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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. What is the MAXIMUM normal dimension of the structure indicated by the line in this image?

A) 7 mm in adults
B) 9 mm in adults
C) 7 mm in children less than 5 years old
D) 9 mm in children less than 5 years old

2. The change between the ankle depicted in the first and second images would BEST be explained by which of the following?

A) Increased gain
B) Decreased synovitis
C) Decreased frequency
D) Decreased transducer pressure

3. Why is musculoskeletal ultrasound (MSKUS) useful in monitoring the treatment response in rheumatoid arthritis?

A) Power Doppler ultrasound is sensitive to change in disease activity.
B) MSKUS is able to detect bone marrow edema around joints
C) Power Doppler ultrasound is specific to rheumatoid arthritis disease activity.
D) Gray-scale ultrasound can predict the development of erosions.

4. 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 fourth compartment ten synovium should be targeted.
B) The radiocarpal recess should be the primary target.
C) The midcarpal recess should be the primary target.
D) Both the radiocarpal and midcarpal recesses should be targeted.

5. A practitioner wants to assess the structure marked with an asterisk (*).

What maneuver should the practitioner instruct the patient to perform of the examined joint?

A) Lateral abduction
B) Neutral position
C) External rotation
D) Internal rotation and adduction

Solutions: