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

1. To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?

A) Curvilinear structure
B) Smaller footprint
C) Standoff pad
D) Higher frequency

2. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?

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

3. A 3-year-old child with juvenile idiopathic arthritis presents for an intra-articular corticosteroid injection of the knee. Using ultrasound guidance, which location should be targeted with a needle?

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

4. 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

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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