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

1. Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"

A) A femoral neck enchondroma in a patient complaining of hip pain
B) Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
C) A Morton's neuroma in a patient complaining of foot pain
D) Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis

2. Which pathologic condition is MOST likely responsible for the etiology of shoulder pain in the patient?

A) Rheumatoid synovitis
B) Calcific tendinitis
C) Osteoarthritis
D) Subacromial bursitis

3. The change between the ankle depicted in the first and second images would BEST be explained by which of the following?

A) Decreased frequency
B) Increased gain
C) Decreased transducer pressure
D) Decreased synovitis

4. Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?

A) Cartilage loss quantification in a patient with osteoarthritis
B) Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions
C) Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
D) Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing

5. A practitioner wants to assess the structures on the right, distal portion of this image.

What should the practitioner do at this time?

A) Increase the overall gain to brighten the image.
B) Place the focal point at the level of the area of interest.
C) Choose a lower transducer frequency.
D) Depress the distal end of the probe.

Solutions: