalangeal, palmar longitudinal view
C) Proximal interphalangeal, palmar longitudinal view
D) Metacarpophalangeal, dorsal longitudinal view

4. Which probe is the BEST choice for ultrasound examination of the adult wrist?

A) Linear 20-25 mm, 10-18 MHz transducer
B) Linear 40-50 mm, 10-18 MHz transducer
C) Linear 40-50 mm, 3-8 MHz transducer
D) Linear 20-25 mm, 3-8 MHz transducer

5. A 62-year-old man presents with left shoulder pain. The ultrasound image was taken at the patient's maximum abduction (45 degrees). Which of the following rotator cuff pathologies is BEST evaluated with this shoulder position?

A) Impingement
B) Complete tear
C) Enthesopathy
D) Intrasubstance tear

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