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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

2. In performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:

A) Target is as close as possible to the side of the transducer where the needle will be inserted.
B) Needle angle relative to the transducer is minimized.
C) Needle crosses the plane of the transducer.
D) Transducer touches the point where the needle penetrates the skin.

3. In this ultrasound image of a hip, where is the transducer positioned?

A) Parallel to the femoral neck
B) Parallel to the inguinal ligament
C) Parallel to the femoral shaft
D) Parallel to the greater trochanter

4. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?

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

5. Which of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?

A) A person with no shirt Description automatically generated
B) A person in a hospital room Description automatically generated with medium confidence


C) A person sitting in a chair with a machine Description automatically generated


D) A person sitting in front of a machine Description automatically generated

Solutions: