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

1. What is the MAXIMUM normal dimension of the structure indicated by the line in this image?

A) 7 mm in children less than 5 years old
B) 9 mm in adults
C) 7 mm in adults
D) 9 mm in children less than 5 years old

2. 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) Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
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) 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

3. Which of the following represents the BEST method for storing ultrasound images and relevant reports?

A) Saved to a secure server with backup
B) Saved to the ultrasound machine only
C) Saved to a secure personal flash drive
D) Saved to the desktop in the exam room

4. A 80-year-old man presents with two weeks of wrist swelling and pain. His exam reveals swelling and tenderness over the dorsum of his right wrist as well as synovial swelling of the second and third metacarpophalangeal joints of his left hand. His serum uric acid concentration is 6.0 mg/dL. The longitudinal and transverse images of the dorsal aspect of his right wrist are shown below. What is the MOST likely diagnosis?

A) Calcium pyrophosphate arthritis
B) Psoriatic arthritis
C) Gout
D) Rheumatoid arthritis

5. A practitioner wants to assess the structure marked with an asterisk (*).

What maneuver should the practitioner instruct the patient to perform of the examined joint?

A) Internal rotation and adduction
B) Neutral position
C) Lateral abduction
D) External rotation

Solutions: