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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

Question 1

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. Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint
C. All appropriate sonographic views of every joint examined
D. Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only

Question 2

This suprapatellar longitudinal scan in a 3-year-old girl is MOST consistent with which of the following?

A. An effusion of the suprapatellar recess
B. Quadriceps tendinopathy with acoustic shadow
C. Normal anatomy for age
D. Chondromalacia of the patella

Question 3

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

A. Image B
B. Image D
C. Image A
D. Image C

Question 4

In performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:

A. Needle angle relative to the transducer is minimized.
B. Transducer touches the point where the needle penetrates the skin.
C. Target is as close as possible to the side of the transducer where the needle will be inserted.
D. Needle crosses the plane of the transducer.

Question 5

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

Solutions: