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

1. Which of the following statements regarding ultrasound probe care is MOST accurate?

A) External probes, when used without a cover for ultrasound-guided injections or aspiration, are considered semi-critical devices and require low-level disinfection after each use.
B) External probes that come into contact with intact skin are considered noncritical devices and require cleaning with low-level disinfectants after each use.
C) Internal-use probes are considered critical devices and require sterilization after each use.
D) Internal-use probes are considered semi-critical devices and require low-level disinfection after each use.

2. 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 D
B) Arrow B
C) Arrow C
D) Arrow A

3. A practitioner wants to assess the structure marked with an asterisk (*).

What maneuver should the practitioner instruct the patient to perform of the examined joint?

A) External rotation
B) Internal rotation and adduction
C) Neutral position
D) Lateral abduction

4. 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 external probe removes all bacterial spores.
C) High-level disinfection of an external probe does not remove most fungi
D) High-level disinfection of an internal-use probe is required between every patient

5. Which of the following is inappropriate for conventional musculoskeletal ultrasound?

A) Muscle involvement in polymyositis
B) Supraspinatus tear in rotator cuff syndrome
C) Parotid involvement in Sjogren's syndrome
D) Median nerve entrapment in carpal tunnel syndrome

Solutions: