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

1. A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?

A) Rheumatoid nodulosis
B) Extensor tendon tear
C) Extensor tenosynovitis
D) Ganglion cyst rupture

2. The second finger was examined. Which of the following is shown in the image below?

A) Metacarpophalangeal, palmar longitudinal view
B) Proximal interphalangeal, palmar longitudinal view
C) Metacarpophalangeal, dorsal longitudinal view
D) Proximal interphalangeal, dorsal longitudinal view

3. What is the MAXIMUM normal distance between the markers in this plantar longitudinal view of the foot?

A) 9.3 mm
B) 3.3 mm
C) 7.3 mm
D) 5.3 mm

4. Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?

A) Glenohumeral joint
B) Lateral epicondyle
C) Knee
D) Sacroiliac joint

5. A 78-year-old woman presents with three days of ankle pain and swelling. Her exam reveals swelling localized around the medial malleolus, and any motion or palpation causes pain. The medial transverse ultrasound view of the ankle is shown. Based on her presentation and the ultrasound image, what is the MOST likely anatomic structure from which her pain is emanating?

A) Subtalar joint
B) Flexor digitorum
C) Posterior tibial tendon
D) Flexor hallucis

Solutions: