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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Clinical indications and appropriate use cases - Ultrasound capabilities and limitations |
| Topic 2: Interpretation and Integration | - Identifying normal and pathological findings - Integrating ultrasound findings into clinical decisions | |
| Topic 3: Preparing the Patient and Environment | - Environment and equipment setup - Patient positioning and preparation | |
| Topic 4: Documentation | - Image archiving and record keeping - Reporting standards and required documentation | |
| Topic 5: Performing the Ultrasound Examination | - Scanning techniques for joints and soft tissue - Anatomical landmark recognition | |
| Topic 6: Equipment Use and Management | - Transducer selection and maintenance - Ultrasound machine controls and optimization | |
| Topic 7: Procedural Guidance | - Ultrasound-guided injections and interventions - Safety and procedural considerations |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?
- A. Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions
- B. An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces
- C. The typical appearance of pes equinovarus
- D. The normal appearance of irregular ossification centers of the respective midfoot bones
Correct Answer: D 🗳️
A 30-year-old pregnant woman with rheumatoid arthritis presents with right wrist pain and swelling despite a palpation-guided corticosteroid injection one month ago.

- A. Intercarpal joint
- B. Radioulnar joint
- C. Extensor tenosynovium
- D. Radiocarpal joint
Correct Answer: A 🗳️
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
Correct Answer: B 🗳️
A 78-year-old woman presents with three days of ankle pain and swelling. Her exam reveals swelling localized around the medial malleolus, and any motion or palpation causes pain. The medial transverse ultrasound view of the ankle is shown. Based on her presentation and the ultrasound image, what is the MOST likely anatomic structure from which her pain is emanating?
- A. Flexor hallucis
- B. Subtalar joint
- C. Posterior tibial tendon
- D. Flexor digitorum
Correct Answer: C 🗳️
For an ultrasound examination, how should the patient, ultrasound machine, and examiner be oriented?
- A. The examiner is between the patient and the monitor.
- B. The monitor is between the patient and the examiner.
- C. The monitor is on the left of the patient for a left-handed examiner.
- D. The examiner is closest to the limb of the patient being scanned while facing toward the monitor.
Correct Answer: D 🗳️
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