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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Upper Extremity Ultrasound | - Shoulder joint evaluation - Elbow, wrist, and hand structures |
| Foundations of Musculoskeletal Ultrasound | - Image optimization and acquisition techniques - Ultrasound physics and instrumentation |
| Inflammatory and Degenerative Pathology | - Synovitis, effusions, and erosions - Tendinopathy and enthesitis patterns |
| Lower Extremity Ultrasound | - Hip joint assessment - Knee, ankle, and foot evaluation |
| Ultrasound-Guided Procedures | - Needle guidance and safety principles - Joint aspiration and injection techniques |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?
- A. A 50-year-old woman with pain between the third and fourth metatarsals
- B. A patient with psoriasis and posterior heel pain
- C. A patient who has pain and numbness over the lateral calf
- D. A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation
Correct Answer: D 🗳️
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. Osteophytes in osteoarthritis.
- B. Erosions in rheumatoid arthritis.
- C. Synovitis in rheumatoid arthritis.
- D. Articular cartilage damage in osteoarthritis.
Correct Answer: C 🗳️
Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?
- A. Electrical leakage
- B. Dead elements
- C. Gouges on the lens material
- D. Cracks in the piezoelectric crystals
Correct Answer: B 🗳️
Which effect is achieved by increasing the gain while in Doppler mode?
- A. Increased tissue penetration
- B. Reduced noise artifacts in the image
- C. Increased sensitivity to flow
- D. Increased image brightness
Correct Answer: C 🗳️
Which carpal bone is visualized medially to the ulnar nerve on a transverse scan of the wrist at the level of the distal wrist crease?
- A. Hamate
- B. Capitate
- C. Pisiform
- D. Triquetrum
Correct Answer: C 🗳️

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I took RhMSUS exam last month and I passed it with high score.