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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

Question 1

Which of the following is MOST accurate regarding high-level disinfection of a probe?

A. High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
B. High-level disinfection of an external probe does not remove most fungi
C. High-level disinfection of an external probe removes all bacterial spores.
D. High-level disinfection of an internal-use probe is required between every patient

Question 2

In this image of a knee, what is the MOST obvious abnormality?

A. Avascular necrosis
B. Chondrocalcinosis
C. Cartilage interface sign
D. Asymmetric femoral cartilage thinning

Question 3

Which of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?

A. A person with no shirt Description automatically generated
B. A person in a hospital room Description automatically generated with medium confidence


C. A person sitting in a chair with a machine Description automatically generated


D. A person sitting in front of a machine Description automatically generated

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

Question 5

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 increases the overall success rate in obtaining joint fluid aspirate.
B. The ultrasound-guided technique takes additional time to perform.
C. The ultrasound-guided technique leads to more fluid aspiration among novice physicians.
D. The ultrasound-guided technique results in more pain.

Solutions: