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

1. The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?

A) Polymyositis
B) Shoulder capsulitis
C) Eosinophilic fasciitis
D) Sjogren's syndrome

2. For an ultrasound examination, how should the patient, ultrasound machine, and examiner be oriented?

A) The examiner is between the patient and the monitor.
B) The monitor is between the patient and the examiner.
C) The monitor is on the left of the patient for a left-handed examiner.
D) The examiner is closest to the limb of the patient being scanned while facing toward the monitor.

3. The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?

A) Both the radiocarpal and midcarpal recesses should be targeted.
B) The radiocarpal recess should be the primary target.
C) The midcarpal recess should be the primary target.
D) The fourth compartment ten synovium should be targeted.

4. Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?

A) Knee
B) Sacroiliac joint
C) Lateral epicondyle
D) Glenohumeral joint

5. In this image of a knee, what is the MOST obvious abnormality?

A) Chondrocalcinosis
B) Cartilage interface sign
C) Avascular necrosis
D) Asymmetric femoral cartilage thinning

Solutions: