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

2. Which of these supraspinatus longitudinal images has the BEST combination of ultrasound machine settings?

A) Option C
B) Option B
C) Option D
D) Option A

3. A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?

A) Inflammatory arthritis
B) Ruling out of inflammatory arthritis
C) Ruling out of infection
D) Ankle pain

4. The change between the ankle depicted in the first and second images would BEST be explained by which of the following?

A) Increased gain
B) Decreased synovitis
C) Decreased frequency
D) Decreased transducer pressure

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

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