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

1. Which of the following statements is CORRECT with regard to the use of ultrasound equipment for children?" followed by four answer choices:

A) Special "hockey stick" transducers are essential to adequately image pediatric joints
B) Ultrasonography has limitations in imaging the relatively small structures in pediatric joints
C) High-Trequency probes are necessary to adapt to the small pediatric joints
D) Pediatric joints can be imaged with the same ultrasound equipment used for adults

2. The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?

A) Normal tendon variability
B) Tendon tear
C) Tendinopathy
D) Artifact from transducer placement

3. What should be adjusted to improve the quality of the image of the tibiotalar joint?

A) Frame average and frequency
B) Focus and frequency
C) Focus and map
D) Frame average and depths

4. A practitioner wants to assess the structure marked with an asterisk (*).

What maneuver should the practitioner instruct the patient to perform of the examined joint?

A) Lateral abduction
B) Internal rotation and adduction
C) External rotation
D) Neutral position

5. What is the BEST assessment of these longitudinal images of the pes anserinus region?

A) Normal medial genicular artery signal
B) Presence of enthesopathy with hyperemia
C) Tenosynovitis
D) Reverberation artifact

Solutions:

Question # 1 Answer: B

Question # 2 Answer: B

Question # 3 Answer: C

Question # 4 Answer: D

Question # 5 Answer: C