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

1. Which of the following images is MOST suggestive of sonographic features of patients with spondyloarthropathy?

A) Option D
B) Option A
C) Option B
D) Option C

2. Which of the following is the MOST appropriate approach to use when performing an ultrasound-guided aspiration on a Baker's cyst in the posterior knee of a 76-year-old female patient?

A) A posteromedial approach at the level proximal to the joint line
B) A posteromedial approach at the level of the joint line
C) A posteromedial approach at the level of the mid-gastrocnemius muscle
D) An anteromedial approach at the level of the joint line

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

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

4. Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?

A) Trochanteric bursa
B) Subacromial bursa
C) Flexor digitorum tendon at the A1 pulley
D) Glenohumeral joint

5. By comparing gray-scale images from before pharmacologic treatment and after months of treatment, rheumatologists are able to assess patient improvement and response with regard to:

A) Synovitis in rheumatoid arthritis.
B) Articular cartilage damage in osteoarthritis.
C) Osteophytes in osteoarthritis.
D) Erosions in rheumatoid arthritis.

Solutions: