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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Foundations of Musculoskeletal Ultrasound | - Ultrasound physics and instrumentation - Image optimization and acquisition techniques |
| Topic 2: Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
| Topic 3: Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
| Topic 4: Upper Extremity Ultrasound | - Shoulder joint evaluation - Elbow, wrist, and hand structures |
| Topic 5: Ultrasound-Guided Procedures | - Needle guidance and safety principles - Joint aspiration and injection techniques |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?

- A. Tendon tear
- B. Artifact from transducer placement
- C. Normal tendon variability
- D. Tendinopathy
A practitioner wants to assess the structure marked with an asterisk (*).
What maneuver should the practitioner instruct the patient to perform of the examined joint?
- A. Internal rotation and adduction
- B. Neutral position
- C. External rotation
- D. Lateral abduction
A 3-year-old child with juvenile idiopathic arthritis presents for an intra-articular corticosteroid injection of the knee. Using ultrasound guidance, which location should be targeted with a needle?
- A. D
- B. C
- C. A
- D. B
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 increases the overall success rate in obtaining joint fluid aspirate.
- C. The ultrasound-guided technique results in more pain.
- D. The ultrasound-guided technique leads to more fluid aspiration among novice physicians.
Which condition is the ultrasound examination of this nodular structure MOST suggestive of?

- A. Gouty tophus
- B. Rheumatoid nodule
- C. Subcutaneous abscess
- D. Ganglion cyst
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