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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. What is the MAIN pathologic finding shown in this ultrasound image?

A) Tendon rupture
B) Erosion
C) Osteophytes
D) Synovitis

2. A 41-year-old man presents with suspected right carpal tunnel syndrome but normal nerve conduction studies. For which reason will a sonographic study be helpful for further diagnostic evaluation?

A) Ultrasound can delineate volar wrist anatomy.
B) Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
C) Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
D) Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.

3. The change between the ankle depicted in the first and second images would BEST be explained by which of the following?

A) Decreased frequency
B) Decreased synovitis
C) Increased gain
D) Decreased transducer pressure

4. Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?

A) The typical appearance of pes equinovarus
B) The normal appearance of irregular ossification centers of the respective midfoot bones
C) An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces
D) Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions

5. Which of these supraspinatus longitudinal images has the BEST combination of ultrasound machine settings?

A) Option A
B) Option D
C) Option B
D) Option C

Solutions: