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American College of Rheumatology RhMSUS Exam Syllabus Topics:

American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:

1. What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?

A) Osteophytes, distension of the medial collateral ligament, and meniscal degeneration
B) Osteophytes and rupture of the medial collateral ligament
C) Osteophytes and meniscal cyst
D) Osteophytes and distension and calcification of the medial collateral ligament

2. The second finger was examined. Which of the following is shown in the image below?

A) Proximal interphalangeal, palmar longitudinal view
B) Metacarpophalangeal, dorsal longitudinal view
C) Proximal interphalangeal, dorsal longitudinal view
D) Metacarpophalangeal, palmar longitudinal view

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

A) 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
B) 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
C) Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
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. A 41-year-old man presents with suspected right carpal tunnel syndrome but normal nerve conduction studies. For which reason will a sonographic study be helpful for further diagnostic evaluation?

A) Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
B) Ultrasound can delineate volar wrist anatomy.
C) Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
D) Ultrasound can identify the underlying etiology of carpal tunnel syndrome.

5. A 62-year-old man presents with left shoulder pain. The ultrasound image was taken at the patient's maximum abduction (45 degrees). Which of the following rotator cuff pathologies is BEST evaluated with this shoulder position?

A) Intrasubstance tear
B) Enthesopathy
C) Impingement
D) Complete tear

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