American College of Rheumatology RhMSUS Exam Questions : Musculoskeletal Ultrasound Certification in Rheumatology

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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. Why is musculoskeletal ultrasound (MSKUS) useful in monitoring the treatment response in rheumatoid arthritis?

A) MSKUS is able to detect bone marrow edema around joints
B) Power Doppler ultrasound is sensitive to change in disease activity.
C) Power Doppler ultrasound is specific to rheumatoid arthritis disease activity.
D) Gray-scale ultrasound can predict the development of erosions.

2. To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?

A) Curvilinear structure
B) Higher frequency
C) Smaller footprint
D) Standoff pad

3. How reliable is ultrasound as compared to other imaging modalities for diagnosing synovitis in the joints of the fingers?

A) Ultrasound is inferior to MRI and X-ray in sensitivity.
B) Ultrasound is inferior to MRI but superior to clinical exam in sensitivity.
C) Ultrasound is as sensitive as MRI but superior to X-ray.
D) Ultrasound is inferior to MRI but superior to X-ray in sensitivity.

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

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

5. What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?

A) Osteophytes and distension and calcification of the medial collateral ligament
B) Osteophytes and meniscal cyst
C) Osteophytes, distension of the medial collateral ligament, and meniscal degeneration
D) Osteophytes and rupture of the medial collateral ligament

Solutions: