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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?

A) By placing the probe in a transverse position over the distal clavicle and asking the patient to raise the arm
B) By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm
C) By placing the probe in a longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm.
D) By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm

2. Which of the following is TRUE for document storage and record-keeping guidelines and requirements?

A) All images must be part of the electronic or paper patient file.
B) There must be provisions for the storage and retrieval of examination records of all studies that are documented in the medical chart.
C) Ultrasound studies must be saved in a DICOM (Digital Imaging and Communications in Medicine) format.
D) The physician's report on the ultrasound examination must be stored in a physically separate location from the machine.

3. What should be adjusted to improve the quality of the image of the tibiotalar joint?

A) Frame average and frequency
B) Focus and frequency
C) Focus and map
D) Frame average and depths

4. The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?

A) Tendinopathy
B) Artifact from transducer placement
C) Tendon tear
D) Normal tendon variability

5. A 41-year-old man presents with suspected right carpal tunnel syndrome but normal nerve conduction studies. For which reason will a sonographic study be helpful for further diagnostic evaluation?

A) Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
B) Ultrasound can delineate volar wrist anatomy.
C) Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
D) Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.

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