American College of Rheumatology ACR-MUCR RhMSUS

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

1. Which of the following is inappropriate for conventional musculoskeletal ultrasound?

A) Muscle involvement in polymyositis
B) Median nerve entrapment in carpal tunnel syndrome
C) Supraspinatus tear in rotator cuff syndrome
D) Parotid involvement in Sjogren's syndrome

2. This ultrasound image from a 60-year-old woman with knee pain is MOST suggestive of which of the following?

A) Osteophyte formation
B) Chondrocalcinosis
C) Meniscus tear
D) Urate deposition

3. What is the MAXIMUM normal distance between the markers in this plantar longitudinal view of the foot?

A) 5.3 mm
B) 7.3 mm
C) 3.3 mm
D) 9.3 mm

4. A 3-year-old child with juvenile idiopathic arthritis presents for an intra-articular corticosteroid injection of the knee. Using ultrasound guidance, which location should be targeted with a needle?

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

5. What should be taken into consideration prior to any procedure?

A) A slight to-and-fro movement or injection of a small amount of lidocaine may be beneficial in visualizing the needle.
B) The transducer should be aligned perpendicular to the plane of the needle.
C) The shortest pathway to the region of interest should be selected with consideration given to adjacent neurovascular structures.
D) The needle should be visualized only prior to its insertion to the target area.

Solutions: