Question 1

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?

Options :

A : The radiocarpal recess should be the primary target.

B : The midcarpal recess should be the primary target.

C : Both the radiocarpal and midcarpal recesses should be targeted.

D : The fourth compartment ten synovium should be targeted.

Answer: C

Question 2

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 3

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

Question 4

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?

Options :

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 proximal to the joint line

D : A posteromedial approach at the level of the mid-gastrocnemius muscle

Answer: C

Question 5

What is the position of the arm MOST likely used to obtain this B-Mode image of the shoulder?

Options :

A : External rotation

B : Crass

C : Modified Crass

D : Neer impingement

Answer: C

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