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

1. Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?

A) Dead elements
B) Electrical leakage
C) Gouges on the lens material
D) Cracks in the piezoelectric crystals

2. In setting up an ultrasound machine to examine blood flow, which of the following statements BEST reflects the difference between color Doppler and power Doppler ultrasound?

A) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess flow velocity.
B) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess the direction of flow.
C) Color Doppler ultrasound is more dependent on the angle of insonation than power Doppler ultrasound.
D) Color Doppler ultrasound is preferable to power Doppler ultrasound to assess the amplitude of flow.

3. Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?

A) The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.
B) The patient has a normal hip joint.
C) The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.
D) The patient should be referred for plain radiography to evaluate for femoral neck fracture.

4. A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?

A) Ankle pain
B) Ruling out of inflammatory arthritis
C) Ruling out of infection
D) Inflammatory arthritis

5. Which of the following is MOST accurate regarding high-level disinfection of a probe?

A) High-level disinfection of an internal-use probe is required between every patient
B) High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
C) High-level disinfection of an external probe removes all bacterial spores.
D) High-level disinfection of an external probe does not remove most fungi

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