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

1. For which of the following conditions is the use of diagnostic musculoskeletal ultrasound appropriate?

A) Tibial stress fracture
B) Meniscal tear
C) Anterior cruciate ligament tear
D) Osgood-Schlatter disease

2. Which of the following is required in a report documenting an ultrasound-guided procedure?

A) Image labeled with exam date, patient identification, image orientation, and image views of the target area
B) Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
C) Image showing needle in the target structure or orthogonal images of the target structure before and after injection
D) Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions

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

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

4. 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) Ultrasound can identify the underlying etiology of carpal tunnel syndrome.
C) Ultrasound can delineate volar wrist anatomy.
D) Concurrent use of nerve conduction studies and ultrasonography increases diagnostic sensitivity of mild carpal tunnel syndrome.

5. 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 foreign body
C) A metacarpal fragment from prior trauma
D) A normal sesamoid

Solutions: