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

1. To determine whether the hypoechogenic region results in true pathology or artifact, which of the following maneuvers would OPTIMIZE the ultrasound assessment of the quadriceps tendon depicted in the image shown?

A) Quadriceps contraction
B) Rotation of the distal transducer edge
C) Passive knee extension
D) Tissue compression at the distal transducer edge

2. What should be adjusted to improve the quality of the image of the tibiotalar joint?

A) Frame average and depths
B) Focus and frequency
C) Frame average and frequency
D) Focus and map

3. The best way to facilitate visualization of ultrasound images in an exam room.

A) Decrease the amount of gel in between transducer and skin to improve transmission of sound waves
B) Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
C) Brighten the ambient lighting to improve the signal-to-noise ratio
D) Decrease high-frequency ambient noise to minimize interfering sound waves

4. What is the MOST prominent ultrasound artifact depicted in this image?

A) Enhancement
B) Comet tail
C) Shadowing
D) Ring down

5. The second finger was examined. Which of the following is shown in the image below?

A) Proximal interphalangeal, dorsal longitudinal view
B) Metacarpophalangeal, dorsal longitudinal view
C) Metacarpophalangeal, palmar longitudinal view
D) Proximal interphalangeal, palmar longitudinal view

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