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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. How reliable is ultrasound as compared to other imaging modalities for diagnosing synovitis in the joints of the fingers?

A) Ultrasound is inferior to MRI but superior to clinical exam in sensitivity.
B) Ultrasound is inferior to MRI but superior to X-ray in sensitivity.
C) Ultrasound is as sensitive as MRI but superior to X-ray.
D) Ultrasound is inferior to MRI and X-ray in sensitivity.

2. How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?

A) By placing the probe in a longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm.
B) By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm
C) By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm
D) By placing the probe in a transverse position over the distal clavicle and asking the patient to raise the arm

3. A practitioner wants to assess the structures on the right, distal portion of this image.

What should the practitioner do at this time?

A) Place the focal point at the level of the area of interest.
B) Choose a lower transducer frequency.
C) Increase the overall gain to brighten the image.
D) Depress the distal end of the probe.

4. Which of the following is MOST likely to cause vertical lines on every image obtained from a piece of ultrasound equipment?

A) Misaligned time-gain compensation
B) Damage to the transducer cable
C) Increased number of air bubbles in the transducer gel that may impede sound waves
D) Cracks in the transducer that may indicate breakage of piezoelectric crystal elements

5. 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

Solutions: