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

1. This image shows the sequence of a guided procedure in a patient with rheumatoid arthritis and a mass of the right shoulder. Although guided aspiration was useful for the fluid examination, surgery was performed for a definitive diagnosis of the acromioclavicular cyst. Which condition is the finding MOST associated with this pathology?

A) Amyloidosis
B) Rotator cuff tear
C) Chondrocalcinosis
D) Humeral head fracture

2. In this ultrasound image of a hip, where is the transducer positioned?

A) Parallel to the inguinal ligament
B) Parallel to the greater trochanter
C) Parallel to the femoral shaft
D) Parallel to the femoral neck

3. Which of the following is required in a report documenting an ultrasound-guided procedure?

A) Image showing needle in the target structure or orthogonal images of the target structure before and after injection
B) Image labeled with exam date, patient identification, image orientation, and image views of the target area
C) Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
D) Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions

4. 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

5. For an ultrasound examination, how should the patient, ultrasound machine, and examiner be oriented?

A) The examiner is between the patient and the monitor.
B) The monitor is between the patient and the examiner.
C) The monitor is on the left of the patient for a left-handed examiner.
D) The examiner is closest to the limb of the patient being scanned while facing toward the monitor.

Solutions: