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

1. In setting up an ultrasound machine to examine blood flow, which of the following statements BEST reflects the difference between color Doppler and power Doppler ultrasound?

A) Color Doppler ultrasound is preferable to power Doppler ultrasound to assess the amplitude of flow.
B) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess flow velocity.
C) Power Doppler ultrasound is preferable to color Doppler ultrasound to assess the direction of flow.
D) Color Doppler ultrasound is more dependent on the angle of insonation than power Doppler ultrasound.

2. A 72-year-old male with morbid obesity and a known history of knee osteoarthritis presents for an ultrasound-guided knee injection. From which of the following sites should the needle be inserted so that the needle path can be BEST visualized?

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

3. Which of the following is MOST accurate regarding high-level disinfection of a probe?

A) High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
B) High-level disinfection of an internal-use probe is required between every patient
C) High-level disinfection of an external probe removes all bacterial spores.
D) High-level disinfection of an external probe does not remove most fungi

4. In performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:

A) Transducer touches the point where the needle penetrates the skin.
B) Needle angle relative to the transducer is minimized.
C) Needle crosses the plane of the transducer.
D) Target is as close as possible to the side of the transducer where the needle will be inserted.

5. In imaging the volar wrist in transverse, this Doppler view helps confirm the presence of which of the following?

A) Flexor tenosynovitis
B) Median nerve impingement
C) Persistent median artery
D) Anomalous radial artery

Solutions: