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American College of Rheumatology Musculoskeletal Ultrasound Certification in Rheumatology Sample Questions (Q14-Q19):

NEW QUESTION # 14
Gray-scale and Doppler ultrasound evaluation examination alone would BEST assist in establishing a diagnosis in which of the following scenarios?

A. Sacroiliac joints in a 35-year-old male with early morning low-back pain and positive HLA B27
B. Knee in a 72-year-old female with unilateral knee pain, no swelling on examination, and medial narrowing of the joint space on knee radiograph
C. Warm, swollen elbow joint in a 70-year-old lymphoma patient with fevers and a history of an abscess of the thoracic spine
D. Asymptomatic hand and wrist joints with bony deformities present in a 60-year-old female with a positive rheumatoid factor and CCP antibody but normal sedimentation rate and C-reactive protein level

Answer: A

NEW QUESTION # 15
A practitioner wants to assess the structures on the right, distal portion of this image.

What should the practitioner do at this time?

A. Choose a lower transducer frequency.
B. Increase the overall gain to brighten the image.
C. Depress the distal end of the probe.
D. Place the focal point at the level of the area of interest.

Answer: D

NEW QUESTION # 16
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 synovitis
C. Proximal interphalangeal osteophytes
D. Flexor tenosynovitis

Answer: D

NEW QUESTION # 17
What is the BEST assessment of these longitudinal images of the pes anserinus region?

A. Reverberation artifact
B. Tenosynovitis
C. Normal medial genicular artery signal
D. Presence of enthesopathy with hyperemia

Answer: B

NEW QUESTION # 18
Which of the following is the MOST appropriate next step to confirm the presence of pathology in this metacarpophalangeal joint?

A. Check the transverse plane.
B. Float the probe.
C. Use a "hockey stick" probe.
D. Decrease the depth.

Answer: C

NEW QUESTION # 19
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