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

1. Which situation represents the MOST appropriate indication for a practitioner to perform a musculoskeletal ultrasound in clinical practice?

A) Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis
B) Assessment of pain and swelling of unclear etiology at the right temporomandibular joint
C) Preoperative evaluation of a patient with suspected rotator cuff tear
D) Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint

2. Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?

A) Lateral epicondyle
B) Knee
C) Glenohumeral joint
D) Sacroiliac joint

3. What is the MAIN pathologic finding shown in this ultrasound image?

A) Synovitis
B) Tendon rupture
C) Osteophytes
D) Erosion

4. The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?

A) The midcarpal recess should be the primary target.
B) Both the radiocarpal and midcarpal recesses should be targeted.
C) The fourth compartment ten synovium should be targeted.
D) The radiocarpal recess should be the primary target.

5. The second finger was examined. Which of the following is shown in the image below?

A) Proximal interphalangeal, palmar longitudinal view
B) Metacarpophalangeal, palmar longitudinal view
C) Proximal interphalangeal, dorsal longitudinal view
D) Metacarpophalangeal, dorsal longitudinal view

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