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

1. The change between the ankle depicted in the first and second images would BEST be explained by which of the following?

A) Increased gain
B) Decreased synovitis
C) Decreased transducer pressure
D) Decreased frequency

2. Which carpal bone is visualized medially to the ulnar nerve on a transverse scan of the wrist at the level of the distal wrist crease?

A) Capitate
B) Pisiform
C) Triquetrum
D) Hamate

3. Which of the probe placement photographs BEST matches the standard wrist ultrasound image shown?

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

4. A 37-year-old female with a history of rheumatoid arthritis presents for sonographic evaluation. She has been in clinical remission for six months and is considering discontinuation of her biologic agent. Sonography of the right third metacarpophalangeal joint is shown. Which of the following is the MOST accurate description regarding this image?

A) Abnormal hypoechoic intra-articular tissue with Doppler signal
B) Abnormal hyperechoic extra-articular tissue with Doppler signal
C) Abnormal hypoechoic extra-articular tissue with Doppler signal
D) Abnormal hyperechoic intra-articular tissue with Doppler signal

5. Which of the following is MOST likely to cause vertical lines on every image obtained from a piece of ultrasound equipment?

A) Cracks in the transducer that may indicate breakage of piezoelectric crystal elements
B) Damage to the transducer cable
C) Misaligned time-gain compensation
D) Increased number of air bubbles in the transducer gel that may impede sound waves

Solutions: