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

1. Which of the dorsal longitudinal metacarpophalangeal images below MOST suggests the diagnosis of rheumatoid arthritis?

A) A close-up of a black and white image Description automatically generated

B) An ultrasound image of a human body Description automatically generated


C) A close-up of an ultrasound Description automatically generated

D) A close-up of a ultrasound Description automatically generated

2. A 30-year-old pregnant woman with rheumatoid arthritis presents with right wrist pain and swelling despite a palpation-guided corticosteroid injection one month ago.

A) Intercarpal joint
B) Radioulnar joint
C) Extensor tenosynovium
D) Radiocarpal joint

3. To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?

A) Standoff pad
B) Curvilinear structure
C) Smaller footprint
D) Higher frequency

4. What should be adjusted to improve the quality of the image of the tibiotalar joint?

A) Focus and map
B) Frame average and frequency
C) Focus and frequency
D) Frame average and depths

5. Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?

A) The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.
B) The patient has a normal hip joint.
C) The patient should be referred for plain radiography to evaluate for femoral neck fracture.
D) The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.

Solutions: