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

1. Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?

A) Metacarpal volar plate
B) Posterior patellar cartilage
C) Anterior glenoid labrum
D) Posterior cruciate ligament

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

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

3. A 62-year-old man presents with left shoulder pain. The ultrasound image was taken at the patient's maximum abduction (45 degrees). Which of the following rotator cuff pathologies is BEST evaluated with this shoulder position?

A) Complete tear
B) Intrasubstance tear
C) Impingement
D) Enthesopathy

4. The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?

A) Tendinopathy
B) Normal tendon variability
C) Tendon tear
D) Artifact from transducer placement

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

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

Solutions: