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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Foundations of Musculoskeletal Ultrasound | - Image optimization and acquisition techniques - Ultrasound physics and instrumentation |
| Ultrasound-Guided Procedures | - Joint aspiration and injection techniques - Needle guidance and safety principles |
| Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
| Upper Extremity Ultrasound | - Elbow, wrist, and hand structures - Shoulder joint evaluation |
| Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?
- A. Shoulder capsulitis
- B. Eosinophilic fasciitis
- C. Sjogren's syndrome
- D. Polymyositis
Correct Answer: A 🗳️
A practitioner wants to assess the structures on the right, distal portion of this image.
What should the practitioner do at this time?
- A. Depress the distal end of the probe.
- B. Increase the overall gain to brighten the image.
- C. Place the focal point at the level of the area of interest.
- D. Choose a lower transducer frequency.
Correct Answer: C 🗳️
What is the MAXIMUM normal dimension of the structure indicated by the line in this image?
- A. 7 mm in children less than 5 years old
- B. 9 mm in children less than 5 years old
- C. 9 mm in adults
- D. 7 mm in adults
Correct Answer: C 🗳️
How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?
- A. By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm
- B. By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm
- C. By placing the probe in a longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm.
- D. By placing the probe in a transverse position over the distal clavicle and asking the patient to raise the arm
Correct Answer: C 🗳️
To determine whether the hypoechogenic region results in true pathology or artifact, which of the following maneuvers would OPTIMIZE the ultrasound assessment of the quadriceps tendon depicted in the image shown?
- A. Passive knee extension
- B. Rotation of the distal transducer edge
- C. Tissue compression at the distal transducer edge
- D. Quadriceps contraction
Correct Answer: D 🗳️



