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

1. In performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:

A) Transducer touches the point where the needle penetrates the skin.
B) Needle crosses the plane of the transducer.
C) Target is as close as possible to the side of the transducer where the needle will be inserted.
D) Needle angle relative to the transducer is minimized.

2. Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?

A) The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.
B) The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.
C) The patient has a normal hip joint.
D) The patient should be referred for plain radiography to evaluate for femoral neck fracture.

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

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

4. A 72-year-old male with morbid obesity and a known history of knee osteoarthritis presents for an ultrasound-guided knee injection. From which of the following sites should the needle be inserted so that the needle path can be BEST visualized?

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

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

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

Solutions: