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

1. At which angle is a dorsal scan of the elbow BEST performed?

A) Flexion of the elbow joint in a 90-degree angle
B) Flexion of the elbow joint in a 60-degree angle
C) Full extension of the elbow joint
D) Flexion of the elbow joint in a 45-degree angle

2. How reliable is ultrasound as compared to other imaging modalities for diagnosing synovitis in the joints of the fingers?

A) Ultrasound is inferior to MRI but superior to clinical exam in sensitivity.
B) Ultrasound is as sensitive as MRI but superior to X-ray.
C) Ultrasound is inferior to MRI but superior to X-ray in sensitivity.
D) Ultrasound is inferior to MRI and X-ray in sensitivity.

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

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

4. 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) 9.3 mm
D) 7.3 mm

5. Which of the following is required in a report documenting an ultrasound-guided procedure?

A) Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
B) Image labeled with exam date, patient identification, image orientation, and image views of the target area
C) Image showing needle in the target structure or orthogonal images of the target structure before and after injection
D) Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions

Solutions: