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

1. A scratch along the rubber sole of a transducer is MOST likely to cause which of the following?

A) Increased risk of the spread of infection
B) Artifact in the B-Mode image
C) No impact on image acquisition
D) Risk of electrical shock

2. Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?

A) Trochanteric bursa
B) Flexor digitorum tendon at the A1 pulley
C) Glenohumeral joint
D) Subacromial bursa

3. Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?

A) Knee in a 72-year-old female with unilateral knee pain, no swelling on examination, and medial narrowing of the joint space on knee radiograph
B) Asymptomatic hand and wrist joints with bony deformities present in a 60-year-old female with a positive rheumatoid factor and CCP antibody but normal sedimentation rate and C-reactive protein level
C) Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
D) Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine

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

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

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

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

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