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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Ultrasound-Guided Procedures | - Joint aspiration and injection techniques - Needle guidance and safety principles |
| Topic 2: Upper Extremity Ultrasound | - Elbow, wrist, and hand structures - Shoulder joint evaluation |
| Topic 3: Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
| Topic 4: Foundations of Musculoskeletal Ultrasound | - Image optimization and acquisition techniques - Ultrasound physics and instrumentation |
| Topic 5: Lower Extremity Ultrasound | - Knee, ankle, and foot evaluation - Hip joint assessment |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Question 1
A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?

A. Ganglion cyst rupture
B. Rheumatoid nodulosis
C. Extensor tendon tear
D. Extensor tenosynovitis
Question 2
Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?
A. Posterior cruciate ligament
B. Anterior glenoid labrum
C. Metacarpal volar plate
D. Posterior patellar cartilage
Question 3
What is the MAXIMUM normal distance between the markers in this plantar longitudinal view of the foot?
A. 5.3 mm
B. 7.3 mm
C. 3.3 mm
D. 9.3 mm
Question 4
A practitioner is counseling a patient with suspected rotator cuff tendinopathy on imaging options. Which of the following is CORRECT regarding diagnostic ultrasound examination?
A. It uses sound energy with no adverse effects found in clinical studies.
B. It obviates the need for X-ray examination when cortical margins are normal.
C. It provides the same information as an MRI without gadolinium.
D. It is the gold standard for preoperative planning for rotator cuff surgery.
Question 5
This posterior transverse scan of the shoulder of a 3-year-old boy shows which of the following?
A. Effusion with an erosion of the humeral head
B. Effusion of the glenohumeral joint
C. Fracture of the humeral head
D. Normal shoulder scan
Solutions:
| Question 1 Answer: D | Question 2 Answer: D | Question 3 Answer: B | Question 4 Answer: B | Question 5 Answer: B |
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