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

1. Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"

A) A Morton's neuroma in a patient complaining of foot pain
B) Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
C) Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis
D) A femoral neck enchondroma in a patient complaining of hip pain

2. An 81-year-old male with known shoulder osteoarthritis presents to the office for an ultrasound-guided injection of the glenohumeral joint. Prior to injection, where should the needle tip be visualized?

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

3. A 45-year-old man presents to the emergency room for evaluation of right knee pain for the past five days.
He denies a history of trauma and is afebrile on examination. A right knee effusion is noted on exam.
Arthrocentesis is planned and a traditional palpation-guided method is being considered versus an ultrasound-guided technique.
Which of the following is the MOST accurate description of the ultrasound-guided technique in this setting?

A) The ultrasound-guided technique takes additional time to perform.
B) The ultrasound-guided technique results in more pain.
C) The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.
D) The ultrasound-guided technique leads to more fluid aspiration among novice physicians.

4. A practitioner wants to assess the structures on the right, distal portion of this image.

What should the practitioner do at this time?

A) Place the focal point at the level of the area of interest.
B) Increase the overall gain to brighten the image.
C) Depress the distal end of the probe.
D) Choose a lower transducer frequency.

5. For which of the following conditions is the use of diagnostic musculoskeletal ultrasound appropriate?

A) Tibial stress fracture
B) Anterior cruciate ligament tear
C) Osgood-Schlatter disease
D) Meniscal tear

Solutions: