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

1. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?

A) Image A
B) Image D
C) Image C
D) Image B

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

3. What is the MAIN pathologic finding shown in this ultrasound image?

A) Osteophytes
B) Tendon rupture
C) Erosion
D) Synovitis

4. Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?

A) Knee
B) Lateral epicondyle
C) Glenohumeral joint
D) Sacroiliac joint

5. 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 metacarpal fragment from prior trauma
C) The tip of an osteophyte
D) A foreign body

Solutions: