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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 woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?

A) Extensor tenosynovitis
B) Rheumatoid nodulosis
C) Ganglion cyst rupture
D) Extensor tendon tear

2. Which of the following statements regarding ultrasound probe care is MOST accurate?

A) External probes, when used without a cover for ultrasound-guided injections or aspiration, are considered semi-critical devices and require low-level disinfection after each use.
B) Internal-use probes are considered critical devices and require sterilization after each use.
C) External probes that come into contact with intact skin are considered noncritical devices and require cleaning with low-level disinfectants after each use.
D) Internal-use probes are considered semi-critical devices and require low-level disinfection after each use.

3. What is the MOST appropriate conclusion for the image of this hip?

A) Hip effusion in longitudinal view
B) Normal longitudinal view of the hip
C) Hip synovitis in longitudinal view
D) Iliopsoas bursitis in longitudinal view

4. In setting up an ultrasound machine to examine blood flow, which of the following statements BEST reflects the difference between color Doppler and power Doppler ultrasound?

A) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess the direction of flow.
B) Color Doppler ultrasound is preferable to power Doppler ultrasound to assess the amplitude of flow.
C) Color Doppler ultrasound is more dependent on the angle of insonation than power Doppler ultrasound.
D) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess flow velocity.

5. A practitioner obtains this image of a metacarpophalangeal joint of a patient with periodic joint swelling and warmth. Which of the following is the MOST likely diagnosis?

A) Rheumatoid arthritis
B) Osteoarthritis
C) Spondylarthritis
D) Gouty arthritis

Solutions: