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

1. In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?

A) Persistent median artery
B) Median nerve impingement
C) Anomalous radial artery
D) Flexor tenosynovitis

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

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

3. Which of the probe placement photographs BEST matches the standard wrist ultrasound image shown?

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

4. A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?

A) Ruling out of inflammatory arthritis
B) Inflammatory arthritis
C) Ruling out of infection
D) Ankle pain

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) Extensor tenosynovium
C) Intercarpal joint
D) Radioulnar joint

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