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

1. To determine whether the hypoechogenic region results in true pathology or artifact, which of the following maneuvers would OPTIMIZE the ultrasound assessment of the quadriceps tendon depicted in the image shown?

A) Quadriceps contraction
B) Rotation of the distal transducer edge
C) Tissue compression at the distal transducer edge
D) Passive knee extension

2. The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?

A) Tendon tear
B) Artifact from transducer placement
C) Normal tendon variability
D) Tendinopathy

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

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

4. Which of the probe placement photographs BEST matches the standard wrist ultrasound image shown?

A) Image C
B) Image A
C) Image D
D) Image B

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

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

Solutions: