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

1. Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?

A) Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing
B) Cartilage loss quantification in a patient with osteoarthritis
C) Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy
D) Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions

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

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

3. Which of the following statements regarding ultrasound probe care is MOST accurate?

A) Internal-use probes are considered critical devices and require sterilization after each use.
B) External probes, when used without a cover for ultrasound-guided injections or aspiration, are considered semi-critical devices and require low-level disinfection after each use.
C) Internal-use probes are considered semi-critical devices and require low-level disinfection after each use.
D) External probes that come into contact with intact skin are considered noncritical devices and require cleaning with low-level disinfectants after each use.

4. Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?

A) Examiner injury
B) Radiation exposure
C) Poor calibration
D) Infection

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

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

Solutions: