American College of Rheumatology ACR-MUCR RhMSUS

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

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

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

2. What is the BEST assessment of these longitudinal images of the pes anserinus region?

A) Normal medial genicular artery signal
B) Reverberation artifact
C) Tenosynovitis
D) Presence of enthesopathy with hyperemia

3. In which situation is an ultrasound MOST appropriate for making the correct clinical diagnosis?

A) In rheumatoid arthritis, to diagnose carpal tunnel syndrome
B) In fibromyalgia, to confirm the absence of joint and tendon pathology
C) In gout, using the double contour sign alone as diagnostic confirmation of the disease
D) In juvenile idiopathic arthritis, to diagnose tenosynovitis in a patient with ankle swelling

4. In this ultrasound image of a hip, where is the transducer positioned?

A) Parallel to the inguinal ligament
B) Parallel to the greater trochanter
C) Parallel to the femoral neck
D) Parallel to the femoral shaft

5. A 72-year-old male with morbid obesity and a known history of knee osteoarthritis presents for an ultrasound-guided knee injection. From which of the following sites should the needle be inserted so that the needle path can be BEST visualized?

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

Solutions: