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

1. A practitioner is counseling a patient with suspected rotator cuff tendinopathy on imaging options. Which of the following is CORRECT regarding diagnostic ultrasound examination?

A) It uses sound energy with no adverse effects found in clinical studies.
B) It is the gold standard for preoperative planning for rotator cuff surgery.
C) It obviates the need for X-ray examination when cortical margins are normal.
D) It provides the same information as an MRI without gadolinium.

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

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

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

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

4. In this volar transverse image of the second metacarpophalangeal joint, the hyperechoic focus indicated by the arrow is which of the following?

A) A normal sesamoid
B) A foreign body
C) A metacarpal fragment from prior trauma
D) The tip of an osteophyte

5. This ultrasound image from a 60-year-old woman with knee pain is MOST suggestive of which of the following?

A) Urate deposition
B) Osteophyte formation
C) Meniscus tear
D) Chondrocalcinosis

Solutions: