American College of Rheumatology RhMSUS Exam Questions Free Practice Test

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Questions # 11:

What is the MOST prominent ultrasound artifact depicted in this image?

Question # 11

Options:

Comet tail

Ring down

Shadowing

Enhancement

Expert Solution

Questions # 12:

Which of the following statements regarding ultrasound probe care is MOST accurate?

Options:

Internal-use probes are considered semi-critical devices and require low-level disinfection after each use.

Internal-use probes are considered critical devices and require sterilization after each use.

External probes, when used without a cover for ultrasound-guided injections or aspiration, are considered semi-critical devices and require low-level disinfection after each use.

External probes that come into contact with intact skin are considered noncritical devices and require cleaning with low-level disinfectants after each use.

Expert Solution

Questions # 13:

In performing an in-plane ultrasound-guided procedure, it is helpful to orient the transducer so that the:

Options:

Needle crosses the plane of the transducer.

Needle angle relative to the transducer is minimized.

Transducer touches the point where the needle penetrates the skin.

Target is as close as possible to the side of the transducer where the needle will be inserted.

Expert Solution

Questions # 14:

By comparing gray-scale images from before pharmacologic treatment and after months of treatment, rheumatologists are able to assess patient improvement and response with regard to:

Options:

Erosions in rheumatoid arthritis.

Osteophytes in osteoarthritis.

Synovitis in rheumatoid arthritis.

Articular cartilage damage in osteoarthritis.

Expert Solution

Questions # 15:

A patient with diabetes presents with right ankle pain and swelling. The practitioner is unsure of the cause and decides to perform a musculoskeletal ultrasound examination. Which of the following in the practitioner's report is the BEST statement of indication for this study?

Options:

Inflammatory arthritis

Ankle pain

Ruling out of inflammatory arthritis

Ruling out of infection

Expert Solution

Questions # 16:

A 3-year-old child with juvenile idiopathic arthritis presents for an intra-articular corticosteroid injection of the knee. Using ultrasound guidance, which location should be targeted with a needle?

Question # 16

Options:

Expert Solution

Questions # 17:

Which of the following statements is CORRECT with regard to the use of ultrasound equipment for children?" followed by four answer choices:

Options:

Ultrasonography has limitations in imaging the relatively small structures in pediatric joints

Special "hockey stick" transducers are essential to adequately image pediatric joints

High-Trequency probes are necessary to adapt to the small pediatric joints

Pediatric joints can be imaged with the same ultrasound equipment used for adults

Expert Solution

Questions # 18:

A 80-year-old man presents with two weeks of wrist swelling and pain. His exam reveals swelling and tenderness over the dorsum of his right wrist as well as synovial swelling of the second and third metacarpophalangeal joints of his left hand. His serum uric acid concentration is 6.0 mg/dL. The longitudinal and transverse images of the dorsal aspect of his right wrist are shown below. What is the MOST likely diagnosis?

Question # 18

Options:

Gout

Calcium pyrophosphate arthritis

Rheumatoid arthritis

Psoriatic arthritis

Expert Solution

Questions # 19:

Which of the following protocols would be MOST consistent with a complete routine ultrasound examination of the shoulder?

Options:

Anterior long- and short-axis views of the biceps tendon

oAnterior view of the subscapularis tendon in external rotation

oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly

oPosterolateral view of the infraspinatus tendon

oPosterior view of the glenohumeral joint recess

oView from cranial at the acromioclavicular joint

Anterior long- and short-axis views of the biceps tendon

oAnterior view of the rotator cuff interval

oLateral views of the subscapularis tendon

oLateral long- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly

oPosterior view of the glenohumeral joint recess

oDynamic lateral long-axis assessment of impingement with abduction of the arm

Anterior long- and short-axis views of the biceps tendon

oAnterior views of the pectoralis tendon insertion

oAnterior view of the coracoid ligament and rotator cuff interval

oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly

oPosterior long- and short-axis views of the infraspinatus tendon insertion

oAxillary long-axis view with arm raised

Anterior long- and short-axis views of the biceps tendon

oAnterior view of the rotator cuff interval

oLong- and short-axis views of the supraspinatus tendon, moving the transducer anteriorly and posteriorly

oDynamic lateral long-axis assessment of impingement with abduction of the arm

oPosterior transverse view of the suprascapular notch

oView from cranial at the acromioclavicular joint

Expert Solution

Questions # 20:

Which of the following is MOST accurate regarding high-level disinfection of a probe?

Options:

High-level disinfection of an external probe removes all bacterial spores.

High-level disinfection of an external probe does not remove most fungi

High-level disinfection of an external probe is mandatory between patients after ultrasound-guided arthrocentesis, regardless of probe cover

High-level disinfection of an internal-use probe is required between every patient

Expert Solution

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