American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology : RhMSUS Exam Questions

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. An 81-year-old male with known shoulder osteoarthritis presents to the office for an ultrasound-guided injection of the glenohumeral joint. Prior to injection, where should the needle tip be visualized?

A) D
B) B
C) C
D) A

2. What is the MAXIMUM normal dimension of the structure indicated by the line in this image?

A) 7 mm in adults
B) 9 mm in adults
C) 9 mm in children less than 5 years old
D) 7 mm in children less than 5 years old

3. An 83-year-old female with a medical history of congestive heart failure, critical aortic stenosis, end-stage renal disease, and morbid obesity presents to the office with a complaint of right knee pain for two years. The pain is worse with activity and better with rest. She notes no redness, warmth, or swelling in the joint, with no other joints being painful. A physical examination reveals crepitus in the right knee with medial and lateral joint line tenderness of the left knee. X-rays of the right knee from six months ago are consistent with severe tricompartmental osteoarthritis. Due to morbid obesity, visualization of bony landmarks is not possible and the decision is made to proceed with an ultrasound-guided knee injection with a hyaluronic acid derivative.
Prior to injection, where should the needle tip be visualized?

A) D
B) B
C) C
D) A

4. For an ultrasound examination, how should the patient, ultrasound machine, and examiner be oriented?

A) The monitor is on the left of the patient for a left-handed examiner.
B) The examiner is closest to the limb of the patient being scanned while facing toward the monitor.
C) The examiner is between the patient and the monitor.
D) The monitor is between the patient and the examiner.

5. Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?

A) Proximal interphalangeal osteophytes
B) Proximal interphalangeal synovitis
C) Flexor tenosynovitis
D) Flexor tendon rupture with reparative hyperemia

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