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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:
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.
Correct Answer: D 🗳️
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
Correct Answer: D 🗳️
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
Correct Answer: C 🗳️
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
Correct Answer: B 🗳️
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.
Correct Answer: D 🗳️
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