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

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

2. Which effect is achieved by increasing the gain while in Doppler mode?

A) Increased image brightness
B) Increased sensitivity to flow
C) Increased tissue penetration
D) Reduced noise artifacts in the image

3. A 78-year-old woman presents with three days of ankle pain and swelling. Her exam reveals swelling localized around the medial malleolus, and any motion or palpation causes pain. The medial transverse ultrasound view of the ankle is shown. Based on her presentation and the ultrasound image, what is the MOST likely anatomic structure from which her pain is emanating?

A) Flexor digitorum
B) Flexor hallucis
C) Subtalar joint
D) Posterior tibial tendon

4. In setting up an ultrasound machine to examine blood flow, which of the following statements BEST reflects the difference between color Doppler and power Doppler ultrasound?

A) Color Doppler ultrasound is more dependent on the angle of insonation than power Doppler ultrasound.
B) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess the direction of flow.
C) Color Doppler ultrasound is preferable to power Doppler ultrasound to assess the amplitude of flow.
D) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess flow velocity.

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

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

Solutions: