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American College of Rheumatology RhMSUS Exam Syllabus Topics:

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

1. Which of the following is the MOST appropriate approach to use when performing an ultrasound-guided aspiration on a Baker's cyst in the posterior knee of a 76-year-old female patient?

A) A posteromedial approach at the level proximal to the joint line
B) An anteromedial approach at the level of the joint line
C) A posteromedial approach at the level of the joint line
D) A posteromedial approach at the level of the mid-gastrocnemius muscle

2. A 78-year-old woman presents with three days of ankle pain and swelling. Her exam reveals swelling localized around the medial malleolus, and any motion or palpation causes pain. The medial transverse ultrasound view of the ankle is shown. Based on her presentation and the ultrasound image, what is the MOST likely anatomic structure from which her pain is emanating?

A) Flexor hallucis
B) Flexor digitorum
C) Subtalar joint
D) Posterior tibial tendon

3. What is the position of the arm MOST likely used to obtain this B-Mode image of the shoulder?

A) External rotation
B) Modified Crass
C) Crass
D) Neer impingement

4. In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?

A) Persistent median artery
B) Flexor tenosynovitis
C) Median nerve impingement
D) Anomalous radial artery

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

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

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