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

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

A) 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.
B) Internal-use probes are considered semi-critical devices and require low-level disinfection after each use.
C) External probes that come into contact with intact skin are considered noncritical devices and require cleaning with low-level disinfectants after each use.
D) Internal-use probes are considered critical devices and require sterilization after each use.

2. Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?

A) Posterior patellar cartilage
B) Anterior glenoid labrum
C) Metacarpal volar plate
D) Posterior cruciate ligament

3. A woman with a history of long-standing rheumatoid arthritis presents with persistent, chronic wrist pain and swelling. What do the patient's ultrasound images demonstrate?

A) Extensor tendon tear
B) Ganglion cyst rupture
C) Extensor tenosynovitis
D) Rheumatoid nodulosis

4. A practitioner wants to assess the structure marked with an asterisk (*).

What maneuver should the practitioner instruct the patient to perform of the examined joint?

A) Internal rotation and adduction
B) External rotation
C) Lateral abduction
D) Neutral position

5. To determine whether the hypoechogenic region results in true pathology or artifact, which of the following maneuvers would OPTIMIZE the ultrasound assessment of the quadriceps tendon depicted in the image shown?

A) Tissue compression at the distal transducer edge
B) Quadriceps contraction
C) Rotation of the distal transducer edge
D) Passive knee extension

Solutions: