質問 1: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 B
B. Arrow D
C. Arrow A
D. Arrow C
正解:D
質問 2:This image shows the sequence of a guided procedure in a patient with rheumatoid arthritis and a mass of the right shoulder. Although guided aspiration was useful for the fluid examination, surgery was performed for a definitive diagnosis of the acromioclavicular cyst. Which condition is the finding MOST associated with this pathology?
A. Humeral head fracture
B. Rotator cuff tear
C. Chondrocalcinosis
D. Amyloidosis
正解:B
質問 3:The change between the ankle depicted in the first and second images would BEST be explained by which of the following?

A. Increased gain
B. Decreased transducer pressure
C. Decreased frequency
D. Decreased synovitis
正解:D
質問 4:Which of the following is MOST accurate regarding high-level disinfection of a probe?
A. High-level disinfection of an external probe does not remove most fungi
B. High-level disinfection of an external probe removes all bacterial spores.
C. High-level disinfection of an internal-use probe is required between every patient
D. High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover
正解:D
質問 5:A practitioner is counseling a patient with suspected rotator cuff tendinopathy on imaging options. Which of the following is CORRECT regarding diagnostic ultrasound examination?
A. It provides the same information as an MRI without gadolinium.
B. It obviates the need for X-ray examination when cortical margins are normal.
C. It uses sound energy with no adverse effects found in clinical studies.
D. It is the gold standard for preoperative planning for rotator cuff surgery.
正解:B
質問 6:Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?
A. The patient should be referred for plain radiography to evaluate for femoral neck fracture.
B. The patient has a normal hip joint.
C. The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.
D. The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.
正解:B
質問 7:To improve visualization of the hip joint of an obese patient, it would be BEST to change to a probe with which of the following?
A. Higher frequency
B. Smaller footprint
C. Standoff pad
D. Curvilinear structure
正解:D
質問 8:Ultrasound evaluation of a painful shoulder is MOST likely to be useful in planning a corticosteroid injection for which of the following conditions?
A. Adhesive capsulitis
B. Glenohumeral synovitis
C. Complex regional pain syndrome
D. Superior labral anterior-posterior lesion
正解:B
質問 9:A 30-year-old female patient with rheumatoid arthritis reports pain at the medial malleolus. The medial side of the ankle is tender and seems to be swollen. How should a practitioner interpret the transverse images at the medial malleolus?
A. Tenosynovitis of the tibialis anterior tendon
B. Neurom of the tibiatis posterior nerve
C. Tenosynovitis of the flexor digitorum
D. Tenosynovitis of the flexor hallucis longus
正解:D
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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology 認定 RhMSUS 試験問題:
1. A scratch along the rubber sole of a transducer is MOST likely to cause which of the following?
A) Risk of electrical shock
B) Artifact in the B-Mode image
C) No impact on image acquisition
D) Increased risk of the spread of infection
2. In this ultrasound image of a hip, where is the transducer positioned?

A) Parallel to the femoral shaft
B) Parallel to the femoral neck
C) Parallel to the inguinal ligament
D) Parallel to the greater trochanter
3. For which of the following clinical scenarios is it appropriate for a practitioner to perform musculoskeletal ultrasound?
A) A 50-year-old woman with pain between the third and fourth metatarsals
B) A patient with psoriasis and posterior heel pain
C) A patient who has pain and numbness over the lateral calf
D) A 40-year-old man with a snapping sensation in his groin with hip flexion and external rotation
4. Ultrasound is the MOST appropriate tool to evaluate which of these structures for pathology?
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
5. In this volar transverse image of the second metacarpophalangeal joint, the hyperechoic focus indicated by the arrow is which of the following?

A) A foreign body
B) A metacarpal fragment from prior trauma
C) A normal sesamoid
D) The tip of an osteophyte
質問と回答:
質問 # 1 正解: D | 質問 # 2 正解: C | 質問 # 3 正解: D | 質問 # 4 正解: D | 質問 # 5 正解: C |