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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. A 30-year-old female patient with rheumatoid arthritis reports pain at the medial malleolus. The medial side of the ankle is tender and seems to be swollen. How should a practitioner interpret the transverse images at the medial malleolus?

A) Tenosynovitis of the tibialis anterior tendon
B) Tenosynovitis of the flexor digitorum
C) Tenosynovitis of the flexor hallucis longus
D) Neurom of the tibiatis posterior nerve

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

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

3. 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

4. Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?

A) Lateral epicondyle
B) Sacroiliac joint
C) Glenohumeral joint
D) Knee

5. In this volar transverse image of the carpal tunnel, the arrows represent needles, and the arrowheads represent the needle tips. In planning a carpal tunnel corticosteroid injection with ultrasound guidance, which of the arrows combines the safest path through tissues with the BEST needle visualization?

A) Arrow D
B) Arrow B
C) Arrow A
D) Arrow C

Solutions: