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

1. A 62-year-old man presents with left shoulder pain. The ultrasound image was taken at the patient's maximum abduction (45 degrees). Which of the following rotator cuff pathologies is BEST evaluated with this shoulder position?

A) Enthesopathy
B) Complete tear
C) Intrasubstance tear
D) Impingement

2. To determine whether the hypoechogenic region results in true pathology or artifact, which of the following maneuvers would OPTIMIZE the ultrasound assessment of the quadriceps tendon depicted in the image shown?

A) Quadriceps contraction
B) Passive knee extension
C) Tissue compression at the distal transducer edge
D) Rotation of the distal transducer edge

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

A) Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine
B) Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
C) 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
D) 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

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

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

5. In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?

A) Median nerve impingement
B) Anomalous radial artery
C) Flexor tenosynovitis
D) Persistent median artery

Solutions: