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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions (Q44-Q49):

NEW QUESTION # 44
Which of the following structures for injection has the BEST evidence for the superiority of ultrasound guidance over palpation alone?

A. Glenohumeral joint
B. Flexor digitorum tendon at the A1 pulley
C. Subacromial bursa
D. Trochanteric bursa

Answer: A

NEW QUESTION # 45
Which of the following is the MOST appropriate approach to use when performing an ultrasound-guided aspiration on a Baker's cyst in the posterior knee of a 76-year-old female patient?

A. An anteromedial approach at the level of the joint line
B. A posteromedial approach at the level of the joint line
C. A posteromedial approach at the level of the mid-gastrocnemius muscle
D. A posteromedial approach at the level proximal to the joint line

Answer: D

NEW QUESTION # 46
The best way to facilitate visualization of ultrasound images in an exam room.

A. Brighten the ambient lighting to improve the signal-to-noise ratio
B. Decrease the amount of gel in between transducer and skin to improve transmission of sound waves
C. Decrease high-frequency ambient noise to minimize interfering sound waves
D. Dim the exam room lighting to improve the signal-to-noise ratio (This is the best answer)

Answer: D

NEW QUESTION # 47
Which is the MAIN pathologic finding shown by this ultrasound picture in a patient with psoriatic arthritis?

A. Proximal interphalangeal synovitis
B. Flexor tenosynovitis
C. Proximal interphalangeal osteophytes
D. Flexor tendon rupture with reparative hyperemia

Answer: B

NEW QUESTION # 48
An 83-year-old female with a medical history of congestive heart failure, critical aortic stenosis, end-stage renal disease, and morbid obesity presents to the office with a complaint of right knee pain for two years. The pain is worse with activity and better with rest. She notes no redness, warmth, or swelling in the joint, with no other joints being painful. A physical examination reveals crepitus in the right knee with medial and lateral joint line tenderness of the left knee. X-rays of the right knee from six months ago are consistent with severe tricompartmental osteoarthritis. Due to morbid obesity, visualization of bony landmarks is not possible and the decision is made to proceed with an ultrasound-guided knee injection with a hyaluronic acid derivative.
Prior to injection, where should the needle tip be visualized?

A. A
B. B
C. C
D. D

Answer: B

NEW QUESTION # 49
......

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