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

1. A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?

A) Ankle pain
B) Ruling out of infection
C) Inflammatory arthritis
D) Ruling out of inflammatory arthritis

2. This suprapatellar longitudinal scan in a 3-year-old girl is MOST consistent with which of the following?

A) Quadriceps tendinopathy with acoustic shadow
B) Chondromalacia of the patella
C) Normal anatomy for age
D) An effusion of the suprapatellar recess

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

A) By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm
B) By placing the probe in a longitudinal position between the greater tuberosity and acromion 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. In performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:

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

5. What is the MAXIMUM normal distance between the markers in this plantar longitudinal view of the foot?

A) 9.3 mm
B) 3.3 mm
C) 5.3 mm
D) 7.3 mm

Solutions: