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

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

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

2. A 37-year-old female with a history of rheumatoid arthritis presents for sonographic evaluation. She has been in clinical remission for six months and is considering discontinuation of her biologic agent. Sonography of the right third metacarpophalangeal joint is shown. Which of the following is the MOST accurate description regarding this image?

A) Abnormal hypoechoic extra-articular tissue with Doppler signal
B) Abnormal hypoechoic intra-articular tissue with Doppler signal
C) Abnormal hyperechoic intra-articular tissue with Doppler signal
D) Abnormal hyperechoic extra-articular tissue with Doppler signal

3. How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?

A) By placing the probe in a longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm.
B) By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm
C) By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm
D) By placing the probe in a transverse position over the distal clavicle and asking the patient to raise the arm

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

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

5. What is the BEST assessment of these longitudinal images of the pes anserinus region?

A) Normal medial genicular artery signal
B) Tenosynovitis
C) Presence of enthesopathy with hyperemia
D) Reverberation artifact

Solutions: