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

1. A 30-year-old female patient with rheumatoid arthritis reports pain at the medial malleolus. The medial side of the ankle is tender and seems to be swollen. How should a practitioner interpret the transverse images at the medial malleolus?

A) Neurom of the tibiatis posterior nerve
B) Tenosynovitis of the flexor hallucis longus
C) Tenosynovitis of the flexor digitorum
D) Tenosynovitis of the tibialis anterior tendon

2. Which effect is achieved by increasing the gain while in Doppler mode?

A) Increased sensitivity to flow
B) Reduced noise artifacts in the image
C) Increased image brightness
D) Increased tissue penetration

3. The use of ultrasound investigation to diagnose which of the following pathologic conditions is currently supported by adequate published scientific evidence?

A) Polymyositis
B) Sjogren's syndrome
C) Eosinophilic fasciitis
D) Shoulder capsulitis

4. To determine whether the hypoechogenic region results in true pathology or artifact, which of the following maneuvers would OPTIMIZE the ultrasound assessment of the quadriceps tendon depicted in the image shown?

A) Quadriceps contraction
B) Rotation of the distal transducer edge
C) Passive knee extension
D) Tissue compression at the distal transducer edge

5. Which of the following images is MOST suggestive of sonographic features of patients with spondyloarthropathy?

A) Option D
B) Option C
C) Option A
D) Option B

Solutions: