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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 probe is the BEST choice for ultrasound examination of the adult wrist?

A) Linear 20-25 mm, 3-8 MHz transducer
B) Linear 40-50 mm, 10-18 MHz transducer
C) Linear 20-25 mm, 10-18 MHz transducer
D) Linear 40-50 mm, 3-8 MHz transducer

2. Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?

A) Proximal interphalangeal synovitis
B) Flexor tenosynovitis
C) Flexor tendon rupture with reparative hyperemia
D) Proximal interphalangeal osteophytes

3. Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?

A) Asymptomatic hand and wrist joints with bony deformities present in a 60-year-old female with a positive rheumatoid factor and CCP antibody but normal sedimentation rate and C-reactive protein level
B) Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
C) Knee in a 72-year-old female with unilateral knee pain, no swelling on examination, and medial narrowing of the joint space on knee radiograph
D) Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine

4. 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) Gray-scale ultrasound can predict the development of erosions.
D) Power Doppler ultrasound is specific to rheumatoid arthritis disease activity.

5. What is the position of the arm MOST likely used to obtain this B-Mode image of the shoulder?

A) Neer impingement
B) External rotation
C) Crass
D) Modified Crass

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