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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

Question 1

Which of the following is MOST accurate regarding high-level disinfection of a probe?

A. High-level disinfection of an internal-use probe is required between every patient
B. High-level disinfection of an external probe does not remove most fungi
C. High-level disinfection of an external probe removes all bacterial spores.
D. High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover

Question 2

Which of the following protocols would be MOST consistent with a complete routine ultrasound examination of the shoulder?

A. Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oDynamic lateral long-axis assessment of impingement with abduction of the arm oPosterior transverse view of the suprascapular notch oView from cranial at the acromioclavicular joint
B. Anterior long- and short-axis views of the biceps tendon
oAnterior views of the pectoralis tendon insertion
oAnterior view of the coracoid ligament and rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior long- and short-axis views of the infraspinatus tendon insertion oAxillary long-axis view with arm raised
C. Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLateral views of the subscapularis tendon
oLateral long- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior view of the glenohumeral joint recess oDynamic lateral long-axis assessment of impingement with abduction of the arm
D. Anterior long- and short-axis views of the biceps tendon
oAnterior view of the subscapularis tendon in external rotation
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterolateral view of the infraspinatus tendon oPosterior view of the glenohumeral joint recess oView from cranial at the acromioclavicular joint

Question 3

To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?

A. Curvilinear structure
B. Smaller footprint
C. Standoff pad
D. Higher frequency

Question 4

Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?

A. Posterior patellar cartilage
B. Metacarpal volar plate
C. Anterior glenoid labrum
D. Posterior cruciate ligament

Question 5

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. Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa
C. Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
D. Ultrasound-guided corticosteroid injection of the glenohumeral joint

Solutions: