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Following are some reference material for actual American College of Rheumatology RhMSUS exam test
| Section | Weight | Objectives |
|---|---|---|
| Equipment Use and Management | - Ultrasound machine controls and optimization - Transducer selection and maintenance | |
| Preparing the Patient and Environment | - Environment and equipment setup - Patient positioning and preparation | |
| Interpretation and Integration | - Integrating ultrasound findings into clinical decisions - Identifying normal and pathological findings | |
| Procedural Guidance | - Safety and procedural considerations - Ultrasound-guided injections and interventions | |
| Recognize Indications for Use of Ultrasound in Rheumatology | 9% | - Clinical indications and appropriate use cases - Ultrasound capabilities and limitations |
| Documentation | - Reporting standards and required documentation - Image archiving and record keeping | |
| Performing the Ultrasound Examination | - Scanning techniques for joints and soft tissue - Anatomical landmark recognition |
1. A practitioner obtains this image of a metacarpophalangeal joint of a patient with periodic joint swelling and warmth. Which of the following is the MOST likely diagnosis?
A) Rheumatoid arthritis
B) Osteoarthritis
C) Spondylarthritis
D) Gouty arthritis
2. Which pathologic condition is MOST likely responsible for the etiology of shoulder pain in the patient?
A) Subacromial bursitis
B) Osteoarthritis
C) Rheumatoid synovitis
D) Calcific tendinitis
3. Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?
A) Anterior glenoid labrum
B) Posterior cruciate ligament
C) Posterior patellar cartilage
D) Metacarpal volar plate
4. Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?
A) Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions
B) An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces
C) The normal appearance of irregular ossification centers of the respective midfoot bones
D) The typical appearance of pes equinovarus
5. A 3-year-old child with juvenile idiopathic arthritis presents for an intra-articular corticosteroid injection of the knee. Using ultrasound guidance, which location should be targeted with a needle?
A) B
B) C
C) D
D) A
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: B |
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