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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 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) Glenohumeral joint
C) Trochanteric bursa
D) Subacromial bursa

2. Which of the following is the MOST appropriate approach to use when performing an ultrasound-guided aspiration on a Baker's cyst in the posterior knee of a 76-year-old female patient?

A) A posteromedial approach at the level proximal to the joint line
B) An anteromedial approach at the level of the joint line
C) A posteromedial approach at the level of the mid-gastrocnemius muscle
D) A posteromedial approach at the level of the joint line

3. In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?

A) Anomalous radial artery
B) Persistent median artery
C) Median nerve impingement
D) Flexor tenosynovitis

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

5. What should be taken into consideration prior to any procedure?

A) A slight to-and-fro movement or injection of a small amount of lidocaine may be beneficial in visualizing the needle.
B) The transducer should be aligned perpendicular to the plane of the needle.
C) The needle should be visualized only prior to its insertion to the target area.
D) The shortest pathway to the region of interest should be selected with consideration given to adjacent neurovascular structures.

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