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

1. Which of the following is inappropriate for conventional musculoskeletal ultrasound?

A) Supraspinatus tear in rotator cuff syndrome
B) Parotid involvement in Sjogren's syndrome
C) Median nerve entrapment in carpal tunnel syndrome
D) Muscle involvement in polymyositis

2. Which of the following is MOST accurate regarding high-level disinfection of a probe?

A) High-level disinfection of an external probe does not remove most fungi
B) High-level disinfection of an external probe removes all bacterial spores.
C) High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
D) High-level disinfection of an internal-use probe is required between every patient

3. This posterior transverse scan of the shoulder of a 3-year-old boy shows which of the following?

A) Normal shoulder scan
B) Effusion with an erosion of the humeral head
C) Effusion of the glenohumeral joint
D) Fracture of the humeral head

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

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

5. What is the MOST prominent ultrasound artifact depicted in this image?

A) Comet tail
B) Shadowing
C) Enhancement
D) Ring down

Solutions: