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 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 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

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 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

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