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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

Question 1

A 62-year-old man presents with left shoulder pain. The ultrasound image was taken at the patient's maximum abduction (45 degrees). Which of the following rotator cuff pathologies is BEST evaluated with this shoulder position?

A. Intrasubstance tear
B. Complete tear
C. Enthesopathy
D. Impingement

Question 2

By comparing gray-scale images from before pharmacologic treatment and after months of treatment, rheumatologists are able to assess patient improvement and response with regard to:

A. Synovitis in rheumatoid arthritis.
B. Osteophytes in osteoarthritis.
C. Erosions in rheumatoid arthritis.
D. Articular cartilage damage in osteoarthritis.

Question 3

A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?

A. Inflammatory arthritis
B. Ruling out of infection
C. Ruling out of inflammatory arthritis
D. Ankle pain

Question 4

A practitioner reviews this long-axis ultrasound image of the medial aspect of the knee. Which of the following is the MOST likely differential diagnosis?

A. No sonographic evidence for abnormality
B. Topheaceous gout with displacement of the medial collateral ligament
C. Rheumatoid arthritis with erosion formation
D. Osteoarthritis with bone spur and extrusion of the medial meniscus

Question 5

At which angle is a dorsal scan of the elbow BEST performed?

A. Flexion of the elbow joint in a 90-degree angle
B. Flexion of the elbow joint in a 60-degree angle
C. Full extension of the elbow joint
D. Flexion of the elbow joint in a 45-degree angle

Solutions: