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

1. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?

A) Image C
B) Image A
C) Image D
D) Image B

2. Which carpal bone is visualized medially to the ulnar nerve on a transverse scan of the wrist at the level of the distal wrist crease?

A) Hamate
B) Triquetrum
C) Pisiform
D) Capitate

3. 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

4. Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?

A) Superior labral anterior-posterior lesion
B) Glenohumeral synovitis
C) Complex regional pain syndrome
D) Adhesive capsulitis

5. For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?

A) A patient who has pain and numbness over the lateral calf
B) A patient with psoriasis and posterior heel pain
C) A 50-year-old woman with pain between the third and fourth metatarsals
D) A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation

Solutions: