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

1. The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?

A) Artifact from transducer placement
B) Normal tendon variability
C) Tendinopathy
D) Tendon tear

2. Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a
15-year-old girl?

A) An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces
B) The typical appearance of pes equinovarus
C) Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions
D) The normal appearance of irregular ossification centers of the respective midfoot bones

3. Which of the probe placement photographs BEST matches the standard wrist ultrasound image shown?

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

4. A practitioner wants to assess the structure marked with an asterisk (*).

What maneuver should the practitioner instruct the patient to perform of the examined joint?

A) Internal rotation and adduction
B) External rotation
C) Lateral abduction
D) Neutral position

5. The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?

A) Shoulder capsulitis
B) Polymyositis
C) Eosinophilic fasciitis
D) Sjogren's syndrome

Solutions: