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

1. Which of these supraspinatus longitudinal images has the BEST combination of ultrasound machine settings?

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

2. The best way to facilitate visualization of ultrasound images in an exam room.

A) Brighten the ambient lighting to improve the signal-to-noise ratio
B) Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
C) Decrease high-frequency ambient noise to minimize interfering sound waves
D) Decrease the amount of gel in between transducer and skin to improve transmission of sound waves

3. How reliable is ultrasound as compared to other imaging modalities for diagnosing synovitis in the joints of the fingers?

A) Ultrasound is as sensitive as MRI but superior to X-ray.
B) Ultrasound is inferior to MRI but superior to clinical exam in sensitivity.
C) Ultrasound is inferior to MRI but superior to X-ray in sensitivity.
D) Ultrasound is inferior to MRI and X-ray in sensitivity.

4. A 62-year-old man presents with left shoulder pain. The ultrasound image was taken at the patient's maximum abduction (45 degrees). Which of the following rotator cuff pathologies is BEST evaluated with this shoulder position?

A) Impingement
B) Intrasubstance tear
C) Enthesopathy
D) Complete tear

5. Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?

A) Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
B) Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions
C) Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing
D) Cartilage loss quantification in a patient with osteoarthritis

Solutions: