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

1. In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?

A) Median nerve impingement
B) Flexor tenosynovitis
C) Persistent median artery
D) Anomalous radial artery

2. For an ultrasound examination, how should the patient, ultrasound machine, and examiner be oriented?

A) The examiner is closest to the limb of the patient being scanned while facing toward the monitor.
B) The monitor is on the left of the patient for a left-handed examiner.
C) The examiner is between the patient and the monitor.
D) The monitor is between the patient and the examiner.

3. At which angle is a dorsal scan of the elbow BEST performed?

A) Full extension of the elbow joint
B) Flexion of the elbow joint in a 90-degree angle
C) Flexion of the elbow joint in a 45-degree angle
D) Flexion of the elbow joint in a 60-degree angle

4. Which of the following is MOST accurate regarding high-level disinfection of a probe?

A) High-level disinfection of an external probe does not remove most fungi
B) High-level disinfection of an internal-use probe is required between every patient
C) High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
D) High-level disinfection of an external probe removes all bacterial spores.

5. A 45-year-old man presents to the emergency room for evaluation of right knee pain for the past five days.
He denies a history of trauma and is afebrile on examination. A right knee effusion is noted on exam.
Arthrocentesis is planned and a traditional palpation-guided method is being considered versus an ultrasound-guided technique.
Which of the following is the MOST accurate description of the ultrasound-guided technique in this setting?

A) The ultrasound-guided technique takes additional time to perform.
B) The ultrasound-guided technique results in more pain.
C) The ultrasound-guided technique increases the overall success rate in obtaining joint fluid aspirate.
D) The ultrasound-guided technique leads to more fluid aspiration among novice physicians.

Solutions: