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

1. Which of the following is MOST likely to cause vertical lines on every image obtained from a piece of ultrasound equipment?

A) Damage to the transducer cable
B) Cracks in the transducer that may indicate breakage of piezoelectric crystal elements
C) Misaligned time-gain compensation
D) Increased number of air bubbles in the transducer gel that may impede sound waves

2. In this ultrasound image of a hip, where is the transducer positioned?

A) Parallel to the greater trochanter
B) Parallel to the femoral neck
C) Parallel to the femoral shaft
D) Parallel to the inguinal ligament

3. What is the position of the arm MOST likely used to obtain this B-Mode image of the shoulder?

A) Neer impingement
B) Crass
C) External rotation
D) Modified Crass

4. A 80-year-old man presents with two weeks of wrist swelling and pain. His exam reveals swelling and tenderness over the dorsum of his right wrist as well as synovial swelling of the second and third metacarpophalangeal joints of his left hand. His serum uric acid concentration is 6.0 mg/dL. The longitudinal and transverse images of the dorsal aspect of his right wrist are shown below. What is the MOST likely diagnosis?

A) Psoriatic arthritis
B) Rheumatoid arthritis
C) Calcium pyrophosphate arthritis
D) Gout

5. For an ultrasound examination, how should the patient, ultrasound machine, and examiner be oriented?

A) The examiner is closest to the limb of the patient being scanned while facing toward the monitor.
B) The monitor is on the left of the patient for a left-handed examiner.
C) The examiner is between the patient and the monitor.
D) The monitor is between the patient and the examiner.

Solutions: