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Pass the American College of Rheumatology ACR-MUCR RhMSUS Questions and answers with ExamsMirror

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Questions # 1:

Which of the following should NOT be evaluated using a musculoskeletal ultrasound?”

Options:

A.

Hand joints for progression of erosive disease in a patient with established rheumatoid arthritis

B.

A femoral neck enchondroma in a patient complaining of hip pain

C.

Salivary gland parenchyma in a patient suspected of having Sjogren's syndrome

D.

A Morton's neuroma in a patient complaining of foot pain

Questions # 2:

For an ultrasound examination, how should the patient, ultrasound machine, and examiner be oriented?

Options:

A.

The examiner is closest to the limb of the patient being scanned while facing toward the monitor.

B.

The examiner is between the patient and the monitor.

C.

The monitor is on the left of the patient for a left-handed examiner.

D.

The monitor is between the patient and the examiner.

Questions # 3:

Which effect is achieved by increasing the gain while in Doppler mode?

Options:

A.

Increased image brightness

B.

Increased sensitivity to flow

C.

Increased tissue penetration

D.

Reduced noise artifacts in the image

Questions # 4:

Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?

Question # 4

Options:

A.

Proximal interphalangeal synovitis

B.

Proximal interphalangeal osteophytes

C.

Flexor tendon rupture with reparative hyperemia

D.

Flexor tenosynovitis

Questions # 5:

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.

Question # 5

Question # 5

Options:

A.

Intercarpal joint

B.

Radiocarpal joint

C.

Radioulnar joint

D.

Extensor tenosynovium

Questions # 6:

Which statement is TRUE regarding the techniques that can minimize infection during ultrasound-guided procedures?

Options:

A.

Sterile probe covers with sterile coupling gel can be employed during intra-articular injections, particularly those that require close proximity between the transducer and the needle tip.

B.

The needle can touch the uncovered probe during the procedure as long as sterile gel is used.

C.

Not using probe covers during ultrasound-guided arthrocentesis has been demonstrated to lead to increased rates of joint infections.

D.

Povidone iodine swab of the injection site has been demonstrated to be insufficient to minimize infection during ultrasound-guided arthrocentesis.

Questions # 7:

Which of the following images is MOST consistent with crystal-induced arthropathy?

Question # 7

Options:

A.

Option A

B.

Option B

C.

Option C

D.

Option D

Questions # 8:

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?

Question # 8

Question # 8

Options:

A.

Gout

B.

Calcium pyrophosphate arthritis

C.

Rheumatoid arthritis

D.

Psoriatic arthritis

Questions # 9:

Why is musculoskeletal ultrasound (MSKUS) useful in monitoring the treatment response in rheumatoid arthritis?

Options:

A.

Power Doppler ultrasound is specific to rheumatoid arthritis disease activity.

B.

Power Doppler ultrasound is sensitive to change in disease activity.

C.

Gray-scale ultrasound can predict the development of erosions.

D.

MSKUS is able to detect bone marrow edema around joints

Questions # 10:

Which of the following is required in a report documenting an ultrasound-guided procedure?

Options:

A.

Sections detailing medical indication for procedure, study type (limited versus complete), and overall clinical impressions

B.

Section detailing ultrasonographic observations of any variations from the normal accompanied by measurements

C.

Image labeled with exam date, patient identification, image orientation, and image views of the target area

D.

Image showing needle in the target structure or orthogonal images of the target structure before and after injection

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