American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

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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 is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?

A) The normal appearance of irregular ossification centers of the respective midfoot bones
B) The typical appearance of pes equinovarus
C) Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions
D) An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces

2. Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?

A) Preoperative evaluation of a patient with suspected rotator cuff tear
B) Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
C) Assessment of pain and swelling of unclear etiology at the right temporomandibular joint
D) Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis

3. Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?

A) The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.
B) The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.
C) The patient has a normal hip joint.
D) The patient should be referred for plain radiography to evaluate for femoral neck fracture.

4. A 30-year-old pregnant woman with rheumatoid arthritis presents with right wrist pain and swelling despite a palpation-guided corticosteroid injection one month ago.

A) Radioulnar joint
B) Intercarpal joint
C) Extensor tenosynovium
D) Radiocarpal joint

5. This image shows the sequence of a guided procedure in a patient with rheumatoid arthritis and a mass of the right shoulder. Although guided aspiration was useful for the fluid examination, surgery was performed for a definitive diagnosis of the acromioclavicular cyst. Which condition is the finding MOST associated with this pathology?

A) Humeral head fracture
B) Rotator cuff tear
C) Chondrocalcinosis
D) Amyloidosis

Solutions: