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

2. A practitioner reviews this long-axis ultrasound image of the medial aspect of the knee. Which of the following is the MOST likely differential diagnosis?

A) Rheumatoid arthritis with erosion formation
B) No sonographic evidence for abnormality
C) Topheaceous gout with displacement of the medial collateral ligament
D) Osteoarthritis with bone spur and extrusion of the medial meniscus

3. In setting up an ultrasound machine to examine blood flow, which of the following statements BEST reflects the difference between color Doppler and power Doppler ultrasound?

A) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess the direction of flow.
B) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess flow velocity.
C) Color Doppler ultrasound is preferable to power Doppler ultrasound to assess the amplitude of flow.
D) Color Doppler ultrasound is more dependent on the angle of insonation than power Doppler ultrasound.

4. What is the MOST appropriate conclusion for the image of this hip?

A) Hip synovitis in longitudinal view
B) Hip effusion in longitudinal view
C) Normal longitudinal view of the hip
D) Iliopsoas bursitis in longitudinal view

5. Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?

A) Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
B) Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.
C) The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
D) Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip.

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