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

1. How reliable is ultrasound as compared to other imaging modalities for diagnosing synovitis in the joints of the fingers?

A) Ultrasound is as sensitive as MRI but superior to X-ray.
B) Ultrasound is inferior to MRI and X-ray in sensitivity.
C) Ultrasound is inferior to MRI but superior to X-ray in sensitivity.
D) Ultrasound is inferior to MRI but superior to clinical exam in sensitivity.

2. This posterior transverse scan of the shoulder of a 3-year-old boy shows which of the following?

A) Effusion with an erosion of the humeral head
B) Fracture of the humeral head
C) Normal shoulder scan
D) Effusion of the glenohumeral joint

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

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

4. A scratch along the rubber sole of a transducer is MOST likely to cause which of the following?

A) Artifact in the B-Mode image
B) No impact on image acquisition
C) Risk of electrical shock
D) Increased risk of the spread of infection

5. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?