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

1. What is the MOST appropriate conclusion for the image of this hip?

A) Hip synovitis in longitudinal view
B) Iliopsoas bursitis in longitudinal view
C) Normal longitudinal view of the hip
D) Hip effusion in longitudinal view

2. This is a short-axis scan of the supraspinatus tendon in a normal person. What is the finding marked with the arrow?

A) A probe-generated artifact
B) Calcification of the supraspinatus tendon
C) Subacromial bursa calcification
D) Normal deltoid muscle

3. What is the MAXIMUM normal dimension of the structure indicated by the line in this image?

A) 7 mm in children less than 5 years old
B) 7 mm in adults
C) 9 mm in adults
D) 9 mm in children less than 5 years old

4. Which of the following statements is CORRECT with regard to the use of ultrasound equipment for children?" followed by four answer choices:

A) High-Trequency probes are necessary to adapt to the small pediatric joints
B) Ultrasonography has limitations in imaging the relatively small structures in pediatric joints
C) Special "hockey stick" transducers are essential to adequately image pediatric joints
D) Pediatric joints can be imaged with the same ultrasound equipment used for adults

5. A 45-year-old man presents to the emergency room for evaluation of right knee pain for the past five days.
He denies a history of trauma and is afebrile on examination. A right knee effusion is noted on exam.
Arthrocentesis is planned and a traditional palpation-guided method is being considered versus an ultrasound-guided technique.
Which of the following is the MOST accurate description of the ultrasound-guided technique in this setting?

A) The ultrasound-guided technique leads to more fluid aspiration among novice physicians.
B) The ultrasound-guided technique results in more pain.
C) The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.
D) The ultrasound-guided technique takes additional time to perform.

Solutions: