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

1. Which of these supraspinatus longitudinal images has the BEST combination of ultrasound machine settings?

A) Option A
B) Option D
C) Option B
D) Option C

2. This is a short-axis scan of the supraspinatus tendon in a normal person. What is the finding marked with the arrow?

A) Calcification of the supraspinatus tendon
B) Normal deltoid muscle
C) Subacromial bursa calcification
D) A probe-generated artifact

3. The best way to facilitate visualization of ultrasound images in an exam room.

A) Brighten the ambient lighting to improve the signal-to-noise ratio
B) Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
C) Decrease high-frequency ambient noise to minimize interfering sound waves
D) Decrease the amount of gel in between transducer and skin to improve transmission of sound waves

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

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

5. How is the dynamic evaluation for subacromial impingement and adhesive capsulitis performed?

A) By placing the probe in a longitudinal position between the greater tuberosity and acromion and asking the patient to raise the arm.
B) By placing the probe in a transverse position over the distal clavicle and asking the patient to raise the arm
C) By placing the probe in a coronal-oblique position over the distal clavicle and asking the patient to raise the arm
D) By placing the probe in a transverse position between the greater tuberosity and acromion and asking the patient to raise the arm

Solutions: