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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

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

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

2. For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?

A) A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation
B) A 50-year-old woman with pain between the third and fourth metatarsals
C) A patient who has pain and numbness over the lateral calf
D) A patient with psoriasis and posterior heel pain

3. What is the MAXIMUM normal dimension of the structure indicated by the line in this image?

A) 9 mm in children less than 5 years old
B) 9 mm in adults
C) 7 mm in adults
D) 7 mm in children less than 5 years old

4. By comparing gray-scale images from before pharmacologic treatment and after months of treatment, rheumatologists are able to assess patient improvement and response with regard to:

A) Erosions in rheumatoid arthritis.
B) Osteophytes in osteoarthritis.
C) Articular cartilage damage in osteoarthritis.
D) Synovitis in rheumatoid arthritis.

5. What is the MOST appropriate conclusion for the image of this hip?

A) Hip effusion in longitudinal view
B) Iliopsoas bursitis in longitudinal view
C) Hip synovitis in longitudinal view
D) Normal longitudinal view of the hip

Solutions: