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Last Updated: Sep 08, 2026
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American College of Rheumatology RhMSUS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Performing the Ultrasound Examination | |
| Topic 2: Documentation | |
| Topic 3: Interpretation and Integration | |
| Topic 4: Recognize Indications for the Use of Ultrasound in Rheumatology | |
| Topic 5: Preparing the Patient and Environment | |
| Topic 6: Equipment Use and Management | |
| Topic 7: Procedural Guidance |
American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
Which of the following protocols would be MOST consistent with a complete routine ultrasound examination of the shoulder?
- A. Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLateral views of the subscapularis tendon
oLateral long- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior view of the glenohumeral joint recess oDynamic lateral long-axis assessment of impingement with abduction of the arm - B. Anterior long- and short-axis views of the biceps tendon
oAnterior view of the subscapularis tendon in external rotation
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterolateral view of the infraspinatus tendon oPosterior view of the glenohumeral joint recess oView from cranial at the acromioclavicular joint - C. Anterior long- and short-axis views of the biceps tendon
oAnterior views of the pectoralis tendon insertion
oAnterior view of the coracoid ligament and rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior long- and short-axis views of the infraspinatus tendon insertion oAxillary long-axis view with arm raised - D. Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oDynamic lateral long-axis assessment of impingement with abduction of the arm oPosterior transverse view of the suprascapular notch oView from cranial at the acromioclavicular joint
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. Gout
- B. Calcium pyrophosphate arthritis
- C. Rheumatoid arthritis
- D. Psoriatic arthritis
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. Power Doppler ultrasound is preferable to color Doppler ultrasound to assess flow velocity.
- 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 the direction of flow.
- D. Color Doppler ultrasound is more dependent on the angle of insonation than power Doppler ultrasound.
What is the MAXIMUM normal dimension of the structure indicated by the line in this image?
- A. 9 mm in children less than 5 years old
- B. 9 mm in adults
- C. 7 mm in adults
- D. 7 mm in children less than 5 years old
Which of the following is the MOST appropriate next step to confirm the presence of pathology in this metacarpophalangeal joint?
- A. Float the probe.
- B. Decrease the depth.
- C. Use a "hockey stick" probe.
- D. Check the transverse plane.
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