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

1. To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?

A) Smaller footprint
B) Higher frequency
C) Curvilinear structure
D) Standoff pad

2. A 38-year-old woman with recent history of right shoulder subacromial impingement presents for a two-week follow-up after an anatomically guided subacromial/subdeltoid corticosteroid injection. She reports some initial, but only short-lived, improvement of her right shoulder pain and discomfort with arm elevation.
Her right shoulder X-rays are normal. What would be the MOST appropriate next intervention?

A) Ultrasound-guided corticosteroid injection of the glenohumeral joint
B) Referral to occupational therapy for shoulder rehabilitation exercise
C) Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
D) Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa

3. This ultrasound image from a 60-year-old woman with knee pain is MOST suggestive of which of the following?

A) Meniscus tear
B) Chondrocalcinosis
C) Urate deposition
D) Osteophyte formation

4. A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?

A) Inflammatory arthritis
B) Ruling out of inflammatory arthritis
C) Ruling out of infection
D) Ankle pain

5. 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

Solutions: