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

1. 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

2. Which of the following is the MOST appropriate approach to use when performing an ultrasound-guided aspiration on a Baker's cyst in the posterior knee of a 76-year-old female patient?

A) A posteromedial approach at the level proximal to the joint line
B) An anteromedial approach at the level of the joint line
C) A posteromedial approach at the level of the mid-gastrocnemius muscle
D) A posteromedial approach at the level of the joint line

3. Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?

A) Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
B) Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip.
C) The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
D) Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.

4. A practitioner obtains this image of a metacarpophalangeal joint of a patient with periodic joint swelling and warmth. Which of the following is the MOST likely diagnosis?

A) Osteoarthritis
B) Spondylarthritis
C) Gouty arthritis
D) Rheumatoid arthritis

5. Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?

A) Proximal interphalangeal osteophytes
B) Flexor tendon rupture with reparative hyperemia
C) Proximal interphalangeal synovitis
D) Flexor tenosynovitis

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