American College of Rheumatology RhMSUS : Musculoskeletal Ultrasound Certification in Rheumatology

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

1. 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) The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
C) 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.
D) Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.

2. Which of the following is the MOST appropriate next step to confirm the presence of pathology in this metacarpophalangeal joint?

A) Decrease the depth.
B) Float the probe.
C) Use a "hockey stick" probe.
D) Check the transverse plane.

3. Which of the following is MOST likely to cause vertical lines on every image obtained from a piece of ultrasound equipment?

A) Misaligned time-gain compensation
B) Damage to the transducer cable
C) Increased number of air bubbles in the transducer gel that may impede sound waves
D) Cracks in the transducer that may indicate breakage of piezoelectric crystal elements

4. By comparing gray-scale images from before pharmacologic treatment and after months of treatment, rheumatologists are able to assess patient improvement and response with regard to:

A) Osteophytes in osteoarthritis.
B) Erosions in rheumatoid arthritis.
C) Synovitis in rheumatoid arthritis.
D) Articular cartilage damage in osteoarthritis.

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

Solutions: