American College of Rheumatology ACR-MUCR RhMSUS

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

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

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

2. In this ultrasound image of a hip, where is the transducer positioned?

A) Parallel to the inguinal ligament
B) Parallel to the greater trochanter
C) Parallel to the femoral shaft
D) Parallel to the femoral neck

3. A practitioner obtains this image of a metacarpophalangeal joint of a patient with periodic joint swelling and warmth. Which of the following is the MOST likely diagnosis?

A) Spondylarthritis
B) Gouty arthritis
C) Osteoarthritis
D) Rheumatoid arthritis

4. In this volar transverse image of the carpal tunnel, the arrows represent needles, and the arrowheads represent the needle tips. In planning a carpal tunnel corticosteroid injection with ultrasound guidance, which of the arrows combines the safest path through tissues with the BEST needle visualization?

A) Arrow C
B) Arrow B
C) Arrow D
D) Arrow A

5. A 80-year-old man presents with two weeks of wrist swelling and pain. His exam reveals swelling and tenderness over the dorsum of his right wrist as well as synovial swelling of the second and third metacarpophalangeal joints of his left hand. His serum uric acid concentration is 6.0 mg/dL. The longitudinal and transverse images of the dorsal aspect of his right wrist are shown below. What is the MOST likely diagnosis?

A) Psoriatic arthritis
B) Gout
C) Rheumatoid arthritis
D) Calcium pyrophosphate arthritis

Solutions: