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

1. 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 midcarpal recess should be the primary target.
C) The fourth compartment ten synovium should be targeted.
D) The radiocarpal recess should be the primary target.

2. Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?

A) Subacromial bursa
B) Flexor digitorum tendon at the A1 pulley
C) Trochanteric bursa
D) Glenohumeral joint

3. 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 a secure server with backup
C) Saved to the ultrasound machine only
D) Saved to a secure personal flash drive

4. Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?

A) The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.
B) The patient has a normal hip joint.
C) The patient should be referred for plain radiography to evaluate for femoral neck fracture.
D) The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.

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

Solutions: