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

1. Which of the following is TRUE for document storage and record-keeping guidelines and requirements?

A) The physician's report on the ultrasound examination must be stored in a physically separate location from the machine.
B) All images must be part of the electronic or paper patient file.
C) There must be provisions for the storage and retrieval of examination records of all studies that are documented in the medical chart.
D) Ultrasound studies must be saved in a DICOM (Digital Imaging and Communications in Medicine) format.

2. Which of the following is the MOST appropriate next step to confirm the presence of pathology in this metacarpophalangeal joint?

A) Use a "hockey stick" probe.
B) Decrease the depth.
C) Float the probe.
D) Check the transverse plane.

3. Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?

A) Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.
B) Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip.
C) The needle can touch the uncovered probe during the procedure as long as sterile gel is used.
D) Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.

4. In this volar transverse image of the second metacarpophalangeal joint, the hyperechoic focus indicated by the arrow is which of the following?

A) The tip of an osteophyte
B) A normal sesamoid
C) A foreign body
D) A metacarpal fragment from prior trauma

5. 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) Subacromial bursa calcification
C) Normal deltoid muscle
D) A probe-generated artifact

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