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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. The best way to facilitate visualization of ultrasound images in an exam room.

A) Decrease the amount of gel in between transducer and skin to improve transmission of sound waves
B) Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
C) Brighten the ambient lighting to improve the signal-to-noise ratio
D) Decrease high-frequency ambient noise to minimize interfering sound waves

2. To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?

A) Standoff pad
B) Smaller footprint
C) Higher frequency
D) Curvilinear structure

3. What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?

A) Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only
B) All appropriate sonographic views of every joint examined
C) Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint
D) Images of the sonographic views with the presence of power Doppler synovitis only

4. 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) Extensor tendon tear
B) Ganglion cyst rupture
C) Extensor tenosynovitis
D) Rheumatoid nodulosis

5. This is a short-axis scan of the supraspinatus tendon in a normal person. What is the finding marked with the arrow?

A) A probe-generated artifact
B) Subacromial bursa calcification
C) Calcification of the supraspinatus tendon
D) Normal deltoid muscle

Solutions: