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

1. Which of the following should NOT be evaluated using a musculoskeletal ultrasound?"

A) A femoral neck enchondroma in a patient complaining of hip pain
B) Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis
C) Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome
D) A Morton's neuroma in a patient complaining of foot pain

2. A 41-year-old man presents with suspected right carpal tunnel syndrome but normal nerve conduction studies. For which reason will a sonographic study be helpful for further diagnostic evaluation?

A) Compared to nerve conduction studies, ultrasound is more sensitive for the diagnosis of mild carpal tunnel syndrome.
B) Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.
C) Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
D) Ultrasound can delineate volar wrist anatomy.

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

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

4. In this volar transverse image of the second metacarpophalangeal joint, the hyperechoic focus indicated by the arrow is which of the following?

A) The tip of an osteophyte
B) A metacarpal fragment from prior trauma
C) A normal sesamoid
D) A foreign body

5. 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

Solutions: