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

1. Which of the following images is MOST consistent with crystal-induced arthropathy?

A) Option A
B) Option B
C) Option C
D) Option D

2. The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?

A) The fourth compartment ten synovium should be targeted.
B) Both the radiocarpal and midcarpal recesses should be targeted.
C) The midcarpal recess should be the primary target.
D) The radiocarpal recess should be the primary target.

3. A practitioner wants to assess the structure marked with an asterisk (*).

What maneuver should the practitioner instruct the patient to perform of the examined joint?

A) Lateral abduction
B) Neutral position
C) Internal rotation and adduction
D) External rotation

4. An 81-year-old male with known shoulder osteoarthritis presents to the office for an ultrasound-guided injection of the glenohumeral joint. Prior to injection, where should the needle tip be visualized?

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

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: