American College of Rheumatology RhMSUS

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

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

2. Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?

A) Glenohumeral synovitis
B) Adhesive capsulitis
C) Complex regional pain syndrome
D) Superior labral anterior-posterior lesion

3. What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?

A) All appropriate sonographic views of every joint examined
B) Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only
C) Images of the sonographic views with the presence of power Doppler synovitis only
D) Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint

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

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

5. In which situation is an ultrasound MOST appropriate for making the correct clinical diagnosis?

A) In gout, using the double contour sign alone as diagnostic confirmation of the disease
B) In rheumatoid arthritis, to diagnose carpal tunnel syndrome
C) In fibromyalgia, to confirm the absence of joint and tendon pathology
D) In juvenile idiopathic arthritis, to diagnose tenosynovitis in a patient with ankle swelling

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