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

1. A practitioner wants to assess the structures on the right, distal portion of this image.

What should the practitioner do at this time?

A) Increase the overall gain to brighten the image.
B) Depress the distal end of the probe.
C) Choose a lower transducer frequency.
D) Place the focal point at the level of the area of interest.

2. Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?

A) Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
B) Cartilage loss quantification in a patient with osteoarthritis
C) Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing
D) Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions

3. What is the MOST prominent ultrasound artifact depicted in this image?

A) Comet tail
B) Enhancement
C) Shadowing
D) Ring down

4. Which of these supraspinatus longitudinal images has the BEST combination of ultrasound machine settings?

A) Option C
B) Option D
C) Option B
D) Option A

5. Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?

A) Gouges on the lens material
B) Cracks in the piezoelectric crystals
C) Dead elements
D) Electrical leakage

Solutions: