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

1. The best way to facilitate visualization of ultrasound images in an exam room.

A) Decrease high-frequency ambient noise to minimize interfering sound waves
B) Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
C) Brighten the ambient lighting to improve the signal-to-noise ratio
D) Decrease the amount of gel in between transducer and skin to improve transmission of sound waves

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

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

3. How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?

A) By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm
B) By placing the probe in a transverse position over the distal clavicle and asking the patient to raise the arm
C) By placing the probe in a longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm.
D) By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm

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

5. Which condition is the ultrasound examination of this nodular structure MOST suggestive of?

A) Subcutaneous abscess
B) Rheumatoid nodule
C) Ganglion cyst
D) Gouty tophus

Solutions: