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

1. This ultrasound image from a 60-year-old woman with knee pain is MOST suggestive of which of the following?

A) Chondrocalcinosis
B) Osteophyte formation
C) Urate deposition
D) Meniscus tear

2. This is a short-axis scan of the supraspinatus tendon in a normal person. What is the finding marked with the arrow?

A) A probe-generated artifact
B) Normal deltoid muscle
C) Subacromial bursa calcification
D) Calcification of the supraspinatus tendon

3. In this ultrasound image of a hip, where is the transducer positioned?

A) Parallel to the inguinal ligament
B) Parallel to the femoral neck
C) Parallel to the greater trochanter
D) Parallel to the femoral shaft

4. Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?

A) Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing
B) Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
C) Cartilage loss quantification in a patient with osteoarthritis
D) Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions

5. Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"

A) A femoral neck enchondroma in a patient complaining of hip pain
B) Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
C) A Morton's neuroma in a patient complaining of foot pain
D) Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis

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