Question 1

Which of the following is shown in this longitudinal image of the talonavicular-cuneiform joints in a 15-yearold girl?

Options :

A : The typical appearance of pes equinovarus

B : The normal appearance of irregular ossification centers of the respective midfoot bones

C : Irregularities of the respective midfoot bones indicative of damage as well as surrounding areas indicative of synovial hypertrophy and effusions

D : An inflammatory process in the subcutaneous tissues, possibly an infection, extending into the joint spaces

Answer: B

Question 2

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

Options :

A : Effusion of the glenohumeral joint

B : Effusion with an erosion of the humeral head

C : Normal shoulder scan

D : Fracture of the humeral head

Answer: A

Question 3

Based on this longitudinal view of the anterior hip in a patient with hip pain, which statement is CORRECT?

Options :

A : The patient has hip synovitis and should be aspirated for synovial fluid analysis and culture and injected with corticosteroids.

B : The patient has a normal hip joint.

C : The patient should be referred for plain radiography to evaluate for femoral neck fracture.

D : The patient should be referred for MRI to confirm a paralabral cyst and evaluate for labral tear.

Answer: B

Question 4

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

Answer: C

Question 5

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.

Answer: A

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