American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

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

1. Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?

A) Lateral epicondyle
B) Knee
C) Glenohumeral joint
D) Sacroiliac joint

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

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

3. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?

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

4. A 80-year-old man presents with two weeks of wrist swelling and pain. His exam reveals swelling and tenderness over the dorsum of his right wrist as well as synovial swelling of the second and third metacarpophalangeal joints of his left hand. His serum uric acid concentration is 6.0 mg/dL. The longitudinal and transverse images of the dorsal aspect of his right wrist are shown below. What is the MOST likely diagnosis?

A) Gout
B) Rheumatoid arthritis
C) Calcium pyrophosphate arthritis
D) Psoriatic arthritis

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

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

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