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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. This posterior transverse scan of the shoulder of a 3-year-old boy shows which of the following?

A) Fracture of the humeral head
B) Effusion with an erosion of the humeral head
C) Normal shoulder scan
D) Effusion of the glenohumeral joint

2. Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?

A) Poor calibration
B) Radiation exposure
C) Infection
D) Examiner injury

3. Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?

A) Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
B) Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing
C) Cartilage loss quantification in a patient with osteoarthritis
D) Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions

4. Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?

A) Subacromial bursa
B) Glenohumeral joint
C) Flexor digitorum tendon at the A1 pulley
D) Trochanteric bursa

5. Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"

A) A femoral neck enchondroma in a patient complaining of hip pain
B) A Morton's neuroma in a patient complaining of foot pain
C) Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
D) Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis

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