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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Procedural Guidance | - Ultrasound-guided injections and interventions - Safety and procedural considerations | |
| Interpretation and Integration | - Identifying normal and pathological findings - Integrating ultrasound findings into clinical decisions | |
| Performing the Ultrasound Examination | - Anatomical landmark recognition - Scanning techniques for joints and soft tissue | |
| Documentation | - Image archiving and record keeping - Reporting standards and required documentation | |
| Equipment Use and Management | - Transducer selection and maintenance - Ultrasound machine controls and optimization | |
| Preparing the Patient and Environment | - Environment and equipment setup - Patient positioning and preparation | |
| Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Ultrasound capabilities and limitations - Clinical indications and appropriate use cases |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?
- A. Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
- B. Assessment of pain and swelling of unclear etiology at the right temporomandibular joint
- C. Preoperative evaluation of a patient with suspected rotator cuff tear
- D. Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?
- A. Lateral epicondyle
- B. Knee
- C. Glenohumeral joint
- D. Sacroiliac joint
What is the MAIN pathologic finding shown in this ultrasound image?
- A. Synovitis
- B. Tendon rupture
- C. Osteophytes
- D. Erosion
The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?
- A. The midcarpal recess should be the primary target.
- B. Both the radiocarpal and midcarpal recesses should be targeted.
- C. The fourth compartment ten synovium should be targeted.
- D. The radiocarpal recess should be the primary target.
The second finger was examined. Which of the following is shown in the image below?
- A. Proximal interphalangeal, palmar longitudinal view
- B. Metacarpophalangeal, palmar longitudinal view
- C. Proximal interphalangeal, dorsal longitudinal view
- D. Metacarpophalangeal, dorsal longitudinal view
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