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

1. What is the MAXIMUM normal dimension of the structure indicated by the line in this image?

A) 7 mm in adults
B) 9 mm in adults
C) 7 mm in children less than 5 years old
D) 9 mm in children less than 5 years old

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

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

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

C) An ultrasound image of a human body Description automatically generated


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

3. A practitioner obtains this image of a metacarpophalangeal joint of a patient with periodic joint swelling and warmth. Which of the following is the MOST likely diagnosis?

A) Osteoarthritis
B) Rheumatoid arthritis
C) Spondylarthritis
D) Gouty arthritis

4. Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?

A) Examiner injury
B) Radiation exposure
C) Infection
D) Poor calibration

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

A) Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions
B) Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
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: