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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions:
1. In this image of a knee, what is the MOST obvious abnormality?
A) Asymmetric femoral cartilage thinning
B) Avascular necrosis
C) Cartilage interface sign
D) Chondrocalcinosis
2. A 30-year-old pregnant woman with rheumatoid arthritis presents with right wrist pain and swelling despite a palpation-guided corticosteroid injection one month ago.

A) Extensor tenosynovium
B) Intercarpal joint
C) Radioulnar joint
D) Radiocarpal joint
3. What is the MAIN pathologic finding shown in this ultrasound image?
A) Synovitis
B) Osteophytes
C) Tendon rupture
D) Erosion
4. What is the BEST assessment of these longitudinal images of the pes anserinus region?
A) Tenosynovitis
B) Presence of enthesopathy with hyperemia
C) Normal medial genicular artery signal
D) Reverberation artifact
5. A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?
A) Image D
B) Image C
C) Image B
D) Image A
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: C |



