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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

A 41-year-old man presents with suspected right carpal tunnel syndrome but normal nerve conduction studies. For which reason will a sonographic study be helpful for further diagnostic evaluation?

A. Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
B. Ultrasound can delineate volar wrist anatomy.
C. Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
D. Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.

Question 2

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 monitor is between the patient and the examiner.
C. The examiner is closest to the limb of the patient being scanned while facing toward the monitor.
D. The examiner is between the patient and the monitor.

Question 3

A 45-year-old man presents to the emergency room for evaluation of right knee pain for the past five days.
He denies a history of trauma and is afebrile on examination. A right knee effusion is noted on exam.
Arthrocentesis is planned and a traditional palpation-guided method is being considered versus an ultrasound-guided technique.
Which of the following is the MOST accurate description of the ultrasound-guided technique in this setting?

A. The ultrasound-guided technique takes additional time to perform.
B. The ultrasound-guided technique results in more pain.
C. The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.
D. The ultrasound-guided technique leads to more fluid aspiration among novice physicians.

Question 4

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. A
B. C
C. D
D. B

Question 5

A 78-year-old woman presents with three days of ankle pain and swelling. Her exam reveals swelling localized around the medial malleolus, and any motion or palpation causes pain. The medial transverse ultrasound view of the ankle is shown. Based on her presentation and the ultrasound image, what is the MOST likely anatomic structure from which her pain is emanating?

A. Posterior tibial tendon
B. Flexor hallucis
C. Subtalar joint
D. Flexor digitorum

Solutions: