American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology : RhMSUS exam

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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 is a short-axis scan of the supraspinatus tendon in a normal person. What is the finding marked with the arrow?

A) Subacromial bursa calcification
B) Calcification of the supraspinatus tendon
C) Normal deltoid muscle
D) A probe-generated artifact

2. Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?

A) Glenohumeral joint
B) Trochanteric bursa
C) Flexor digitorum tendon at the A1 pulley
D) Subacromial bursa

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

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

4. For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?

A) A 50-year-old woman with pain between the third and fourth metatarsals
B) A patient who has pain and numbness over the lateral calf
C) A patient with psoriasis and posterior heel pain
D) A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation

5. 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?

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

Solutions: