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American College of Rheumatology RhMSUS Q&A - in .pdf
- Exam Code: RhMSUS
- Exam Name: Musculoskeletal Ultrasound Certification in Rheumatology
- Q & A: 100 Questions and Answers
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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Documentation | |
| Topic 2: Performing the Ultrasound Examination | |
| Topic 3: Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Topic 4: Equipment Use and Management | |
| Topic 5: Procedural Guidance | |
| Topic 6: Interpretation and Integration | |
| Topic 7: Preparing the Patient and Environment |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Question #1
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. Rotator cuff tear
- B. Humeral head fracture
- C. Amyloidosis
- D. Chondrocalcinosis
Correct Answer: A 🗳️
Question #2
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. Ganglion cyst rupture
- B. Rheumatoid nodulosis
- C. Extensor tenosynovitis
- D. Extensor tendon tear
Correct Answer: C 🗳️
Question #3
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. Radiocarpal joint
- B. Intercarpal joint
- C. Extensor tenosynovium
- D. Radioulnar joint
Correct Answer: B 🗳️
Question #4
What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?
- A. Images of the sonographic views with the presence of power Doppler synovitis only
- B. Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only
- C. Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint
- D. All appropriate sonographic views of every joint examined
Correct Answer: C 🗳️
Question #5
A 45-year-old man presents to the emergency room for evaluation of right knee pain for the past five days.
He denies a history of trauma and is afebrile on examination. A right knee effusion is noted on exam.
Arthrocentesis is planned and a traditional palpation-guided method is being considered versus an ultrasound-guided technique.
Which of the following is the MOST accurate description of the ultrasound-guided technique in this setting?
- A. The ultrasound-guided technique results in more pain.
- B. The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.
- C. The ultrasound-guided technique leads to more fluid aspiration among novice physicians.
- D. The ultrasound-guided technique takes additional time to perform.
Correct Answer: B 🗳️
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