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

1. What is the position of the arm MOST likely used to obtain this B-Mode image of the shoulder?

A) Neer impingement
B) Crass
C) External rotation
D) Modified Crass

2. At which angle is a dorsal scan of the elbow BEST performed?

A) Flexion of the elbow joint in a 90-degree angle
B) Flexion of the elbow joint in a 60-degree angle
C) Flexion of the elbow joint in a 45-degree angle
D) Full extension of the elbow joint

3. Which of the following statements regarding ultrasound probe care is MOST accurate?

A) Internal-use probes are considered critical devices and require sterilization after each use.
B) Internal-use probes are considered semi-critical devices and require low-level disinfection after each use.
C) External probes that come into contact with intact skin are considered noncritical devices and require cleaning with low-level disinfectants after each use.
D) External probes, when used without a cover for ultrasound-guided injections or aspiration, are considered semi-critical devices and require low-level disinfection after each use.

4. 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) C
B) D
C) B
D) A

5. A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?

A) Extensor tendon tear
B) Extensor tenosynovitis
C) Ganglion cyst rupture
D) Rheumatoid nodulosis

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