American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology - RhMSUS Exam Practice Test

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A. Preoperative evaluation of a patient with suspected rotator cuff tear

B. Evaluation of shoulder pain in a patient with diabetes most likely related to adhesive capsulitis

C. Assessment of asymptomatic entheses in a patient with pain at the acromioclavicular joint

D. Assessment of pain and swelling of unclear etiology at the right temporomandibular joint

A. Osgood-Schlatter disease

B. Meniscal tear

C. Anterior cruciate ligament tear

D. Tibial stress fracture

A. External rotation

B. Internal rotation and adduction

C. Neutral position

D. Lateral abduction

A. It is the gold standard for preoperative planning for rotator cuff surgery.

B. It provides the same information as an MRI without gadolinium.

C. It obviates the need for X-ray examination when cortical margins are normal.

D. It uses sound energy with no adverse effects found in clinical studies.

A. Anterior long- and short-axis views of the biceps tendon
oAnterior view of the subscapularis tendon in external rotation
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterolateral view of the infraspinatus tendon oPosterior view of the glenohumeral joint recess oView from cranial at the acromioclavicular joint

B. Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oDynamic lateral long-axis assessment of impingement with abduction of the arm oPosterior transverse view of the suprascapular notch oView from cranial at the acromioclavicular joint

C. Anterior long- and short-axis views of the biceps tendon
oAnterior view of the rotator cuff interval
oLateral views of the subscapularis tendon
oLateral long- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior view of the glenohumeral joint recess oDynamic lateral long-axis assessment of impingement with abduction of the arm

D. Anterior long- and short-axis views of the biceps tendon
oAnterior views of the pectoralis tendon insertion
oAnterior view of the coracoid ligament and rotator cuff interval
oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly oPosterior long- and short-axis views of the infraspinatus tendon insertion oAxillary long-axis view with arm raised

A. Cartilage loss quantification in a patient with osteoarthritis

B. Sacroiliac joint in a patient with positive HLA B27 and inflammatory-type lower back pain, assessing for joint space narrowing

C. Achilles tendon insertion site in a patient with spondyloarthropathy, assessing for enthesopathy

D. Temporomandibular joint in a patient with juvenile idiopathic arthritis, assessing for erosions

A. Image B

B. Image C

C. Image A

D. Image D

A. The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.

B. The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.

C. The patient has a normal hip joint.

D. The patient should be referred for plain radiography to evaluate for femoral neck fracture.

A. Osteoarthritis

B. Subacromial bursitis

C. Calcific tendinitis

D. Rheumatoid synovitis