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

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

2. 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) Enthesopathy
B) Impingement
C) Complete tear
D) Intrasubstance tear

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

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

4. Which of the following images shows the CORRECT positioning for an ultrasound examination of the infraspinatus tendon?

A) A person sitting in a chair with a machine Description automatically generated


B) A person with no shirt Description automatically generated
C) A person in a hospital room Description automatically generated with medium confidence


D) A person sitting in front of a machine Description automatically generated

5. What is the MAXIMUM normal distance between the markers in this plantar longitudinal view of the foot?

A) 7.3 mm
B) 9.3 mm
C) 3.3 mm
D) 5.3 mm

Solutions: