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American College of Rheumatology RhMSUS Exam Syllabus Topics:

American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:

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

2. The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?

A) Shoulder capsulitis
B) Polymyositis
C) Eosinophilic fasciitis
D) Sjogren's syndrome

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

4. Which of the following statements is CORRECT with regard to the use of ultrasound equipment for children?" followed by four answer choices:

A) Ultrasonography has limitations in imaging the relatively small structures in pediatric joints
B) Pediatric joints can be imaged with the same ultrasound equipment used for adults
C) High-Trequency probes are necessary to adapt to the small pediatric joints
D) Special "hockey stick" transducers are essential to adequately image pediatric joints

5. Which pathologic condition is MOST likely responsible for the etiology of shoulder pain in the patient?

A) Rheumatoid synovitis
B) Calcific tendinitis
C) Subacromial bursitis
D) Osteoarthritis

Solutions: