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

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

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

2. A 41-year-old man presents with suspected right carpal tunnel syndrome but normal nerve conduction studies. For which reason will a sonographic study be helpful for further diagnostic evaluation?

A) Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
B) Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
C) Ultrasound can delineate volar wrist anatomy.
D) Ultrasound can identify the underlying etiology of carpal tunnel syndrome.

3. How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?

A) By placing the probe in a transverse position over the distal clavicle and asking the patient to raise the arm
B) By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm
C) By placing the probe in a longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm.
D) By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm

4. What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?

A) Osteophytes and meniscal cyst
B) Osteophytes and distension and calcification of the medial collateral ligament
C) Osteophytes, distension of the medial collateral ligament, and meniscal degeneration
D) Osteophytes and rupture of the medial collateral ligament

5. A practitioner wants to assess the structures on the right, distal portion of this image.

What should the practitioner do at this time?

A) Increase the overall gain to brighten the image.
B) Depress the distal end of the probe.
C) Place the focal point at the level of the area of interest.
D) Choose a lower transducer frequency.

Solutions: