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

1. Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?

A) Infection
B) Poor calibration
C) Radiation exposure
D) Examiner injury

2. In which situation is an ultrasound MOST appropriate for making the correct clinical diagnosis?

A) In gout, using the double contour sign alone as diagnostic confirmation of the disease
B) In rheumatoid arthritis, to diagnose carpal tunnel syndrome
C) In juvenile idiopathic arthritis, to diagnose tenosynovitis in a patient with ankle swelling
D) In fibromyalgia, to confirm the absence of joint and tendon pathology

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

A) High-level disinfection of an internal-use probe is required between every patient
B) High-level disinfection of an external probe does not remove most fungi
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 external probe removes all bacterial spores.

4. What is the BEST assessment of these longitudinal images of the pes anserinus region?

A) Tenosynovitis
B) Reverberation artifact
C) Normal medial genicular artery signal
D) Presence of enthesopathy with hyperemia

5. A practitioner is counseling a patient with suspected rotator cuff tendinopathy on imaging options. Which of the following is CORRECT regarding diagnostic ultrasound examination?

A) It provides the same information as an MRI without gadolinium.
B) It obviates the need for X-ray examination when cortical margins are normal.
C) It is the gold standard for preoperative planning for rotator cuff surgery.
D) It uses sound energy with no adverse effects found in clinical studies.

Solutions: