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

1. 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) B
C) C
D) D

2. What is the MOST appropriate conclusion for the image of this hip?

A) Iliopsoas bursitis in longitudinal view
B) Normal longitudinal view of the hip
C) Hip synovitis in longitudinal view
D) Hip effusion in longitudinal view

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

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

4. An 81-year-old male with known shoulder osteoarthritis presents to the office for an ultrasound-guided injection of the glenohumeral joint. Prior to injection, where should the needle tip be visualized?

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

5. What is the position of the arm MOST likely used to obtain this B-Mode image of the shoulder?

A) Modified Crass
B) Crass
C) External rotation
D) Neer impingement

Solutions: