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

1. What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?

A) Osteophytes, distension of the medial collateral ligament, and meniscal degeneration
B) Osteophytes and rupture of the medial collateral ligament
C) Osteophytes and meniscal cyst
D) Osteophytes and distension and calcification of the medial collateral ligament

2. Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?

A) The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.
B) The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.
C) The patient has a normal hip joint.
D) The patient should be referred for plain radiography to evaluate for femoral neck fracture.

3. A practitioner obtains this image of a metacarpophalangeal joint of a patient with periodic joint swelling and warmth. Which of the following is the MOST likely diagnosis?

A) Gouty arthritis
B) Osteoarthritis
C) Rheumatoid arthritis
D) Spondylarthritis

4. Which of the following images is MOST suggestive of sonographic features of patients with spondyloarthropathy?

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

5. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?

A) Image B
B) Image A
C) Image D
D) Image C

Solutions: