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

1. Which of the following is the MOST appropriate approach to use when performing an ultrasound-guided aspiration on a Baker's cyst in the posterior knee of a 76-year-old female patient?

A) A posteromedial approach at the level proximal to the joint line
B) An anteromedial approach at the level of the joint line
C) A posteromedial approach at the level of the joint line
D) A posteromedial approach at the level of the mid-gastrocnemius muscle

2. This image shows the sequence of a guided procedure in a patient with rheumatoid arthritis and a mass of the right shoulder. Although guided aspiration was useful for the fluid examination, surgery was performed for a definitive diagnosis of the acromioclavicular cyst. Which condition is the finding MOST associated with this pathology?

A) Humeral head fracture
B) Rotator cuff tear
C) Amyloidosis
D) Chondrocalcinosis

3. A 30-year-old female patient with rheumatoid arthritis reports pain at the medial malleolus. The medial side of the ankle is tender and seems to be swollen. How should a practitioner interpret the transverse images at the medial malleolus?

A) Tenosynovitis of the flexor digitorum
B) Tenosynovitis of the tibialis anterior tendon
C) Tenosynovitis of the flexor hallucis longus
D) Neurom of the tibiatis posterior nerve

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

5. Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?

A) Dead elements
B) Gouges on the lens material
C) Cracks in the piezoelectric crystals
D) Electrical leakage

Solutions: