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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
1. A practitioner reviews this long-axis ultrasound image of the medial aspect of the knee. Which of the following is the MOST likely differential diagnosis?
A) No sonographic evidence for abnormality
B) Topheaceous gout with displacement of the medial collateral ligament
C) Rheumatoid arthritis with erosion formation
D) Osteoarthritis with bone spur and extrusion of the medial meniscus
2. To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?
A) Higher frequency
B) Curvilinear structure
C) Standoff pad
D) Smaller footprint
3. Which of the following images is MOST suggestive of sonographic features of patients with spondyloarthropathy?



A) Option D
B) Option A
C) Option C
D) Option B
4. The second finger was examined. Which of the following is shown in the image below?
A) Proximal interphalangeal, palmar longitudinal view
B) Metacarpophalangeal, palmar longitudinal view
C) Metacarpophalangeal, dorsal longitudinal view
D) Proximal interphalangeal, dorsal longitudinal view
5. 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) Internal rotation and adduction
B) Neutral position
C) External rotation
D) Lateral abduction
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: B |



