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

1. What is the MAXIMUM normal distance between the markers in this plantar longitudinal view of the foot?

A) 3.3 mm
B) 5.3 mm
C) 7.3 mm
D) 9.3 mm

2. Which of these supraspinatus longitudinal images has the BEST combination of ultrasound machine settings?

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

3. In this image of a knee, what is the MOST obvious abnormality?

A) Avascular necrosis
B) Cartilage interface sign
C) Chondrocalcinosis
D) Asymmetric femoral cartilage thinning

4. Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?

A) Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine
B) Knee in a 72-year-old female with unilateral knee pain, no swelling on examination, and medial narrowing of the joint space on knee radiograph
C) Asymptomatic hand and wrist joints with bony deformities present in a 60-year-old female with a positive rheumatoid factor and CCP antibody but normal sedimentation rate and C-reactive protein level
D) Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27

5. Which of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?

A) A person sitting in a chair with a machine Description automatically generated


B) A person sitting in front of a machine Description automatically generated
C) A person in a hospital room Description automatically generated with medium confidence


D) A person with no shirt Description automatically generated

Solutions: