American College of Rheumatology RhMSUS

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

1. In this image of a knee, what is the MOST obvious abnormality?

A) Avascular necrosis
B) Cartilage interface sign
C) Chondrocalcinosis
D) Asymmetric femoral cartilage thinning

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

A) The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
B) Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
C) 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.
D) Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.

3. Which of the following ultrasound equipment abnormalities is MOST often seen during regular inspections?

A) Electrical leakage
B) Cracks in the piezoelectric crystals
C) Dead elements
D) Gouges on the lens material

4. This suprapatellar longitudinal scan in a 3-year-old girl is MOST consistent with which of the following?

A) An effusion of the suprapatellar recess
B) Normal anatomy for age
C) Chondromalacia of the patella
D) Quadriceps tendinopathy with acoustic shadow

5. Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?

A) Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing
B) Cartilage loss quantification in a patient with osteoarthritis
C) Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
D) Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions

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