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

1. In performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:

A) Needle angle relative to the transducer is minimized.
B) Needle crosses the plane of the transducer.
C) Target is as close as possible to the side of the transducer where the needle will be inserted.
D) Transducer touches the point where the needle penetrates the skin.

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. Which condition is the ultrasound examination of this nodular structure MOST suggestive of?

A) Ganglion cyst
B) Subcutaneous abscess
C) Gouty tophus
D) Rheumatoid nodule

4. What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?

A) Osteophytes and meniscal cyst
B) Osteophytes and rupture of the medial collateral ligament
C) Osteophytes and distension and calcification of the medial collateral ligament
D) Osteophytes, distension of the medial collateral ligament, and meniscal degeneration

5. Which of the following images is MOST suggestive of sonographic features of patients with spondyloarthropathy?

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

Solutions: