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

1. A practitioner reviews this long-axis ultrasound image of the medial aspect of the knee. Which of the following is the MOST likely differential diagnosis?

A) Topheaceous gout with displacement of the medial collateral ligament
B) Rheumatoid arthritis with erosion formation
C) No sonographic evidence for abnormality
D) Osteoarthritis with bone spur and extrusion of the medial meniscus

2. Which probe is the BEST choice for ultrasound examination of the adult wrist?

A) Linear 40-50 mm, 3-8 MHz transducer
B) Linear 40-50 mm, 10-18 MHz transducer
C) Linear 20-25 mm, 10-18 MHz transducer
D) Linear 20-25 mm, 3-8 MHz transducer

3. What is the MOST appropriate conclusion for the image of this hip?

A) Iliopsoas bursitis in longitudinal view
B) Hip synovitis in longitudinal view
C) Hip effusion in longitudinal view
D) Normal longitudinal view of the hip

4. 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.

5. A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?

A) Ganglion cyst rupture
B) Extensor tenosynovitis
C) Rheumatoid nodulosis
D) Extensor tendon tear

Solutions: