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

1. Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?

A) Glenohumeral joint
B) Sacroiliac joint
C) Lateral epicondyle
D) Knee

2. 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) Decreased transducer pressure
C) Decreased synovitis
D) Increased gain

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. In this ultrasound image of a hip, where is the transducer positioned?

A) Parallel to the inguinal ligament
B) Parallel to the greater trochanter
C) Parallel to the femoral neck
D) Parallel to the femoral shaft

5. 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

Solutions: