American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology : RhMSUS

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. 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 leads to more fluid aspiration among novice physicians.
B) The ultrasound-guided technique takes additional time to perform.
C) The ultrasound-guided technique results in more pain.
D) The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.

2. Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?

A) Glenohumeral synovitis
B) Superior labral anterior-posterior lesion
C) Complex regional pain syndrome
D) Adhesive capsulitis

3. Which of the probe placement photographs BEST matches the standard wrist ultrasound image shown?

A) Image B
B) Image D
C) Image C
D) Image A

4. In setting up an ultrasound machine to examine blood flow, which of the following statements BEST reflects the difference between color Doppler and power Doppler ultrasound?

A) Color Doppler ultrasound is more dependent on the angle of insonation than power Doppler ultrasound.
B) Color Doppler ultrasound is preferable to power Doppler ultrasound to assess the amplitude of flow.
C) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess flow velocity.
D) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess the direction of flow.

5. A 80-year-old man presents with two weeks of wrist swelling and pain. His exam reveals swelling and tenderness over the dorsum of his right wrist as well as synovial swelling of the second and third metacarpophalangeal joints of his left hand. His serum uric acid concentration is 6.0 mg/dL. The longitudinal and transverse images of the dorsal aspect of his right wrist are shown below. What is the MOST likely diagnosis?

A) Calcium pyrophosphate arthritis
B) Psoriatic arthritis
C) Rheumatoid arthritis
D) Gout

Solutions: