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American College of Rheumatology RhMSUS Exam Syllabus Topics:
Section
Objectives
Interpretation and Integration
Preparing the Patient and Environment
Equipment Use and Management
Procedural Guidance
Performing the Ultrasound Examination
Recognize Indications for the Use of Ultrasound in Rheumatology
Documentation
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?
A. Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.
B. Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip.
C. The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
D. Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
Answer: B
Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?
A. Cartilage loss quantification in a patient with osteoarthritis
B. Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions
C. Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing
D. Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
Answer: B
Which of these supraspinatus longitudinal images has the BEST combination of ultrasound machine settings?
A. Option A
B. Option B
C. Option C
D. Option D
Answer: D
The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?
A. The midcarpal recess should be the primary target.
B. The fourth compartment ten synovium should be targeted.
C. The radiocarpal recess should be the primary target.
D. Both the radiocarpal and midcarpal recesses should be targeted.
Answer: D
What should be adjusted to improve the quality of the image of the tibiotalar joint?
A. Focus and frequency
B. Focus and map
C. Frame average and depths
D. Frame average and frequency
Answer: B
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