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American College of Rheumatology RhMSUS Exam Syllabus Topics:

Section	Objectives
Topic 1: Procedural Guidance
Topic 2: Documentation
Topic 3: Equipment Use and Management
Topic 4: Interpretation and Integration
Topic 5: Performing the Ultrasound Examination
Topic 6: Recognize Indications for the Use of Ultrasound in Rheumatology
Topic 7: Preparing the Patient and Environment

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

1. Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?

A) Gouges on the lens material
B) Cracks in the piezoelectric crystals
C) Dead elements
D) Electrical leakage

2. This ultrasound image from a 60-year-old woman with knee pain is MOST suggestive of which of the following?

A) Chondrocalcinosis
B) Meniscus tear
C) Urate deposition
D) Osteophyte formation

3. Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?

A) An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces
B) Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions
C) The normal appearance of irregular ossification centers of the respective midfoot bones
D) The typical appearance of pes equinovarus

4. A 30-year-old female patient with rheumatoid arthritis reports pain at the medial malleolus. The medial side of the ankle is tender and seems to be swollen. How should a practitioner interpret the transverse images at the medial malleolus?

A) Tenosynovitis of the flexor digitorum
B) Neurom of the tibiatis posterior nerve
C) Tenosynovitis of the tibialis anterior tendon
D) Tenosynovitis of the flexor hallucis longus

5. The change between the ankle depicted in the first and second images would BEST be explained by which of the following?