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

1. 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

2. A practitioner obtains this image of a metacarpophalangeal joint of a patient with periodic joint swelling and warmth. Which of the following is the MOST likely diagnosis?

A) Gouty arthritis
B) Spondylarthritis
C) Rheumatoid arthritis
D) Osteoarthritis

3. At which angle is a dorsal scan of the elbow BEST performed?

A) Flexion of the elbow joint in a 45-degree angle
B) Full extension of the elbow joint
C) Flexion of the elbow joint in a 90-degree angle
D) Flexion of the elbow joint in a 60-degree angle

4. Which carpal bone is visualized medially to the ulnar nerve on a transverse scan of the wrist at the level of the distal wrist crease?

A) Pisiform
B) Capitate
C) Triquetrum
D) Hamate

5. For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?

A) A patient who has pain and numbness over the lateral calf
B) A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation
C) A 50-year-old woman with pain between the third and fourth metatarsals
D) A patient with psoriasis and posterior heel pain

Solutions: