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

1. Which of the following is MOST accurate regarding high-level disinfection of a probe?

A) High-level disinfection of an external probe removes all bacterial spores.
B) High-level disinfection of an internal-use probe is required between every patient
C) High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
D) High-level disinfection of an external probe does not remove most fungi

2. What is the MOST prominent ultrasound artifact depicted in this image?

A) Comet tail
B) Ring down
C) Shadowing
D) Enhancement

3. A scratch along the rubber sole of a transducer is MOST likely to cause which of the following?

A) No impact on image acquisition
B) Artifact in the B-Mode image
C) Risk of electrical shock
D) Increased risk of the spread of infection

4. A 62-year-old man presents with left shoulder pain. The ultrasound image was taken at the patient's maximum abduction (45 degrees). Which of the following rotator cuff pathologies is BEST evaluated with this shoulder position?

A) Enthesopathy
B) Intrasubstance tear
C) Complete tear
D) Impingement

5. A 30-year-old pregnant woman with rheumatoid arthritis presents with right wrist pain and swelling despite a palpation-guided corticosteroid injection one month ago.

A) Radiocarpal joint
B) Intercarpal joint
C) Extensor tenosynovium
D) Radioulnar joint

Solutions: