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

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

2. A practitioner obtains this image of a metacarpophalangeal joint of a patient with periodic joint swelling and warmth. Which of the following is the MOST likely diagnosis?

A) Rheumatoid arthritis
B) Osteoarthritis
C) Spondylarthritis
D) Gouty arthritis

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

4. What is the position of the arm MOST likely used to obtain this B-Mode image of the shoulder?

A) Neer impingement
B) Crass
C) External rotation
D) Modified Crass

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

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

Solutions: