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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. In this ultrasound image of a hip, where is the transducer positioned?

A) Parallel to the greater trochanter
B) Parallel to the femoral neck
C) Parallel to the inguinal ligament
D) Parallel to the femoral shaft

2. The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?

A) Both the radiocarpal and midcarpal recesses should be targeted.
B) The fourth compartment ten synovium should be targeted.
C) The radiocarpal recess should be the primary target.
D) The midcarpal recess should be the primary target.

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

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

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) Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
C) Ultrasound can delineate volar wrist anatomy.
D) Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.

5. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?

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

Solutions: