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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Documentation | - Reporting standards and required documentation - Image archiving and record keeping | |
| Topic 2: Equipment Use and Management | - Ultrasound machine controls and optimization - Transducer selection and maintenance | |
| Topic 3: Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Ultrasound capabilities and limitations - Clinical indications and appropriate use cases |
| Topic 4: Performing the Ultrasound Examination | - Anatomical landmark recognition - Scanning techniques for joints and soft tissue | |
| Topic 5: Preparing the Patient and Environment | - Patient positioning and preparation - Environment and equipment setup | |
| Topic 6: Interpretation and Integration | - Identifying normal and pathological findings - Integrating ultrasound findings into clinical decisions | |
| Topic 7: Procedural Guidance | - Safety and procedural considerations - Ultrasound-guided injections and interventions |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
1. Which of the following statements regarding ultrasound probe care is MOST accurate?
A) Internal-use probes are considered semi-critical devices and require low-level disinfection after each use.
B) External probes, when used without a cover for ultrasound-guided injections or aspiration, are considered semi-critical devices and require low-level disinfection after each use.
C) Internal-use probes are considered critical devices and require sterilization after each use.
D) External probes that come into contact with intact skin are considered noncritical devices and require cleaning with low-level disinfectants after each use.
2. Which carpal bone is visualized medially to the ulnar nerve on a transverse scan of the wrist at the level of the distal wrist crease?
A) Capitate
B) Triquetrum
C) Hamate
D) Pisiform
3. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?
A) Image C
B) Image D
C) Image B
D) Image A
4. Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?
A) Assessment of pain and swelling of unclear etiology at the right temporomandibular joint
B) Preoperative evaluation of a patient with suspected rotator cuff tear
C) Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
D) Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
5. In performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:
A) Transducer touches the point where the needle penetrates the skin.
B) Needle crosses the plane of the transducer.
C) Needle angle relative to the transducer is minimized.
D) Target is as close as possible to the side of the transducer where the needle will be inserted.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: D |
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