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

1. What is the MAXIMUM normal dimension of the structure indicated by the line in this image?

A) 7 mm in children less than 5 years old
B) 7 mm in adults
C) 9 mm in adults
D) 9 mm in children less than 5 years old

2. What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?

A) Osteophytes, distension of the medial collateral ligament, and meniscal degeneration
B) Osteophytes and rupture of the medial collateral ligament
C) Osteophytes and meniscal cyst
D) Osteophytes and distension and calcification of the medial collateral ligament

3. Which of the dorsal longitudinal metacarpophalangeal images below MOST suggests the diagnosis of rheumatoid arthritis?

A) A close-up of a black and white image Description automatically generated

B) A close-up of a ultrasound Description automatically generated
C) An ultrasound image of a human body Description automatically generated


D) A close-up of an ultrasound Description automatically generated

4. A practitioner reviews this long-axis ultrasound image of the medial aspect of the knee. Which of the following is the MOST likely differential diagnosis?

A) Topheaceous gout with displacement of the medial collateral ligament
B) No sonographic evidence for abnormality
C) Rheumatoid arthritis with erosion formation
D) Osteoarthritis with bone spur and extrusion of the medial meniscus

5. By comparing gray-scale images from before pharmacologic treatment and after months of treatment, rheumatologists are able to assess patient improvement and response with regard to:

A) Articular cartilage damage in osteoarthritis.
B) Erosions in rheumatoid arthritis.
C) Synovitis in rheumatoid arthritis.
D) Osteophytes in osteoarthritis.

Solutions: