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

1. Which of the dorsal longitudinal metacarpophalangeal images below MOST suggests the diagnosis of rheumatoid arthritis?

A) An ultrasound image of a human body Description automatically generated


B) A close-up of an ultrasound Description automatically generated

C) A close-up of a black and white image Description automatically generated

D) A close-up of a ultrasound Description automatically generated

2. 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

3. 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

4. Which of the following is required in a report documenting an ultrasound-guided procedure?

A) Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
B) Image showing needle in the target structure or orthogonal images of the target structure before and after injection
C) Image labeled with exam date, patient identification, image orientation, and image views of the target area
D) Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions

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 the direction of flow.
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 flow velocity.

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