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

1. Which probe is the BEST choice for ultrasound examination of the adult wrist?

A) Linear 40-50 mm, 10-18 MHz transducer
B) Linear 40-50 mm, 3-8 MHz transducer
C) Linear 20-25 mm, 3-8 MHz transducer
D) Linear 20-25 mm, 10-18 MHz transducer


2. In this image of a knee, what is the MOST obvious abnormality?

A) Avascular necrosis
B) Asymmetric femoral cartilage thinning
C) Cartilage interface sign
D) Chondrocalcinosis


3. Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?

A) Radiation exposure
B) Poor calibration
C) Examiner injury
D) Infection


4. Which pathologic condition is MOST likely responsible for the etiology of shoulder pain in the patient?

A) Rheumatoid synovitis
B) Subacromial bursitis
C) Osteoarthritis
D) Calcific tendinitis


5. For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?

A) A patient who has pain and numbness over the lateral calf
B) A 50-year-old woman with pain between the third and fourth metatarsals
C) A patient with psoriasis and posterior heel pain
D) A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation


Solutions:

Question # 1
Answer: D
Question # 2
Answer: B
Question # 3
Answer: D
Question # 4
Answer: B
Question # 5
Answer: D

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