2024 RhMSUS High Passing Score | Professional Musculoskeletal Ultrasound Certification in Rheumatology 100% Free Online Test

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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions (Q17-Q22):

NEW QUESTION # 17
A practitioner obtains the following ultrasound image of a patient with a positive rheumatoid factor and normal ESR, CRP, and hand X-rays.

Which of the following options would be an evidence-based statement during a discussion of the management plan?

  • A. Severe (high-grade) synovial hyperemia, but not mild (low-grade) hyperemia, would be an indication to change therapy.
  • B. Hyperemia is suggestive of a septic joint and requires further diagnostic testing.
  • C. Low-grade synovial hyperemia is found in most patients in clinical remission from rheumatoid arthritis.
  • D. A positive Doppler signal is a predictor of future joint damage.

Answer: C


NEW QUESTION # 18
What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?

  • A. Images of the sonographic views with the presence of power Doppler synovitis only
  • B. All appropriate sonographic views of every joint examined
  • C. Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint
  • D. Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only

Answer: C


NEW QUESTION # 19
What should be taken into consideration prior to any procedure?

  • A. The needle should be visualized only prior to its insertion to the target area.
  • B. The transducer should be aligned perpendicular to the plane of the needle.
  • C. A slight to-and-fro movement or injection of a small amount of lidocaine may be beneficial in visualizing the needle.
  • D. The shortest pathway to the region of interest should be selected with consideration given to adjacent neurovascular structures.

Answer: D


NEW QUESTION # 20
Which of the following images is MOST suggestive of sonographic features of patients with spondyloarthropathy?



  • A. Option C
  • B. Option A
  • C. Option D
  • D. Option B

Answer: A


NEW QUESTION # 21
In this volar transverse image of the carpal tunnel, the arrows represent needles, and the arrowheads represent the needle tips. In planning a carpal tunnel corticosteroid injection with ultrasound guidance, which of the arrows combines the safest path through tissues with the BEST needle visualization?

  • A. Arrow D
  • B. Arrow A
  • C. Arrow C
  • D. Arrow B

Answer: C


NEW QUESTION # 22
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