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American College of Rheumatology RhMSUS Exam Syllabus Topics:

Section	Weight	Objectives
Recognize Indications for Use of Ultrasound in Rheumatology	9%	- Ultrasound capabilities and limitations - Clinical indications and appropriate use cases
Performing the Ultrasound Examination		- Anatomical landmark recognition - Scanning techniques for joints and soft tissue
Documentation		- Reporting standards and required documentation - Image archiving and record keeping
Interpretation and Integration		- Identifying normal and pathological findings - Integrating ultrasound findings into clinical decisions
Procedural Guidance		- Ultrasound-guided injections and interventions - Safety and procedural considerations
Equipment Use and Management		- Transducer selection and maintenance - Ultrasound machine controls and optimization
Preparing the Patient and Environment		- Environment and equipment setup - Patient positioning and preparation

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

Question #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. Gouty arthritis
B. Osteoarthritis
C. Rheumatoid arthritis
D. Spondylarthritis

Reveal Solution Discussion 0

Correct Answer: C 🗳️

Question #2

An 83-year-old female with a medical history of congestive heart failure, critical aortic stenosis, end-stage renal disease, and morbid obesity presents to the office with a complaint of right knee pain for two years. The pain is worse with activity and better with rest. She notes no redness, warmth, or swelling in the joint, with no other joints being painful. A physical examination reveals crepitus in the right knee with medial and lateral joint line tenderness of the left knee. X-rays of the right knee from six months ago are consistent with severe tricompartmental osteoarthritis. Due to morbid obesity, visualization of bony landmarks is not possible and the decision is made to proceed with an ultrasound-guided knee injection with a hyaluronic acid derivative.
Prior to injection, where should the needle tip be visualized?