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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 statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?

A) Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip.
B) Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
C) The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
D) Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.

2. The change between the ankle depicted in the first and second images would BEST be explained by which of the following?

A) Decreased transducer pressure
B) Decreased synovitis
C) Increased gain
D) Decreased frequency

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

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

4. A 41-year-old man presents with suspected right carpal tunnel syndrome but normal nerve conduction studies. For which reason will a sonographic study be helpful for further diagnostic evaluation?

A) Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
B) Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
C) Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
D) Ultrasound can delineate volar wrist anatomy.

5. What is the BEST assessment of these longitudinal images of the pes anserinus region?

A) Normal medial genicular artery signal
B) Tenosynovitis
C) Presence of enthesopathy with hyperemia
D) Reverberation artifact

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