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American College of Rheumatology RhMSUS Exam Syllabus Topics:

SectionObjectives
Documentation
Performing the Ultrasound Examination
Interpretation and Integration
Preparing the Patient and Environment
Procedural Guidance
Recognize Indications for the Use of Ultrasound in Rheumatology
Equipment Use and Management

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

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

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

A 30-year-old female patient with rheumatoid arthritis reports pain at the medial malleolus. The medial side of the ankle is tender and seems to be swollen. How should a practitioner interpret the transverse images at the medial malleolus?

  • A. Tenosynovitis of the tibialis anterior tendon
  • B. Tenosynovitis of the flexor digitorum
  • C. Tenosynovitis of the flexor hallucis longus
  • D. Neurom of the tibiatis posterior nerve
Answer: C

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. Color Doppler ultrasound is more dependent on the angle of insonation than power Doppler ultrasound.
  • B. Power Doppler ultrasound is preferable to color Doppler ultrasound to assess the direction of flow.
  • C. Power Doppler ultrasound is preferable to color Doppler ultrasound to assess flow velocity.
  • D. Color Doppler ultrasound is preferable to power Doppler ultrasound to assess the amplitude of flow.
Answer: A

Which of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?

  • A. A person with no shirt Description automatically generated
  • B. A person in a hospital room Description automatically generated with medium confidence

  • C. A person sitting in front of a machine Description automatically generated
  • D. A person sitting in a chair with a machine Description automatically generated

Answer: A

Which of the following is MOST likely to cause vertical lines on every image obtained from a piece of ultrasound equipment?

  • A. Cracks in the transducer that may indicate breakage of piezoelectric crystal elements
  • B. Increased number of air bubbles in the transducer gel that may impede sound waves
  • C. Misaligned time-gain compensation
  • D. Damage to the transducer cable
Answer: B

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