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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Documentation | - Image archiving and record keeping - Reporting standards and required documentation | |
| Performing the Ultrasound Examination | - Anatomical landmark recognition - Scanning techniques for joints and soft tissue | |
| Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Ultrasound capabilities and limitations - Clinical indications and appropriate use cases |
| Equipment Use and Management | - Ultrasound machine controls and optimization - Transducer selection and maintenance | |
| Preparing the Patient and Environment | - Patient positioning and preparation - Environment and equipment setup | |
| Procedural Guidance | - Ultrasound-guided injections and interventions - Safety and procedural considerations | |
| Interpretation and Integration | - Identifying normal and pathological findings - Integrating ultrasound findings into clinical decisions |
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) Electrical leakage
D) Dead elements
2. Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?
A) Trochanteric bursa
B) Subacromial bursa
C) Flexor digitorum tendon at the A1 pulley
D) Glenohumeral joint
3. In this volar transverse image of the carpal tunnel, the arrows represent needles, and the arrowheads represent the needle tips. In planning a carpal tunnel corticosteroid injection with ultrasound guidance, which of the arrows combines the safest path through tissues with the BEST needle visualization?
A) Arrow D
B) Arrow C
C) Arrow B
D) Arrow A
4. What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?
A) Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only
B) Images of the sonographic views with the presence of power Doppler synovitis only
C) Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint
D) All appropriate sonographic views of every joint examined
5. Which of the probe placement photographs BEST matches the standard wrist ultrasound image shown?
A) Image D
B) Image B
C) Image C
D) Image A
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: C |




