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

1. Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"

A) Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
B) A Morton's neuroma in a patient complaining of foot pain
C) Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis
D) A femoral neck enchondroma in a patient complaining of hip pain

2. Which of the following is TRUE for document storage and record-keeping guidelines and requirements?

A) There must be provisions for the storage and retrieval of examination records of all studies that are documented in the medical chart.
B) All images must be part of the electronic or paper patient file.
C) Ultrasound studies must be saved in a DICOM (Digital Imaging and Communications in Medicine) format.
D) The physician's report on the ultrasound examination must be stored in a physically separate location from the machine.

3. In this volar transverse image of the carpal tunnel, the arrows represent needles, and the arrowheads represent the needle tips. In planning a carpal tunnel corticosteroid injection with ultrasound guidance, which of the arrows combines the safest path through tissues with the BEST needle visualization?

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

4. Which carpal bone is visualized medially to the ulnar nerve on a transverse scan of the wrist at the level of the distal wrist crease?

A) Pisiform
B) Hamate
C) Triquetrum
D) Capitate

5. At approximately how many degrees of flexion is the MOST sensitive resting position of the knee for imaging fluid in the suprapatellar recess?

A) 30
B) 15
C) 0
D) 45

Solutions: