Question 1

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 2

What is the appropriate image documentation for an ultrasound study evaluating sonographic synovitis in bilateral hand and wrist joints in a patient with rheumatoid arthritis?

Options :

A : Images of the sonographic views with the presence of power Doppler synovitis only

B : Images of the sonographic views with the presence of power Doppler and/or gray-scale synovitis only

C : Representative sonographic image example of power Doppler and gray-scale synovitis supplemented by a detailed report of each examined joint

D : All appropriate sonographic views of every joint examined

Answer: C

Question 3

Which of the following is inappropriate for conventional musculoskeletal ultrasound?

Options :

A : Muscle involvement in polymyositis

B : Parotid involvement in Sjögren's syndrome

C : Median nerve entrapment in carpal tunnel syndrome

D : Supraspinatus tear in rotator cuff syndrome

Answer: A

Question 4

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 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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