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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 practitioner wants to assess the structures on the right, distal portion of this image.

What should the practitioner do at this time?

A) Increase the overall gain to brighten the image.
B) Depress the distal end of the probe.
C) Place the focal point at the level of the area of interest.
D) Choose a lower transducer frequency.

2. To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?

A) Standoff pad
B) Smaller footprint
C) Higher frequency
D) Curvilinear structure

3. An 83-year-old female with a medical history of congestive heart failure, critical aortic stenosis, end-stage renal disease, and morbid obesity presents to the office with a complaint of right knee pain for two years. The pain is worse with activity and better with rest. She notes no redness, warmth, or swelling in the joint, with no other joints being painful. A physical examination reveals crepitus in the right knee with medial and lateral joint line tenderness of the left knee. X-rays of the right knee from six months ago are consistent with severe tricompartmental osteoarthritis. Due to morbid obesity, visualization of bony landmarks is not possible and the decision is made to proceed with an ultrasound-guided knee injection with a hyaluronic acid derivative.
Prior to injection, where should the needle tip be visualized?

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

4. Which effect is achieved by increasing the gain while in Doppler mode?

A) Increased sensitivity to flow
B) Increased image brightness
C) Increased tissue penetration
D) Reduced noise artifacts in the image

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

Solutions: