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

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

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

2. A scratch along the rubber sole of a transducer is MOST likely to cause which of the following?

A) Increased risk of the spread of infection
B) No impact on image acquisition
C) Artifact in the B-Mode image
D) Risk of electrical shock

3. What is the MOST appropriate conclusion for the image of this hip?

A) Hip synovitis in longitudinal view
B) Iliopsoas bursitis in longitudinal view
C) Normal longitudinal view of the hip
D) Hip effusion in longitudinal view

4. Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?

A) Proximal interphalangeal osteophytes
B) Proximal interphalangeal synovitis
C) Flexor tenosynovitis
D) Flexor tendon rupture with reparative hyperemia

5. A 3-year-old child with juvenile idiopathic arthritis presents for an intra-articular corticosteroid injection of the knee. Using ultrasound guidance, which location should be targeted with a needle?

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

Solutions: