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

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

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

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

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

3. What is the BEST assessment of these longitudinal images of the pes anserinus region?

A) Presence of enthesopathy with hyperemia
B) Tenosynovitis
C) Reverberation artifact
D) Normal medial genicular artery signal

4. Which of the following images is MOST suggestive of sonographic features of patients with spondyloarthropathy?

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

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

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

Solutions: