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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. Which of the following protocols would be MOST consistent with a complete routine ultrasound examination of the shoulder?

A) Anterior long- and short-axis views of the biceps tendon
oAnterior views of the pectoralis tendon insertion
oAnterior view of the coracoid ligament and rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior long- and short-axis views of the infraspinatus tendon insertion oAxillary long-axis view with arm raised
B) Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLateral views of the subscapularis tendon
oLateral long- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior view of the glenohumeral joint recess oDynamic lateral long-axis assessment of impingement with abduction of the arm
C) Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oDynamic lateral long-axis assessment of impingement with abduction of the arm oPosterior transverse view of the suprascapular notch oView from cranial at the acromioclavicular joint
D) Anterior long- and short-axis views of the biceps tendon
oAnterior view of the subscapularis tendon in external rotation
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterolateral view of the infraspinatus tendon oPosterior view of the glenohumeral joint recess oView from cranial at the acromioclavicular joint

2. What is the BEST assessment of these longitudinal images of the pes anserinus region?

A) Reverberation artifact
B) Normal medial genicular artery signal
C) Presence of enthesopathy with hyperemia
D) Tenosynovitis

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 is MOST likely to cause vertical lines on every image obtained from a piece of ultrasound equipment?

A) Cracks in the transducer that may indicate breakage of piezoelectric crystal elements
B) Increased number of air bubbles in the transducer gel that may impede sound waves
C) Damage to the transducer cable
D) Misaligned time-gain compensation

5. Which of these supraspinatus longitudinal images has the BEST combination of ultrasound machine settings?

A) Option B
B) Option D
C) Option A
D) Option C

Solutions: