American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Documentation | |
| Interpretation and Integration | |
| Equipment Use and Management | |
| Performing the Ultrasound Examination | |
| Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Preparing the Patient and Environment | |
| Procedural Guidance |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Question #1
A 38-year-old woman with recent history of right shoulder subacromial impingement presents for a two-week follow-up after an anatomically guided subacromial/subdeltoid corticosteroid injection. She reports some initial, but only short-lived, improvement of her right shoulder pain and discomfort with arm elevation.
Her right shoulder X-rays are normal. What would be the MOST appropriate next intervention?
A. Referral to occupational therapy for shoulder rehabilitation exercise
B. Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
C. Ultrasound-guided corticosteroid injection of the glenohumeral joint
D. Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa
Question #2
Which of the following is inappropriate for conventional musculoskeletal ultrasound?
A. Supraspinatus tear in rotator cuff syndrome
B. Parotid involvement in Sjogren's syndrome
C. Muscle involvement in polymyositis
D. Median nerve entrapment in carpal tunnel syndrome
Question #3
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. Gouty arthritis
D. Spondylarthritis
Question #4
Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"
A. A Morton's neuroma in a patient complaining of foot pain
B. A femoral neck enchondroma in a patient complaining of hip pain
C. Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis
D. Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
Question #5
In which situation is an ultrasound MOST appropriate for making the correct clinical diagnosis?
A. In fibromyalgia, to confirm the absence of joint and tendon pathology
B. In gout, using the double contour sign alone as diagnostic confirmation of the disease
C. In juvenile idiopathic arthritis, to diagnose tenosynovitis in a patient with ankle swelling
D. In rheumatoid arthritis, to diagnose carpal tunnel syndrome
Solutions:
| Question #1 Answer: A | Question #2 Answer: C | Question #3 Answer: A | Question #4 Answer: D | Question #5 Answer: C |
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