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

1. What should be taken into consideration prior to any procedure?

A) The shortest pathway to the region of interest should be selected with consideration given to adjacent neurovascular structures.
B) A slight to-and-fro movement or injection of a small amount of lidocaine may be beneficial in visualizing the needle.
C) The needle should be visualized only prior to its insertion to the target area.
D) The transducer should be aligned perpendicular to the plane of the needle.

2. Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?

A) Adhesive capsulitis
B) Complex regional pain syndrome
C) Superior labral anterior-posterior lesion
D) Glenohumeral synovitis

3. What is the MAXIMUM normal distance between the markers in this plantar longitudinal view of the foot?

A) 7.3 mm
B) 5.3 mm
C) 9.3 mm
D) 3.3 mm

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

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

5. A 30-year-old pregnant woman with rheumatoid arthritis presents with right wrist pain and swelling despite a palpation-guided corticosteroid injection one month ago.

A) Radioulnar joint
B) Extensor tenosynovium
C) Radiocarpal joint
D) Intercarpal joint

Solutions: