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

1. Which of the following is inappropriate for conventional musculoskeletal ultrasound?

A) Supraspinatus tear in rotator cuff syndrome
B) Parotid involvement in Sjogren's syndrome
C) Median nerve entrapment in carpal tunnel syndrome
D) Muscle involvement in polymyositis

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

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

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

4. Musculoskeletal ultrasound procedure guidance has improved clinical outcomes for the following joint locations EXCEPT for which?

A) Glenohumeral joint
B) Knee
C) Sacroiliac joint
D) Lateral epicondyle

5. Why is musculoskeletal ultrasound (MSKUS) useful in monitoring the treatment response in rheumatoid arthritis?

A) Gray-scale ultrasound can predict the development of erosions.
B) MSKUS is able to detect bone marrow edema around joints
C) Power Doppler ultrasound is sensitive to change in disease activity.
D) Power Doppler ultrasound is specific to rheumatoid arthritis disease activity.

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