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American College of Rheumatology
ACR-MUCR
RhMSUS
Musculoskeletal Ultrasound Certification in Rheumatology Questions and Answers

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Viewing questions 21-30 out of questions

Questions # 21:

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?

Question # 21

Options:

Arrow A

Arrow B

Arrow C

Arrow D

Answer

Questions # 22:

What is the MAXIMUM normal dimension of the structure indicated by the line in this image?

Question # 22

Options:

7 mm in children less than 5 years old

7 mm in adults

9 mm in children less than 5 years old

9 mm in adults

Answer

Questions # 23:

The image below shows the injection of the dorsal wrist region in a patient with rheumatoid arthritis. The needle is indicated by the arrows. Considering the ultrasound findings, which of the following is MOST appropriate in completing the injection?

Question # 23

Options:

The radiocarpal recess should be the primary target.

The midcarpal recess should be the primary target.

Both the radiocarpal and midcarpal recesses should be targeted.

The fourth compartment ten synovium should be targeted.

Answer

Questions # 24:

This posterior transverse scan of the shoulder of a 3-year-old boy shows which of the following?

Question # 24

Options:

Effusion of the glenohumeral joint

Effusion with an erosion of the humeral head

Normal shoulder scan

Fracture of the humeral head

Answer

Questions # 25:

In this image of a knee, what is the MOST obvious abnormality?

Question # 25

Options:

Asymmetric femoral cartilage thinning

Avascular necrosis

Cartilage interface sign

Chondrocalcinosis

Answer

Questions # 26:

Which of the following represents the BEST method for storing ultrasound images and relevant reports?

Options:

Saved to the ultrasound machine only

Saved to a secure server with backup

Saved to a secure personal flash drive

Saved to the desktop in the exam room

Answer

Questions # 27:

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?

Options:

Power Doppler ultrasound is preferable to color Doppler ultrasound to assess the direction of flow.

Power Doppler ultrasound is preferable to color Doppler ultrasound to assess flow velocity.

Color Doppler ultrasound is preferable to power Doppler ultrasound to assess the amplitude of flow.

Color Doppler ultrasound is more dependent on the angle of insonation than power Doppler ultrasound.

Answer

Questions # 28:

Which of the following is inappropriate for conventional musculoskeletal ultrasound?

Options:

Muscle involvement in polymyositis

Parotid involvement in Sjögren's syndrome

Median nerve entrapment in carpal tunnel syndrome

Supraspinatus tear in rotator cuff syndrome

Answer

Questions # 29:

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?

Question # 29

Options:

Osteophytes and meniscal cyst

Osteophytes and rupture of the medial collateral ligament

Osteophytes and distension and calcification of the medial collateral ligament

Osteophytes, distension of the medial collateral ligament, and meniscal degeneration

Answer

Questions # 30:

A 37-year-old female with a history of rheumatoid arthritis presents for sonographic evaluation. She has been in clinical remission for six months and is considering discontinuation of her biologic agent. Sonography of the right third metacarpophalangeal joint is shown. Which of the following is the MOST accurate description regarding this image?

Question # 30