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

1. Which of the following represents the BEST method for storing ultrasound images and relevant reports?

A) Saved to the desktop in the exam room
B) Saved to the ultrasound machine only
C) Saved to a secure server with backup
D) Saved to a secure personal flash drive

2. Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?

A) Assessment of pain and swelling of unclear etiology at the right temporomandibular joint
B) Preoperative evaluation of a patient with suspected rotator cuff tear
C) Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint
D) Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis

3. A 72-year-old male with morbid obesity and a known history of knee osteoarthritis presents for an ultrasound-guided knee injection. From which of the following sites should the needle be inserted so that the needle path can be BEST visualized?

A) D
B) A
C) B
D) C

4. What is the MOST prominent ultrasound artifact depicted in this image?

A) Shadowing
B) Ring down
C) Enhancement
D) Comet tail

5. In setting up an ultrasound machine to examine blood flow, which of the following statements BEST reflects the difference between color Doppler and power Doppler ultrasound?

A) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess flow velocity.
B) Color Doppler ultrasound is more dependent on the angle of insonation than power Doppler ultrasound.
C) Color Doppler ultrasound is preferable to power Doppler ultrasound to assess the amplitude of flow.
D) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess the direction of flow.

Solutions: