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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
| Topic 2: Upper Extremity Ultrasound | - Elbow, wrist, and hand structures - Shoulder joint evaluation |
| Topic 3: Ultrasound-Guided Procedures | - Needle guidance and safety principles - Joint aspiration and injection techniques |
| Topic 4: Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
| Topic 5: Foundations of Musculoskeletal Ultrasound | - Ultrasound physics and instrumentation - Image optimization and acquisition techniques |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Which of the following is MOST likely to cause vertical lines on every image obtained from a piece of ultrasound equipment?
- A. Cracks in the transducer that may indicate breakage of piezoelectric crystal elements
- B. Damage to the transducer cable
- C. Misaligned time-gain compensation
- D. Increased number of air bubbles in the transducer gel that may impede sound waves
Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?
- A. Flexor tenosynovitis
- B. Flexor tendon rupture with reparative hyperemia
- C. Proximal interphalangeal synovitis
- D. Proximal interphalangeal osteophytes
This is a short-axis scan of the supraspinatus tendon in a normal person. What is the finding marked with the arrow?
- A. Normal deltoid muscle
- B. Calcification of the supraspinatus tendon
- C. A probe-generated artifact
- D. Subacromial bursa calcification
A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?

- A. Extensor tenosynovitis
- B. Extensor tendon tear
- C. Ganglion cyst rupture
- D. Rheumatoid nodulosis
Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?
- A. Gouges on the lens material
- B. Electrical leakage
- C. Cracks in the piezoelectric crystals
- D. Dead elements
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