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

1. In this image of a knee, what is the MOST obvious abnormality?

A) Avascular necrosis
B) Chondrocalcinosis
C) Cartilage interface sign
D) Asymmetric femoral cartilage thinning

2. At which angle is a dorsal scan of the elbow BEST performed?

A) Flexion of the elbow joint in a 90-degree angle
B) Flexion of the elbow joint in a 45-degree angle
C) Full extension of the elbow joint
D) Flexion of the elbow joint in a 60-degree angle

3. In this volar transverse image of the second metacarpophalangeal joint, the hyperechoic focus indicated by the arrow is which of the following?

A) A normal sesamoid
B) A metacarpal fragment from prior trauma
C) A foreign body
D) The tip of an osteophyte

4. Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?

A) Posterior patellar cartilage
B) Anterior glenoid labrum
C) Posterior cruciate ligament
D) Metacarpal volar plate

5. The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?

A) The midcarpal recess should be the primary target.
B) The radiocarpal recess should be the primary target.
C) The fourth compartment ten synovium should be targeted.
D) Both the radiocarpal and midcarpal recesses should be targeted.

Solutions: