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

1. What should be taken into consideration prior to any procedure?

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

2. A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?

A) Extensor tendon tear
B) Rheumatoid nodulosis
C) Extensor tenosynovitis
D) Ganglion cyst rupture

3. At which angle is a dorsal scan of the elbow BEST performed?

A) Flexion of the elbow joint in a 90-degree angle
B) Flexion of the elbow joint in a 60-degree angle
C) Flexion of the elbow joint in a 45-degree angle
D) Full extension of the elbow joint

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

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

5. This ultrasound image from a 60-year-old woman with knee pain is MOST suggestive of which of the following?

A) Osteophyte formation
B) Meniscus tear
C) Urate deposition
D) Chondrocalcinosis

Solutions: