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

1. Proper maintenance of ultrasound equipment between use for each patient is important to prevent which of the following?

A) Examiner injury
B) Radiation exposure
C) Infection
D) Poor calibration

2. What should be taken into consideration prior to any procedure?

A) A slight to-and-fro movement or injection of a small amount of lidocaine may be beneficial in visualizing the needle.
B) The transducer should be aligned perpendicular to the plane of the needle.
C) The needle should be visualized only prior to its insertion to the target area.
D) The shortest pathway to the region of interest should be selected with consideration given to adjacent neurovascular structures.

3. By comparing gray-scale images from before pharmacologic treatment and after months of treatment, rheumatologists are able to assess patient improvement and response with regard to:

A) Erosions in rheumatoid arthritis.
B) Osteophytes in osteoarthritis.
C) Articular cartilage damage in osteoarthritis.
D) Synovitis in rheumatoid arthritis.

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

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

5. Which of the following statements is CORRECT with regard to the use of ultrasound equipment for children?" followed by four answer choices:

A) Pediatric joints can be imaged with the same ultrasound equipment used for adults
B) Special "hockey stick" transducers are essential to adequately image pediatric joints
C) High-Trequency probes are necessary to adapt to the small pediatric joints
D) Ultrasonography has limitations in imaging the relatively small structures in pediatric joints

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