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Exam Code: RMSK
Exam Name: APCA RMSK Registered in Musculoskeletal sonography
Questions: ~200 multiple-choice
Time: 4 hours
Passing score: Scaled 555/700
Results: ~60 days
Frequency: 2 cycles/year

- Abdominal wall
- Perform general ultrasound of the ligaments
- neurovascular system
- tendons of the abdominal wall

- Ankle and foot
- Perform general ultrasound of the bones, bursae, cartilage, and joints of the ankle and foot
- Perform general ultrasound of the fascia, ligaments, and tendons of the ankle and foot
- Perform general ultrasound of the neurovascular system of the ankle and foot

- Chest Wall
- Perform general ultrasound of the bones, bursae, cartilage, ligaments, muscles, neurovascular system, and tendons of the chest wall

- Elbow
- Perform general ultrasound of the bones, bursae, cartilage, and joints of the elbow
- Perform general ultrasound of the tendons of the elbow

- Hand and wrist
- Perform general ultrasound of the bones, cartilage, joints, and ligaments of the hand and wrist
- Perform general ultrasound of the neurovascular system of the hand and wrist
- Perform general ultrasound of the tendons of the hand and wrist

- Hip and groin
- Perform general ultrasound of the bursae, cartilage, joints, and ligaments of the hip and groin
- Perform general ultrasound of the neurovascular system of the hip and groin
- Perform general ultrasound of the tendons of the hip and groin

- Knee
- Perform general ultrasound of the bones, bursae, joints, ligaments, and tendons of the knee
- Perform general ultrasound of the neurovascular system of the knee

- Shoulder
- Perform general ultrasound of the bones, bursae, cartilage, joints, and ligaments of the shoulder
- Perform general ultrasound of the neurovascular system of the shoulder
- Perform general ultrasound of the tendons of the shoulder

- Abnormal physiology
- Evaluate abscesses
- Evaluate bone erosion
- Evaluate cartilage pathology
- Evaluate crystal deposits
- Evaluate cystic structures
- Evaluate for gas in soft tissues
- Evaluate foreign bodies
- Evaluate fractures
- Evaluate infections
- Evaluate joint instability/altered function
- Evaluate joint effusions
- Evaluate ligament tears
- Evaluate masses
- Evaluate muscle tears
- Evaluate nerve entrapment
- Evaluate neuromas
- Evaluate subcutaneous abnormalities
- Evaluate synovial proliferation
- Evaluate synovitis
- Evaluate tendon calcification
- Evaluate tendon tears

- Ultrasound-guided Interventional Procedures 18% 3.R Ankle and foot
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the bursae and joints of the ankle and foot
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the fascia, ligaments, and tendons of the ankle and foot
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the neurovascular system of the ankle and foot

- Chest wall
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the bursae, ligaments, muscles, sternoclavicular joints, neurovascular system, and tendons of the chest wall
- Elbow
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the bursae, joints, and tendons of the elbow

- Hand and wrist
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the joints and ligaments of the hand and wrist
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the tendons of the hand and wrist
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the neurovascular system of the hand and wrist
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the bursae and joints of the hip and groin
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the tendons of the hip and groin
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the neurovascular system of the hip and groin

- Knee
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the bursae and joints of the knee
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the ligaments and tendons of the knee
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the neurovascular system of the knee

- Shoulder
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the bursae, joints, and ligaments of the shoulder
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the neurovascular system of the shoulder
- Perform interventional procedures (e.g., aspirations, biopsies, injections) on the tendons of the shoulder

- Integration of Data 7% 4.A Incorporate outside data (e.g., clinic assessment, history and physical, lab values)
- Assess anatomy as it relates to trauma
- Assess joints with dynamic scanning
- Correlate information with previous tests
- Correlate sonographic findings with clinical presentation
- Report results of the exam

- Imaging instruments
- Adjust beam angle to correct for anisotropy
- Adjust imaging depth
- Adjust overall gain
- Adjust power output
- Adjust pulse repetition frequency (PRF)
- Adjust sound beam and needle angle for proper visualization of needle
- Evaluate acoustic shadowing and refractile shadowing and identify artifacts
- Evaluate Doppler artifacts
- Focus the image
- Identify artifacts (e.g., through transmission, shadowing)
- Identify potential risks related to performing the exam
- Manipulate transducer position for optimal image acquisition
- Perform image measurements
- Select appropriate transducer
- Select proper ultrasound imaging mode for examination
- Use color Doppler
- Use curvilinear array transducer
- Use dynamic range
- Use linear array transducer
- Use phased array transducer
- Use power Doppler
- Use pulsed wave Doppler
- Use time gain compensation (TGC)
- Use two-dimensional, real-time, gray-scale imaging (e.g., B-mode)