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

1. Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?

A) Metacarpal volar plate
B) Posterior patellar cartilage
C) Posterior cruciate ligament
D) Anterior glenoid labrum

2. Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?

A) Glenohumeral joint
B) Flexor digitorum tendon at the A1 pulley
C) Trochanteric bursa
D) Subacromial bursa

3. What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?

A) Osteophytes and meniscal cyst
B) Osteophytes and rupture of the medial collateral ligament
C) Osteophytes, distension of the medial collateral ligament, and meniscal degeneration
D) Osteophytes and distension and calcification of the medial collateral ligament

4. A 45-year-old man presents to the emergency room for evaluation of right knee pain for the past five days.
He denies a history of trauma and is afebrile on examination. A right knee effusion is noted on exam.
Arthrocentesis is planned and a traditional palpation-guided method is being considered versus an ultrasound-guided technique.
Which of the following is the MOST accurate description of the ultrasound-guided technique in this setting?

A) The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.
B) The ultrasound-guided technique leads to more fluid aspiration among novice physicians.
C) The ultrasound-guided technique takes additional time to perform.
D) The ultrasound-guided technique results in more pain.

5. Which of the following is MOST accurate regarding high-level disinfection of a probe?

A) High-level disinfection of an internal-use probe is required between every patient
B) High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
C) High-level disinfection of an external probe does not remove most fungi
D) High-level disinfection of an external probe removes all bacterial spores.

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