American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

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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 situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?

A) Preoperative evaluation of a patient with suspected rotator cuff tear
B) Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
C) Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
D) Assessment of pain and swelling of unclear etiology at the right temporomandibular joint

2. Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"

A) Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
B) Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis
C) A femoral neck enchondroma in a patient complaining of hip pain
D) A Morton's neuroma in a patient complaining of foot pain

3. An 81-year-old male with known shoulder osteoarthritis presents to the office for an ultrasound-guided injection of the glenohumeral joint. Prior to injection, where should the needle tip be visualized?

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

4. Which of the following protocols would be MOST consistent with a complete routine ultrasound examination of the shoulder?

A) Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLateral views of the subscapularis tendon
oLateral long- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior view of the glenohumeral joint recess oDynamic lateral long-axis assessment of impingement with abduction of the arm
B) Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oDynamic lateral long-axis assessment of impingement with abduction of the arm oPosterior transverse view of the suprascapular notch oView from cranial at the acromioclavicular joint
C) Anterior long- and short-axis views of the biceps tendon
oAnterior view of the subscapularis tendon in external rotation
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterolateral view of the infraspinatus tendon oPosterior view of the glenohumeral joint recess oView from cranial at the acromioclavicular joint
D) Anterior long- and short-axis views of the biceps tendon
oAnterior views of the pectoralis tendon insertion
oAnterior view of the coracoid ligament and rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior long- and short-axis views of the infraspinatus tendon insertion oAxillary long-axis view with arm raised

5. Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?

A) Flexor digitorum tendon at the A1 pulley
B) Trochanteric bursa
C) Subacromial bursa
D) Glenohumeral joint

Solutions: