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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. What is the BEST assessment of these longitudinal images of the pes anserinus region?

A) Reverberation artifact
B) Presence of enthesopathy with hyperemia
C) Normal medial genicular artery signal
D) Tenosynovitis

3. A scratch along the rubber sole of a transducer is MOST likely to cause which of the following?

A) Risk of electrical shock
B) No impact on image acquisition
C) Artifact in the B-Mode image
D) Increased risk of the spread of infection

4. Which of the dorsal longitudinal metacarpophalangeal images below MOST suggests the diagnosis of rheumatoid arthritis?

A) A close-up of a ultrasound Description automatically generated
B) An ultrasound image of a human body Description automatically generated


C) A close-up of a black and white image Description automatically generated

D) A close-up of an ultrasound Description automatically generated

5. Which of the following is MOST accurate regarding high-level disinfection of a probe?

A) High-level disinfection of an external probe removes all bacterial spores.
B) High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
C) High-level disinfection of an internal-use probe is required between every patient
D) High-level disinfection of an external probe does not remove most fungi

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