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

1. This is a short-axis scan of the supraspinatus tendon in a normal person. What is the finding marked with the arrow?

A) A probe-generated artifact
B) Calcification of the supraspinatus tendon
C) Normal deltoid muscle
D) Subacromial bursa calcification

2. 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.

3. In this volar transverse image of the carpal tunnel, the arrows represent needles, and the arrowheads represent the needle tips. In planning a carpal tunnel corticosteroid injection with ultrasound guidance, which of the arrows combines the safest path through tissues with the BEST needle visualization?

A) Arrow D
B) Arrow B
C) Arrow C
D) Arrow A

4. Which carpal bone is visualized medially to the ulnar nerve on a transverse scan of the wrist at the level of the distal wrist crease?

A) Capitate
B) Triquetrum
C) Pisiform
D) Hamate

5. A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?

A) Ruling out of inflammatory arthritis
B) Inflammatory arthritis
C) Ankle pain
D) Ruling out of infection

Solutions: