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NEW QUESTION # 21
What is the BEST assessment of these longitudinal images of the pes anserinus region?
- A. Tenosynovitis
- B. Reverberation artifact
- C. Presence of enthesopathy with hyperemia
- D. Normal medial genicular artery signal
Answer: A
NEW QUESTION # 22
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. C
- B. D
- C. B
- D. A
Answer: C
NEW QUESTION # 23
Which of the probe placement photographs BEST matches the standard wrist ultrasound image shown?
- A. Image B
- B. Image C
- C. Image A
- D. Image D
Answer: B
NEW QUESTION # 24
A 80-year-old man presents with two weeks of wrist swelling and pain. His exam reveals swelling and tenderness over the dorsum of his right wrist as well as synovial swelling of the second and third metacarpophalangeal joints of his left hand. His serum uric acid concentration is 6.0 mg/dL. The longitudinal and transverse images of the dorsal aspect of his right wrist are shown below. What is the MOST likely diagnosis?
- A. Calcium pyrophosphate arthritis
- B. Rheumatoid arthritis
- C. Psoriatic arthritis
- D. Gout
Answer: D
NEW QUESTION # 25
Which of the following anatomic structures BEST fits the scope of rheumatologic ultrasound practice?
- A. Posterior cruciate ligament
- B. Posterior patellar cartilage
- C. Anterior glenoid labrum
- D. Metacarpal volar plate
Answer: B
NEW QUESTION # 26
The orthogonal images of a supraspinatus tendon shown here are MOST consistent with which of the following?
- A. Tendon tear
- B. Tendinopathy
- C. Artifact from transducer placement
- D. Normal tendon variability
Answer: A
NEW QUESTION # 27
A photograph of an ultrasound-guided injection approach is shown below. With which ultrasound image does it BEST correlate?
- A. Image C
- B. Image A
- C. Image D
- D. Image B
Answer: D
NEW QUESTION # 28
Which of the following is TRUE for document storage and record-keeping guidelines and requirements?
- A. All images must be part of the electronic or paper patient file.
- B. The physician's report on the ultrasound examination must be stored in a physically separate location from the machine.
- C. Ultrasound studies must be saved in a DICOM (Digital Imaging and Communications in Medicine) format.
- D. There must be provisions for the storage and retrieval of examination records of all studies that are documented in the medical chart.
Answer: A
NEW QUESTION # 29
This is a short-axis scan of the supraspinatus tendon in a normal person. What is the finding marked with the arrow?
- A. Normal deltoid muscle
- B. A probe-generated artifact
- C. Calcification of the supraspinatus tendon
- D. Subacromial bursa calcification
Answer: A
NEW QUESTION # 30
Which carpal bone is visualized medially to the ulnar nerve on a transverse scan of the wrist at the level of the distal wrist crease?
- A. Capitate
- B. Triquetrum
- C. Hamate
- D. Pisiform
Answer: D
NEW QUESTION # 31
A 30-year-old pregnant woman with rheumatoid arthritis presents with right wrist pain and swelling despite a palpation-guided corticosteroid injection one month ago.
- A. Intercarpal joint
- B. Radiocarpal joint
- C. Extensor tenosynovium
- D. Radioulnar joint
Answer: A
NEW QUESTION # 32
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 C
- C. Arrow B
- D. Arrow A
Answer: B
NEW QUESTION # 33
What is the BEST description for this longitudinal ultrasound scan of a 75-year-old patient with pain in the medial aspect of the knee?
- A. Osteophytes and rupture of the medial collateral ligament
- B. Osteophytes and distension and calcification of the medial collateral ligament
- C. Osteophytes, distension of the medial collateral ligament, and meniscal degeneration
- D. Osteophytes and meniscal cyst
Answer: C
NEW QUESTION # 34
Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?
- A. Flexor tendon rupture with reparative hyperemia
- B. Proximal interphalangeal osteophytes
- C. Flexor tenosynovitis
- D. Proximal interphalangeal synovitis
Answer: C
NEW QUESTION # 35
Which of the following is required in a report documenting an ultrasound-guided procedure?
- A. Image labeled with exam date, patient identification, image orientation, and image views of the target area
- B. Image showing needle in the target structure or orthogonal images of the target structure before and after injection
- C. Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements
- D. Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions
Answer: D
NEW QUESTION # 36
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. Tissue compression at the distal transducer edge
- B. Passive knee extension
- C. Quadriceps contraction
- D. Rotation of the distal transducer edge
Answer: C
NEW QUESTION # 37
In which situation is an ultrasound MOST appropriate for making the correct clinical diagnosis?
- A. In rheumatoid arthritis, to diagnose carpal tunnel syndrome
- B. In juvenile idiopathic arthritis, to diagnose tenosynovitis in a patient with ankle swelling
- C. In fibromyalgia, to confirm the absence of joint and tendon pathology
- D. In gout, using the double contour sign alone as diagnostic confirmation of the disease
Answer: B
NEW QUESTION # 38
What is the MAIN pathologic finding shown in this ultrasound image?
- A. Osteophytes
- B. Synovitis
- C. Erosion
- D. Tendon rupture
Answer: A
NEW QUESTION # 39
A 38-year-old woman with recent history of right shoulder subacromial impingement presents for a two-week follow-up after an anatomically guided subacromial/subdeltoid corticosteroid injection. She reports some initial, but only short-lived, improvement of her right shoulder pain and discomfort with arm elevation.
Her right shoulder X-rays are normal. What would be the MOST appropriate next intervention?
- A. Ultrasound-guided corticosteroid injection of the glenohumeral joint
- B. Ultrasound-guided corticosteroid injection of the right shoulder subacromial/subdeltoid bursa
- C. Anatomically guided corticosteroid reinjection of the right shoulder subacromial/subdeltoid bursa
- D. Referral to occupational therapy for shoulder rehabilitation exercise
Answer: D
NEW QUESTION # 40
A 3-year-old child with juvenile idiopathic arthritis presents for an intra-articular corticosteroid injection of the knee. Using ultrasound guidance, which location should be targeted with a needle?
- A. D
- B. B
- C. C
- D. A
Answer: C
NEW QUESTION # 41
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. Brighten the ambient lighting to improve the signal-to-noise ratio
- C. Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)
- D. Decrease high-frequency ambient noise to minimize interfering sound waves
Answer: C
NEW QUESTION # 42
For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?
- A. A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation
- B. A patient with psoriasis and posterior heel pain
- C. A patient who has pain and numbness over the lateral calf
- D. A 50-year-old woman with pain between the third and fourth metatarsals
Answer: A
NEW QUESTION # 43
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